DR. JON TOMASSON (M.D.) – Pediatric Anesthesiology Physician, NPI 1518925882

DR. JON TOMASSON (M.D.) is a healthcare provider. based in Plymouth, Minnesota. specializing in ANESTHESIOLOGY. They hold the professional credentials M.D.. They hold a License No. 45049 (WI). The NPI Number for DR. JON TOMASSON (M.D.) is 1518925882

Main info

Male
Sole Proprietor
29 Years Of Experience
Accepts Medicare Assignment
Name
DR. JON TOMASSON (M.D.)
NPI
1518925882
Phone
(763) 559-3779
Address
14700 28TH AVE N
Enumeration Date
3 May 2006
Last Update Date
1 February 2011

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7632366786
Graduation Year
1997 (29 years ago)
PAC ID
3779675368
Group Practice PAC ID
5698689123
Professional Enrollment ID
I20101123001270
Address ID
MN554332522CO4050XNWXX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience82
Completeness75
Years active:20State licenses:3Digital endpointsOther names

969 ANESTHESIOLOGY in MN

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Provider Addresses for DR. JON TOMASSON (M.D.)

  • 14700, 28th Avenue North, Plymouth, Hennepin County, Minnesota, 55447, United States

    SUITE 20

    PLYMOUTH, MN 554474835

    Phone: (763) 559-3779

    Fax: (763) 559-3543

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-03-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20101123001270IAnesthesiologyMNTBD
I20250311003892IAnesthesiologyTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55447)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5698689123View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)MN
Certified Registered Nurse Anesthetist (Crna)MN
-MN
-MN
-MN
-MN
A N E S T H E S I O L O G YMN
A N E S T H E S I O L O G YMN
-MN
-MN

Reviews

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Frequently asked questions

Does DR. JON TOMASSON (M.D.) have a public NPI I can cite?
Public records show DR. JON TOMASSON (M.D.) under NPI 1518925882.
Is DR. JON TOMASSON (M.D.)'s NPI status active today?
Active status means DR. JON TOMASSON (M.D.)'s NPI record is not deactivated in the public file.
What does the directory say DR. JON TOMASSON (M.D.) does?
Insurance directories may phrase it differently, but here DR. JON TOMASSON (M.D.) maps to Pediatric Anesthesiology Physician. Clinical services aligned with this taxonomy classification.
What city is tied to DR. JON TOMASSON (M.D.)?
The directory associates DR. JON TOMASSON (M.D.) with Plymouth, Minnesota. Check all listed addresses for suites or satellite offices.
Why is information missing for DR. JON TOMASSON (M.D.)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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