WILLIAM R. OMLIE (M.D.) – Vascular Surgery Physician, NPI 1518997782
Vascular Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
122 VASCULAR SURGERY in MN
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Provider Addresses for WILLIAM R. OMLIE (M.D.)
West 66th Street, Southdale, Edina, Hennepin County, Minnesota, 55439, United States
SUITE 350
EDINA, MN 554352111
Phone: (952) 832-0805
Fax: (952) 832-5597
Type: Mailing
6405, France Avenue South, Southdale, Edina, Hennepin County, Minnesota, 55435, United States
SUITE W440
EDINA, MN 554352163
Phone: (952) 927-7004
Fax: (952) 927-5146
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $3,014.
Total Amount is formed as General ($3,014) + Research ($0) + Ownership ($0) = $3,014.
Last reported payment date: 2024-05-14 • Largest payer in this snapshot: Electromed, Inc. ($2,400).
Total Amount
$3,014
General + Research + Ownership
Payments
5
Total payment records
General Amount
$3,014
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-05-14
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Electromed, Inc. | $2,400 |
| Medtronic, Inc. | $344 |
| Penumbra, Inc. | $144 |
| KCI USA, Inc. | $125 |
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: 2005-06-08
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20050608000077 | I | Vascular Surgery | MN | TBD |
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.
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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 101 | 89 | $0 |
| 11042 | Removal of skin and tissue, 20.0 sq cm or less | 96 | 22 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 65 | 50 | $0 |
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 61 | 29 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 38 | 23 | $0 |
Insurance plans in this area (ZIP 55435)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| P A T H O L O G Y | MN | |
| G A S T R O E N T E R O L O G Y | MN | |
| N E U R O S U R G E R Y | OH | |
| - | MN | |
| Physician Assistant | MN | |
| Physician Assistant | MN | |
| - | MN | |
| - | MN | |
| Physical Therapist In Private Practice | OR | |
| Cardiovascular Disease (Cardiology) | IL |
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