THEMISTOCLES PETER ECONOMOU (M.D.) – Plastic Surgery Physician, NPI 1528152170
Plastic Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
147 PLASTIC AND RECONSTRUCTIVE SURGERY in MN
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Provider Addresses for THEMISTOCLES PETER ECONOMOU (M.D.)
University Avenue West, Saint Paul, Ramsey County, Minnesota, 55114, United States
SAINT PAUL, MN 551142001
Phone: (651) 602-5309
Fax: (651) 222-6786
Type: Mailing
France Avenue South, Bloomington, Hennepin County, Minnesota, 55435-4534, United States
BLOOMINGTON, MN 554355870
Phone: (952) 746-6767
Fax: (952) 746-6768
Type: Location
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: 2010-11-11
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 |
|---|---|---|---|---|
| I20101111000940 | I | Plastic And Reconstructive 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 |
|---|---|---|---|---|
| 11606 | Removal of cancer skin growth of body, arms, or legs, more than 4.0 cm | 64 | 60 | $0 |
| 38900 | Imaging of lymph nodes during surgery | 55 | 55 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 44 | 44 | $0 |
| 99202 | New patient office or other outpatient visit, 15-29 minutes | 36 | 36 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 35 | 31 | $0 |
Insurance plans in this area (ZIP 55114)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Obstetrics/Gynecology, Gynecological Oncology | MN | |
| Nurse Practitioner | MN | |
| Nurse Practitioner | MN | |
| Physician Assistant | MN | |
| Physician Assistant | TX | |
| Nurse Practitioner | MN | |
| - | MN | |
| Medical Oncology | MN | |
| Colorectal Surgery (Proctology), General Surgery | MN | |
| Physician Assistant | MN |
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