SUSAN M SCANLON (MD) – Emergency Medicine Physician, NPI 1538134473

SUSAN M SCANLON (MD) is a healthcare provider. based in Minneapolis, Minnesota. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. 45474 (WI). The NPI Number for SUSAN M SCANLON (MD) is 1538134473

Main info

Female
27 Years Of Experience
Accepts Medicare Assignment
Name
SUSAN M SCANLON (MD)
NPI
1538134473
Phone
Not provided
Address
8170 33RD AVE S # MS 21110Q
Enumeration Date
22 February 2006
Last Update Date
15 September 2022

Doctor Profile

Medical School Name
UNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE
Secondary Phone
6516416200
Graduation Year
1999 (27 years ago)
PAC ID
5395649123
Group Practice PAC ID
1759293954
Professional Enrollment ID
I20070118000419
Address ID
MN551081460SA2500XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness75
Years active:20State licenses:2Digital endpointsOther names

1,172 EMERGENCY MEDICINE in MN

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Provider Addresses for SUSAN M SCANLON (MD)

  • 8170 33RD AVE S # MS 21110Q

    MINNEAPOLIS, MN 554254516

    Phone:

    Type: Mailing

  • Healthpartners Como, 2500, Como Avenue, Saint Paul, Ramsey County, Minnesota, 55108, United States

    SAINT PAUL, MN 55108

    Phone: (651) 641-6200

    Type: Location

  • 1500 CURVE CREST BLVD W

    STILLWATER, MN 550826040

    Phone: (651) 439-1234

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $21.

Total Amount is formed as General ($21) + Research ($0) + Ownership ($0) = $21.

Last reported payment date: 2023-02-02 • Largest payer in this snapshot: Axonics, Inc. ($21).

Total Amount

$21

General + Research + Ownership

Payments

1

Total payment records

General Amount

$21

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-02-02

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Axonics, Inc.$21
View all Open Payments →|Open Payments Risk Radar →

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: 2007-01-18

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
I20031124000320IEmergency MedicineWITBD
I20070118000419IEmergency MedicineMNTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes1919$0
View full utilization report →

Insurance plans in this area (ZIP 55425)

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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: 1759293954View full group profile

Reviews

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Frequently asked questions

Can I verify SUSAN M SCANLON (MD) with an NPI only?
You can start verification with NPI 1538134473 for SUSAN M SCANLON (MD), then check state licensing separately.
Does CMS list SUSAN M SCANLON (MD) as active?
Yes — SUSAN M SCANLON (MD) is active in the NPI listing used on this page.
What is SUSAN M SCANLON (MD)'s primary classification?
Emergency Medicine Physician is the headline specialty for SUSAN M SCANLON (MD) here. Clinical services aligned with this taxonomy classification.
What address line appears for SUSAN M SCANLON (MD)?
SUSAN M SCANLON (MD)'s geographic hint is Minneapolis, Minnesota in our summary view.
Why does SUSAN M SCANLON (MD) have multiple addresses?
3 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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