DR. EDWARD RAINIER GAMBOA SANTOS (MD) – Orthopaedic Surgery Physician, NPI 1659474773
Orthopaedic Surgery Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
821 ORTHOPEDIC SURGERY in MN
Provider Addresses for DR. EDWARD RAINIER GAMBOA SANTOS (MD)
301 Highway 65 S
Mora, MN 550511899
Phone: (320) 679-1212
Type: Location
Commerce Drive, Woodbury, Washington County, Minnesota, 55129, United States
WOODBURY, MN 551254925
Phone: (651) 968-5201
Fax: (651) 968-5904
Type: Mailing
37th Avenue North, Plymouth, Hennepin County, Minnesota, 55446, United States
PLYMOUTH, MN 554463675
Phone: (651) 968-5201
Fax: (651) 968-5904
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $160.
Total Amount is formed as General ($160) + Research ($0) + Ownership ($0) = $160.
Last reported payment date: 2024-05-31 • Largest payer in this snapshot: Medtronic, Inc. ($160).
Total Amount
$160
General + Research + Ownership
Payments
2
Total payment records
General Amount
$160
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-05-31
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $160 |
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: 2005-10-07
PECOS data refreshed: 2026-06-15
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 |
|---|---|---|---|---|
| I20051007000731 | I | Orthopedic 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 116 | 98 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 63 | 58 | $0 |
| 22853 | Insertion of cage or mesh device to spine bone and disc space during spine fusion | 34 | 21 | $0 |
| 72100 | X-ray of lower and sacral spine, 2-3 views | 33 | 30 | $0 |
| 72148 | Mri scan of lower spinal canal without contrast | 24 | 24 | $0 |
Insurance plans in this area (ZIP 55051)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MN | |
| - | MN | |
| Physician Assistant | MN | |
| - | MN | |
| Physical Therapist In Private Practice | MN | |
| Occupational Therapist In Private Practice | MN | |
| Physical Therapist In Private Practice | MN | |
| Physical Therapist In Private Practice | MN | |
| - | MN | |
| Physical Therapist In Private Practice | WA |
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