ANTHONY P LUSSENHOP (MD) – Family Medicine Physician, NPI 1669452074

ANTHONY P LUSSENHOP (MD) is a healthcare provider. based in Alexandria, Minnesota. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 35450 (MN). The NPI Number for ANTHONY P LUSSENHOP (MD) is 1669452074

Main info

Male
35 Years Of Experience
Accepts Medicare Assignment
Name
ANTHONY P LUSSENHOP (MD)
NPI
1669452074
Phone
(320) 763-5123
Address
610 30TH AVE W
Enumeration Date
20 January 2006
Last Update Date
21 October 2024

Doctor Profile

Medical School Name
UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Secondary Phone
3207635123
Graduation Year
1991 (35 years ago)
PAC ID
7416098587
Group Practice PAC ID
9931690047
Professional Enrollment ID
I20100112000199
Address ID
MN563083426AL610XXWXXX400

Contacts

Secure Messaging
alussenhop28200@direct.centracare.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

3,076 FAMILY PRACTICE in MN

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Provider Addresses for ANTHONY P LUSSENHOP (MD)

  • Alexandria Clinic, 610, 30th Avenue West, Mobile Park Estates, Alexandria, Douglas County, Minnesota, 56308, United States

    ALEXANDRIA CLINIC

    ALEXANDRIA, MN 56308

    Phone: (320) 763-5123

    Fax: (320) 763-7883

    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: 2010-01-12

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100112000199IFamily PracticeMNTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes315159$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit122122$0
99213Established patient office or other outpatient visit, 20-29 minutes11980$0
99315Nursing facility discharge day management, 30 minutes or less5047$0
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes4125$0
View full utilization report →

Insurance plans in this area (ZIP 56308)

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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: 9931690047View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)MN
Internal MedicineMN
O B S T E T R I C S/ G Y N E C O L O G YMN
H O S P I T A L I S TMN
Emergency MedicineMI
Emergency MedicineMN
Emergency MedicineMN
U R O L O G YMN
Physician AssistantMN
Emergency MedicineMN

Reviews

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Frequently asked questions

How is ANTHONY P LUSSENHOP (MD) identified in CMS data?
CMS-hosted NPPES data lists ANTHONY P LUSSENHOP (MD) with NPI 1669452074.
Does the file indicate ANTHONY P LUSSENHOP (MD) is practicing under active NPI?
Directory data currently reports ANTHONY P LUSSENHOP (MD) as active.
What is ANTHONY P LUSSENHOP (MD) best known for clinically?
Directory data describes ANTHONY P LUSSENHOP (MD) with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where should I expect ANTHONY P LUSSENHOP (MD) on a map?
Expect Alexandria, Minnesota as a primary anchor for ANTHONY P LUSSENHOP (MD) unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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