RALUCA F BANICA-WOLTERS (MD) – Neurology Physician, NPI 1699741058
Neurology Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
640 NEUROLOGY in MN
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Provider Addresses for RALUCA F BANICA-WOLTERS (MD)
West 66th Street, Normandale Park, Cahill, Edina, Hennepin County, Minnesota, 55439, United States
EDINA, MN 554352109
Phone: (952) 920-7200
Fax: (763) 302-4234
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)
CMS reports 1 Open Payments records for all available years, with a total value of $13.
Total Amount is formed as General ($13) + Research ($0) + Ownership ($0) = $13.
Last reported payment date: 2024-04-03 • Largest payer in this snapshot: Neurelis, Inc. ($13).
Total Amount
$13
General + Research + Ownership
Payments
1
Total payment records
General Amount
$13
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-04-03
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Neurelis, Inc. | $13 |
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: 2010-12-18
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 |
|---|---|---|---|---|
| I20101218000055 | I | Neurology | 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 | 116 | 95 | $0 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 70 | 69 | $0 |
| 99205 | New patient office or other outpatient visit, 60-74 minutes | 69 | 69 | $0 |
| 95816 | Measurement of brain wave activity (eeg), awake and drowsy | 52 | 51 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 41 | 35 | $0 |
Insurance plans in this area (ZIP 55435)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| N E U R O L O G Y | MN | |
| N E U R O L O G Y | MN | |
| - | MN | |
| Clinical Psychologist | IN | |
| Physician Assistant | MN | |
| - | MN | |
| N E U R O L O G Y | MN | |
| Physician Assistant | MN | |
| N E U R O L O G Y | MN | |
| N E U R O L O G Y | MN |
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