SUSAN M VAUGHN (O.T.) – Occupational Therapist, NPI 1710090881
Occupational Therapist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
603 OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE in MN
Provider Addresses for SUSAN M VAUGHN (O.T.)
9645 GROVE CIR N STE 200
MAPLE GROVE, MN 553692684
Phone: (763) 201-8191
Type: Mailing
7700 FRANCE AVE S STE 240
EDINA, MN 554355878
Phone: (763) 201-8191
Type: Location
3400, West 66th Street, Southdale, Edina, Hennepin County, Minnesota, 55435, United States
SUITE 450
EDINA, MN 554352111
Phone: (952) 908-2700
Type: Location
5829, Halifax Avenue South, Edina, Hennepin County, Minnesota, 55424, United States
EDINA, MN 554241947
Phone:
Type: Mailing
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: 2005-12-14
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 |
|---|---|---|---|---|
| I20051214000136 | I | Occupational Therapist In Private Practice | 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 |
|---|---|---|---|---|
| 97110 | Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 381 | 48 | $0 |
| 97112 | Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | 87 | 31 | $0 |
| 97530 | Therapy procedure using functional activities | 84 | 36 | $0 |
| 97165 | Evaluation for occupational therapy, typically 30 minutes | 20 | 20 | $0 |
Insurance plans in this area (ZIP 55369)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Occupational Therapist In Private Practice | MN | |
| Occupational Therapist In Private Practice | MN | |
| Pain Management, Family Practice | MN | |
| Occupational Therapist In Private Practice | MN | |
| Nurse Practitioner | MN | |
| Physical Therapist In Private Practice | MN | |
| Anesthesiology, Interventional Pain Management | MN | |
| Physician Assistant | MN | |
| Physical Therapist In Private Practice | MN | |
| Physical Therapist In Private Practice | MN |
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