DR. MATTHEW K KISSNER (MD) – Surgery Physician, NPI 1720053226

DR. MATTHEW K KISSNER (MD) is a healthcare provider. based in Robbinsdale, Minnesota. specializing in GENERAL SURGERY. They hold the professional credentials MD. They hold a License No. 47522 (MN). The NPI Number for DR. MATTHEW K KISSNER (MD) is 1720053226

Main info

Male
26 Years Of Experience
Accepts Medicare Assignment
Name
DR. MATTHEW K KISSNER (MD)
NPI
1720053226
Phone
(763) 780-6699
Address
3366 Oakdale Ave N Ste 200
Enumeration Date
20 February 2006
Last Update Date
18 November 2019

Doctor Profile

Medical School Name
UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Secondary Phone
7635205200
Graduation Year
2000 (26 years ago)
PAC ID
3779524202
Group Practice PAC ID
0042123028
Professional Enrollment ID
I20050516000334
Address ID
MN554222962RO3366XNXXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

730 GENERAL SURGERY in MN

Provider Addresses for DR. MATTHEW K KISSNER (MD)

  • 3366 Oakdale Ave N Ste 200

    Robbinsdale, MN 554222962

    Phone: (763) 780-6699

    Fax: (763) 420-0500

    Type: Location

  • 480 Osborne Rd NE Ste 100

    Fridley, MN 554322781

    Phone: (763) 780-6699

    Fax: (763) 420-0500

    Type: Location

  • 2600 39th Ave NE

    Minneapolis, MN 554214379

    Phone: (763) 780-6699

    Fax: (763) 420-0500

    Type: Location

  • 11855 Ulysses St NE Ste 210

    Blaine, MN 554344181

    Phone: (763) 780-6699

    Fax: (763) 420-0500

    Type: Location

  • 1700 Highway 25 N Ste 120

    Buffalo, MN 553131930

    Phone: (763) 780-6699

    Fax: (763) 420-0500

    Type: Location

  • 5700 Bottineau Blvd Ste 100

    Crystal, MN 554293184

    Phone: (763) 780-6699

    Fax: (763) 420-0500

    Type: Location

  • 1495 County Road 101 N

    Plymouth, MN 554473078

    Phone: (763) 780-6699

    Fax: (763) 420-0500

    Type: Location

  • 15450 Highway 7 Ste 225

    Minnetonka, MN 553453522

    Phone: (763) 780-6699

    Fax: (763) 420-0500

    Type: Location

  • 7600 France Ave S Ste 4100

    Edina, MN 554356027

    Phone: (763) 780-6699

    Fax: (763) 420-0500

    Type: Location

  • 6565 France Ave S Ste 350

    Edina, MN 554352159

    Phone: (763) 780-6699

    Fax: (763) 420-0500

    Type: Location

  • 7373 France Ave S Ste 408

    Edina, MN 554354549

    Phone: (763) 780-6699

    Fax: (763) 420-0500

    Type: Location

  • 9825, Hospital Drive, The Grove, Maple Grove, Hennepin County, Minnesota, 55369, United States

    SUITE 105

    MAPLE GROVE, MN 553694479

    Phone: (763) 780-6699

    Fax: (763) 420-0500

    Type: Mailing

  • Hospital Drive, The Grove, Maple Grove, Hennepin County, Minnesota, 55311, United States

    MAPLE GROVE, MN 553694769

    Phone: (763) 780-6699

    Fax: (763) 420-0500

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 14 Open Payments records for all available years, with a total value of $2,436.

Total Amount is formed as General ($2,436) + Research ($0) + Ownership ($0) = $2,436.

Last reported payment date: 2024-07-17 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($1,251).

Total Amount

$2,436

General + Research + Ownership

Payments

14

Total payment records

General Amount

$2,436

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-17

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2005-05-16

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
I20050516000334IGeneral SurgeryMNTBD

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
99204New patient office or other outpatient visit, 45-59 minutes2929$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes1613$0
99213Established patient office or other outpatient visit, 20-29 minutes1513$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes1511$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes1313$0
View full utilization report →

Insurance plans in this area (ZIP 55422)

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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: 0042123028View full group profile
NameSpecialtyState
Physician AssistantMN
-MN
-KY
Internal MedicineMN
-MN
Cardiovascular Disease (Cardiology)MN
-WI
Medical Oncology, HematologyMN
Certified Registered Nurse Anesthetist (Crna)MN
N E U R O S U R G E R YCO

Reviews

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Frequently asked questions

Is there an official ID for DR. MATTHEW K KISSNER (MD) in U.S. healthcare records?
The official identifier for DR. MATTHEW K KISSNER (MD) is NPI 1720053226.
Is there an active status for DR. MATTHEW K KISSNER (MD)?
For scheduling context, DR. MATTHEW K KISSNER (MD) is shown as active in the registry.
How would a patient describe DR. MATTHEW K KISSNER (MD)'s focus?
For DR. MATTHEW K KISSNER (MD), the primary taxonomy reads as Surgery Physician. Clinical services aligned with this taxonomy classification.
Where in Minnesota is DR. MATTHEW K KISSNER (MD) registered?
Use Robbinsdale, Minnesota as the headline location for DR. MATTHEW K KISSNER (MD) here.
Does DR. MATTHEW K KISSNER (MD) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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