MAURA SCANLON HARTIGAN (MD) – Pain Medicine (Anesthesiology) Physician, NPI 1720344203

MAURA SCANLON HARTIGAN (MD) is a healthcare provider. based in Maple grove, Minnesota. specializing in PAIN MANAGEMENT, ANESTHESIOLOGY. They hold the professional credentials MD. They hold a License No. 57078 (MN). The NPI Number for MAURA SCANLON HARTIGAN (MD) is 1720344203

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
MAURA SCANLON HARTIGAN (MD)
NPI
1720344203
Phone
(763) 520-7870
Address
9630 GROVE CIR N STE 200
Enumeration Date
9 April 2012
Last Update Date
11 March 2021

Doctor Profile

Medical School Name
UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Secondary Phone
7635207870
Graduation Year
2012 (14 years ago)
PAC ID
2860627742
Group Practice PAC ID
1052225042
Professional Enrollment ID
I20131031000097
Address ID
MN553693492MA9630XCIRX401
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:14State licenses:1Digital endpointsOther names

134 PAIN MANAGEMENT in MN

Provider Addresses for MAURA SCANLON HARTIGAN (MD)

  • 9630 GROVE CIR N STE 200

    MAPLE GROVE, MN 553693492

    Phone: (763) 520-7870

    Fax: (763) 520-7580

    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 3 Open Payments records for all available years, with a total value of $156.

Total Amount is formed as General ($156) + Research ($0) + Ownership ($0) = $156.

Last reported payment date: 2024-03-12 • Largest payer in this snapshot: Medtronic, Inc. ($121).

Total Amount

$156

General + Research + Ownership

Payments

3

Total payment records

General Amount

$156

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-12

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: 2013-10-31

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
I20131031000097IPain ManagementMNTBD

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
Q9966Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml9323$0
J1030Injection, methylprednisolone acetate, 40 mg6840$0
99214Established patient office or other outpatient visit, 30-39 minutes5938$0
99213Established patient office or other outpatient visit, 20-29 minutes4335$0
99204New patient office or other outpatient visit, 45-59 minutes4141$0
View full utilization report →

Insurance plans in this area (ZIP 55369)

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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: 1052225042View full group profile
NameSpecialtyState
Physician AssistantMN
Physical Therapist In Private PracticeMN
Physical Therapist In Private PracticeMN
-MN
Physical Therapist In Private PracticeMN
-MN
Orthopedic SurgeryMN
-MN
Physical Therapist In Private PracticeMN
Physical Therapist In Private PracticeTX

Reviews

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Frequently asked questions

What number should I use to identify MAURA SCANLON HARTIGAN (MD) for billing?
Administrative and clinical systems typically use NPI 1720344203 for MAURA SCANLON HARTIGAN (MD).
Is MAURA SCANLON HARTIGAN (MD)'s NPI status active today?
Active status means MAURA SCANLON HARTIGAN (MD)'s NPI record is not deactivated in the public file.
What type of care does MAURA SCANLON HARTIGAN (MD) provide?
MAURA SCANLON HARTIGAN (MD)'s profile centers on Pain Medicine (Anesthesiology) Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to MAURA SCANLON HARTIGAN (MD)?
MAURA SCANLON HARTIGAN (MD) is associated with Maple Grove, Minnesota in the same public data insurers reference.
Can I export MAURA SCANLON HARTIGAN (MD)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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