GEORGE HAROLD LANDIS (MD) – Plastic and Reconstructive Surgery Physician, NPI 1730182270
Plastic and Reconstructive Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
147 PLASTIC AND RECONSTRUCTIVE SURGERY in MN
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Provider Addresses for GEORGE HAROLD LANDIS (MD)
PO BOX 667
CIRCLE PINES, MN 550140667
Phone: (763) 551-8985
Fax: (763) 551-4897
Type: Mailing
2805 CAMPUS DR STE 335
PLYMOUTH, MN 554412679
Phone: (952) 562-5940
Fax: (952) 562-5949
Type: Mailing
Bushaway Road, Wayzata, Hennepin County, Minnesota, 55391, United States
SUITE 200
WAYZATA, MN 553911945
Phone: (763) 551-8985
Fax: (763) 551-4897
Type: Location
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 $28.
Total Amount is formed as General ($28) + Research ($0) + Ownership ($0) = $28.
Last reported payment date: 2023-07-05 • Largest payer in this snapshot: Innovation Technologies Inc ($28).
Total Amount
$28
General + Research + Ownership
Payments
1
Total payment records
General Amount
$28
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-07-05
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Innovation Technologies Inc | $28 |
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: 2009-12-21
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 |
|---|---|---|---|---|
| I20091221000438 | I | Plastic And Reconstructive Surgery | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 55014)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | MN | |
| - | MN | |
| - | KY | |
| Internal Medicine | MN | |
| - | MN | |
| Cardiovascular Disease (Cardiology) | MN | |
| - | WI | |
| Medical Oncology, Hematology | MN | |
| Certified Registered Nurse Anesthetist (Crna) | MN | |
| N E U R O S U R G E R Y | CO |
Reviews
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