DR. RUPERT E EXCONDE (M.D.) – Neurology Physician, NPI 1780613075

DR. RUPERT E EXCONDE (M.D.) is a healthcare provider. based in Minneapolis, Minnesota. specializing in NEUROLOGY. They hold the professional credentials M.D.. They hold a License No. 40392 (MN). The NPI Number for DR. RUPERT E EXCONDE (M.D.) is 1780613075

Main info

Male
33 Years Of Experience
Accepts Medicare Assignment
Name
DR. RUPERT E EXCONDE (M.D.)
NPI
1780613075
Phone
(612) 879-1000
Address
2828 CHICAGO AVE SOUTH
Enumeration Date
1 July 2006
Last Update Date
26 August 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6128791000
Graduation Year
1993 (33 years ago)
PAC ID
3779528047
Group Practice PAC ID
3971497389
Professional Enrollment ID
I20050627001099
Address ID
MN554074187MI2828XAVEX301
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience72
Completeness75
Years active:19State licenses:1Digital endpointsOther names

640 NEUROLOGY in MN

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Provider Addresses for DR. RUPERT E EXCONDE (M.D.)

  • Chicago Avenue South, Minneapolis, Hennepin County, Minnesota, 55415, United States

    SUITE 200

    MINNEAPOLIS, MN 554071320

    Phone: (612) 879-1000

    Fax: (612) 879-9116

    Type: Mailing

  • 3601 MINNESOTA DR STE 200

    MINNEAPOLIS, MN 554355202

    Phone: (612) 879-1000

    Fax: (612) 879-9116

    Type: Location

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: 2005-06-27

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
I20050627001099INeurologyMNTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes3930$0
95816Measurement of brain wave activity (eeg), awake and drowsy2020$0
99215Established patient office or other outpatient visit, 40-54 minutes1813$0
95819Measurement of brain wave activity (eeg), awake and asleep1616$0
95813Measurement of brain wave activity (eeg), 61-119 minutes1212$0
View full utilization report →

Insurance plans in this area (ZIP 55407)

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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: 3971497389View full group profile
NameSpecialtyState
Nurse PractitionerMN
N E U R O L O G YMN
-MN
N E U R O L O G YMN
N E U R O L O G YMN
Neurology, Neuropsychiatry, Pain Management, Interventional Pain ManagementMN
N E U R O L O G YMN
Sleep Medicine, NeurologyMN
-MN
-MN

Reviews

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Frequently asked questions

Can I verify DR. RUPERT E EXCONDE (M.D.) with an NPI only?
You can start verification with NPI 1780613075 for DR. RUPERT E EXCONDE (M.D.), then check state licensing separately.
Is DR. RUPERT E EXCONDE (M.D.) listed as active for patients and plans?
The listing shows DR. RUPERT E EXCONDE (M.D.) as active in the NPI system.
What healthcare role does DR. RUPERT E EXCONDE (M.D.) hold?
Scheduling teams often label DR. RUPERT E EXCONDE (M.D.) under Neurology Physician. Clinical services aligned with this taxonomy classification.
What address line appears for DR. RUPERT E EXCONDE (M.D.)?
DR. RUPERT E EXCONDE (M.D.)'s geographic hint is Minneapolis, Minnesota in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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