MICHAEL LONG – Gastroenterology Physician, NPI 1821071317

MICHAEL LONG is a healthcare provider. based in St louis park, Minnesota. specializing in GASTROENTEROLOGY, INTERNAL MEDICINE. They hold a License No. 34481 (MN). The NPI Number for MICHAEL LONG is 1821071317

Main info

Male
36 Years Of Experience
Accepts Medicare Assignment
Name
MICHAEL LONG
NPI
1821071317
Phone
(952) 993-3246
Address
6500 EXCELSIOR BLVD
Enumeration Date
29 November 2005
Last Update Date
28 September 2021

Doctor Profile

Medical School Name
UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Secondary Phone
7633893344
Graduation Year
1990 (36 years ago)
PAC ID
3375443088
Group Practice PAC ID
3375645179
Professional Enrollment ID
I20040109000822
Address ID
MN553712172PR919XXDRXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

500 GASTROENTEROLOGY in MN

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Provider Addresses for MICHAEL LONG

  • Excelsior Boulevard, Minikahda Vista, Saint Louis Park, Hennepin County, Minnesota, 55416:55424, United States

    ST LOUIS PARK, MN 554264702

    Phone: (952) 993-3246

    Type: Mailing

  • 2450 RIVERSIDE AVE

    MINNEAPOLIS, MN 554541400

    Phone: (612) 672-6000

    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: 2017-11-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20040109000822IGastroenterologyMNTBD
I20171128002585IGastroenterologyAKTBD

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
45385Removal of polyps or growths of large bowel using an endoscope with mechanical snare5151$0
43239Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope3030$0
45380Biopsy of large bowel using a flexible endoscope2828$0
99213Established patient office or other outpatient visit, 20-29 minutes2016$0
99203New patient office or other outpatient visit, 30-44 minutes1919$0
View full utilization report →

Insurance plans in this area (ZIP 55426)

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Provider's Procedures

MICHAEL LONG performs procedures in GASTROENTEROLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
GASTROENTEROLOGYMN45385Removal of polyps or growths of large bowel using an endoscope2929

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: 3375645179View full group profile
NameSpecialtyState
P A T H O L O G YMN
G A S T R O E N T E R O L O G YMN
N E U R O S U R G E R YOH
-MN
Physician AssistantMN
Physician AssistantMN
-MN
-MN
Physical Therapist In Private PracticeOR
Cardiovascular Disease (Cardiology)IL

Reviews

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Frequently asked questions

Can I verify MICHAEL LONG with an NPI only?
You can start verification with NPI 1821071317 for MICHAEL LONG, then check state licensing separately.
Can I rely on MICHAEL LONG being an active provider?
As of the registry snapshot, MICHAEL LONG is marked active.
What healthcare role does MICHAEL LONG hold?
Scheduling teams often label MICHAEL LONG under Gastroenterology Physician. Clinical services aligned with this taxonomy classification.
Where is MICHAEL LONG based?
MICHAEL LONG is tied to St Louis Park, Minnesota in the data we show; additional addresses may exist on the full record.
Why does MICHAEL LONG have multiple addresses?
4 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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