DR. MARK ALAN HERMES (PT, DPT) – Physical Therapist, NPI 1831683952

DR. MARK ALAN HERMES (PT, DPT) is a healthcare provider. based in Maple grove, Minnesota. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT, DPT. They hold a License No. 11175 (MN). The NPI Number for DR. MARK ALAN HERMES (PT, DPT) is 1831683952

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
DR. MARK ALAN HERMES (PT, DPT)
NPI
1831683952
Phone
(763) 315-0466
Address
9325 UPLAND LN N STE 230
Enumeration Date
21 June 2018
Last Update Date
15 November 2024

Doctor Profile

Medical School Name
UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Secondary Phone
7633150466
Graduation Year
2018 (8 years ago)
PAC ID
7416206503
Group Practice PAC ID
4486552593
Professional Enrollment ID
I20180822003865
Address ID
MN553694450MA9325XNXXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:7State licenses:1Digital endpointsOther names

2,109 PHYSICAL THERAPIST IN PRIVATE PRACTICE in MN

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Provider Addresses for DR. MARK ALAN HERMES (PT, DPT)

  • Upland Lane North, Maple Grove, Hennepin County, Minnesota, 55311, United States

    MAPLE GROVE, MN 553694450

    Phone: (763) 315-0466

    Fax: (763) 260-7653

    Type: Location

  • 11172, 17th Pl NE, St. Michael, Wright County, Minnesota, 55376, United States

    SAINT MICHAEL, MN 553764222

    Phone: (612) 325-3483

    Type: Mailing

  • 1939 MINNEHAHA AVE W STE 300

    SAINT PAUL, MN 551041033

    Phone: (651) 748-4338

    Fax: (651) 748-2892

    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: 2018-08-22

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
I20180822003865IPhysical Therapist In Private PracticeMNTBD

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
97140Therapy procedure using manual technique, each 15 minutes44131$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes15428$0
97161Evaluation for physical therapy, typically 20 minutes1918$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: 4486552593View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeMN
Physical Therapist In Private PracticeMN
Physical Therapist In Private PracticeMN
Physical Therapist In Private PracticeMN
-WI
Physical Therapist In Private PracticeMN
Physical Therapist In Private PracticeMN
-MN
-MN
-MN

Reviews

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Frequently asked questions

Can I cross-check DR. MARK ALAN HERMES (PT, DPT) using NPI 1831683952?
NPI 1831683952 belongs to DR. MARK ALAN HERMES (PT, DPT); compare other details if you need extra assurance.
Is DR. MARK ALAN HERMES (PT, DPT) still an active registrant?
DR. MARK ALAN HERMES (PT, DPT) carries an active NPI according to the public dataset.
What kind of doctor is DR. MARK ALAN HERMES (PT, DPT)?
DR. MARK ALAN HERMES (PT, DPT) is associated with Physical Therapist in the directory — Clinical services aligned with this taxonomy classification.
Is DR. MARK ALAN HERMES (PT, DPT) located near Maple Grove?
DR. MARK ALAN HERMES (PT, DPT) currently maps to Maple Grove, Minnesota in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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