BRIAN J DE MICHAELIS (MD) – Diagnostic Radiology Physician, NPI 1891795928
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,801 DIAGNOSTIC RADIOLOGY in MN
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Provider Addresses for BRIAN J DE MICHAELIS (MD)
2800, Campus Drive, Plymouth, Hennepin County, Minnesota, 55441, United States
#10
PLYMOUTH, MN 554412645
Phone: (763) 559-2171
Fax: (763) 694-9000
Type: Mailing
North Memorial Medical Center, 3300, Oakdale Avenue North, Robbinsdale, Hennepin County, Minnesota, 55422, United States
ROBBINSDALE, MN 554222926
Phone: (763) 559-2171
Fax: (763) 694-9000
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: 2023-03-14
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040508000271 | I | Diagnostic Radiology | MN | TBD |
| I20230314002972 | I | Diagnostic Radiology | WI | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | 2,300 | 23 | $0 |
| 71045 | X-ray of chest, 1 view | 319 | 267 | $0 |
| 71046 | X-ray of chest, 2 views | 234 | 230 | $0 |
| 74177 | Ct scan of abdomen and pelvis with contrast | 149 | 145 | $0 |
| 70450 | Ct scan head or brain without contrast | 125 | 121 | $0 |
Insurance plans in this area (ZIP 55441)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DIAGNOSTIC RADIOLOGY | MN | 71250 | CT scan chest | 49 | 49 |
| DIAGNOSTIC RADIOLOGY | MN | 73110 | X-ray of wrist, minimum of 3 views | 14 | 12 |
| DIAGNOSTIC RADIOLOGY | MN | 73562 | X-ray of knee, 3 views | 14 | 13 |
| DIAGNOSTIC RADIOLOGY | MN | 73630 | X-ray of foot, minimum of 3 views | 25 | 23 |
| DIAGNOSTIC RADIOLOGY | MN | 74177 | CT scan of abdomen and pelvis with contrast | 105 | 100 |
| DIAGNOSTIC RADIOLOGY | MN | 78815 | Nuclear medicine study with CT imaging skull base to mid-thigh | 13 | 13 |
| DIAGNOSTIC RADIOLOGY | MN | 93971 | Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers | 32 | 32 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| O B S T E T R I C S/ G Y N E C O L O G Y | WI | |
| Diagnostic Radiology | MN | |
| O B S T E T R I C S/ G Y N E C O L O G Y | WI | |
| O B S T E T R I C S/ G Y N E C O L O G Y | WI | |
| Diagnostic Radiology, Interventional Radiology | MN | |
| Diagnostic Radiology | MN | |
| Diagnostic Radiology | MN | |
| Diagnostic Radiology | MN | |
| Diagnostic Radiology | MN | |
| Diagnostic Radiology | MN |
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