DR. MATTHEW CARL JEPSEN (M.D.) – Otolaryngology Physician, NPI 1962486027
Otolaryngology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
273 OTOLARYNGOLOGY in MN
Loading map...
Provider Addresses for DR. MATTHEW CARL JEPSEN (M.D.)
3800, Park Nicollet Boulevard, Elmwood, Saint Louis Park, Hennepin County, Minnesota, 55416, United States
CREDENTIALING
ST LOUIS PARK, MN 554162527
Phone:
Type: Mailing
14510 W Shumway Dr Ste 101
Sun City West, AZ 853755815
Phone: (623) 975-1660
Fax: (623) 584-4282
Type: Location
14510 W SHUMWAY DR STE 101
SUN CITY WEST, AZ 853755815
Phone: (623) 975-1660
Fax: (623) 584-4282
Type: Mailing
133 BENMORE DR STE 100
WINTER PARK, FL 327924111
Phone: (407) 644-4883
Fax: (407) 644-3697
Type: Mailing
10503 W THUNDERBIRD BLVD STE 104
SUN CITY, AZ 853513047
Phone: (623) 975-1660
Fax: (623) 584-4282
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
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: 2025-12-18
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 |
|---|---|---|---|---|
| I20210511001640 | I | Otolaryngology | FL | TBD |
| I20251218002682 | I | Otolaryngology | AZ | 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 |
|---|---|---|---|---|
| 95004 | Test for allergy using allergenic extract | 495 | 11 | $0 |
| 95117 | Professional service for multiple injections of allergen | 157 | 54 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 102 | 85 | $0 |
| 97112 | Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | 86 | 42 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 49 | 43 | $0 |
Insurance plans in this area (ZIP 55416)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| O T O L A R Y N G O L O G Y | AZ | |
| - | AZ | |
| O T O L A R Y N G O L O G Y | AZ |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.