DR. ILYA PEREPELITSYN (MD) – Otolaryngology/Facial Plastic Surgery Physician, NPI 1992795058

DR. ILYA PEREPELITSYN (MD) is a healthcare provider. based in Minneapolis, Minnesota. specializing in OTOLARYNGOLOGY. They hold the professional credentials MD. They hold a License No. 219565 (MA). The NPI Number for DR. ILYA PEREPELITSYN (MD) is 1992795058

Main info

Male
27 Years Of Experience
Accepts Medicare Assignment
Name
DR. ILYA PEREPELITSYN (MD)
NPI
1992795058
Phone
(612) 871-1144
Address
2211 PARK AVE
Enumeration Date
28 October 2005
Last Update Date
13 June 2013

Doctor Profile

Medical School Name
TUFTS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
6128711144
Graduation Year
1999 (27 years ago)
PAC ID
6103896006
Group Practice PAC ID
3274524020
Professional Enrollment ID
I20070621000141
Address ID
MN554352187ED6525XSXXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:20State licenses:2Digital endpointsOther names

273 OTOLARYNGOLOGY in MN

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Provider Addresses for DR. ILYA PEREPELITSYN (MD)

  • Park Avenue, Minneapolis, Hennepin County, Minnesota, 55415, United States

    MINNEAPOLIS, MN 554043711

    Phone: (612) 871-1144

    Fax: (612) 871-2012

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 22 Open Payments records for all available years, with a total value of $790.

Total Amount is formed as General ($790) + Research ($0) + Ownership ($0) = $790.

Last reported payment date: 2024-12-05 • Largest payer in this snapshot: Inspire Medical Systems, Inc. ($467).

Total Amount

$790

General + Research + Ownership

Payments

22

Total payment records

General Amount

$790

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-05

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2007-06-21

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
I20070621000141IOtolaryngologyMNTBD

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 minutes11793$0
99204New patient office or other outpatient visit, 45-59 minutes104104$0
99213Established patient office or other outpatient visit, 20-29 minutes10086$0
69210Removal of impacted ear wax8270$0
92504Exam of ear using a microscope4645$0
View full utilization report →

Insurance plans in this area (ZIP 55404)

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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: 3274524020View full group profile
NameSpecialtyState
-MN
Qualified AudiologistMN
Qualified AudiologistMN
Physician AssistantMN
Qualified Speech Language PathologistMN
-KS
Qualified AudiologistMN
O T O L A R Y N G O L O G YMN
-MN
O T O L A R Y N G O L O G YMN

Reviews

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Frequently asked questions

Can I cross-check DR. ILYA PEREPELITSYN (MD) using NPI 1992795058?
NPI 1992795058 belongs to DR. ILYA PEREPELITSYN (MD); compare other details if you need extra assurance.
Is there an active status for DR. ILYA PEREPELITSYN (MD)?
For scheduling context, DR. ILYA PEREPELITSYN (MD) is shown as active in the registry.
What clinical focus is listed for DR. ILYA PEREPELITSYN (MD)?
At a glance, DR. ILYA PEREPELITSYN (MD) is tied to Otolaryngology/Facial Plastic Surgery Physician. Clinical services aligned with this taxonomy classification.
Is DR. ILYA PEREPELITSYN (MD) located near Minneapolis?
DR. ILYA PEREPELITSYN (MD) currently maps to Minneapolis, Minnesota in this extract.
When was this NPI issued?
Enumeration for DR. ILYA PEREPELITSYN (MD) is noted as October 28, 2005 where the registry provides it.

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