LEO PASSOV (MD) – Psychiatry Physician, NPI 1437359882
Psychiatry Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
746 PSYCHIATRY in MN
Provider Addresses for LEO PASSOV (MD)
7259 S BINGHAM JUNCTION BLVD
MIDVALE, UT 840474860
Phone: (801) 930-3110
Fax: (800) 437-5541
Type: Mailing
701 PARK AVE
MINNEAPOLIS, MN 554151623
Phone: (612) 873-2218
Fax: (612) 873-1614
Type: Location
Coon Rapids Blvd, Foley Boulevard, Parkside, Coon Rapids, Anoka County, Minnesota, 55448, United States
SUITE 120
COON RAPIDS, MN 554332599
Phone: (763) 767-3350
Fax: (763) 767-0912
Type: Mailing
2414, Kohler Memorial Drive, Sheboygan, Sheboygan County, Wisconsin, 53081, United States
SHEBOYGAN, WI 53081
Phone: (920) 457-4461
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: 2012-10-17
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 |
|---|---|---|---|---|
| I20080819000921 | I | Psychiatry | MN | TBD |
| I20121017000948 | I | Psychiatry | 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 |
|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 559 | 36 | $0 |
| 99239 | Hospital discharge day management, more than 30 minutes | 29 | 29 | $0 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 14 | 14 | $0 |
Insurance plans in this area (ZIP 84047)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| N E P H R O L O G Y | MN | |
| Hematology/Oncology, Internal Medicine | MN | |
| - | MN | |
| Nurse Practitioner | MN | |
| - | MN | |
| - | TN | |
| Emergency Medicine | MN | |
| Nurse Practitioner | MN | |
| Physician Assistant | MN | |
| - | MN |
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