KARL KOIVISTO (MD) – Emergency Medicine Physician, NPI 1962931451
Emergency Medicine Physician
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
487 EMERGENCY MEDICINE in UT
Provider Addresses for KARL KOIVISTO (MD)
85 N Medical Dr
Salt Lake City, UT 841121100
Phone: (801) 581-2121
Type: Location
4300 Marketpointe Dr Ste 100
Bloomington, MN 554355435
Phone: (952) 835-9880
Type: Location
MarketPointe Drive, Bloomington, Hennepin County, Minnesota, 55435-4534, United States
BLOOMINGTON, MN 554355435
Phone:
Type: Mailing
911 NORTHLAND DR
PRINCETON, MN 553712172
Phone: (763) 389-1313
Type: Location
1700 UNIVERSITY AVE W FL 6
SAINT PAUL, MN 551043727
Phone:
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: 2024-05-25
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 |
|---|---|---|---|---|
| I20200806001118 | I | Emergency Medicine | MN | TBD |
| I20240525000425 | I | Emergency Medicine | UT | 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 |
|---|---|---|---|---|
| 99284 | Emergency department visit with moderate level of medical decision making | 120 | 115 | $0 |
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 100 | 95 | $0 |
| 99285 | Emergency department visit with high level of medical decision making | 92 | 91 | $0 |
| 99283 | Emergency department visit with low level of medical decision making | 42 | 42 | $0 |
Insurance plans in this area (ZIP 84112)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | MN | |
| Family Practice | WA | |
| Family Practice | MN | |
| Family Practice | MN | |
| N E U R O L O G Y | MN | |
| Physician Assistant | IA | |
| Diagnostic Radiology | CT | |
| Diagnostic Radiology | MN | |
| - | MN | |
| Family Practice | MN |
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