DR. JAY MICHAEL MINORIK (MD) – Orthopaedic Surgery Physician, NPI 1407808330
Orthopaedic Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
628 ORTHOPEDIC SURGERY in WI
Provider Addresses for DR. JAY MICHAEL MINORIK (MD)
212 E Green Bay St Ste B
Shawano, WI 541662472
Phone: (920) 560-1000
Fax: (920) 731-6732
Type: Location
Orthopedic & Sports Institute of the Fox Valley, 2105, East Enterprise Avenue, Appleton, Outagamie County, Wisconsin, 54913, United States
APPLETON, WI 549137862
Phone: (920) 560-1000
Fax: (920) 731-6732
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $31.
Total Amount is formed as General ($31) + Research ($0) + Ownership ($0) = $31.
Last reported payment date: 2023-12-13 • Largest payer in this snapshot: Medtronic, Inc. ($31).
Total Amount
$31
General + Research + Ownership
Payments
1
Total payment records
General Amount
$31
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-12-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $31 |
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: 2005-09-01
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20050901000348 | I | Orthopedic Surgery | 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 |
|---|---|---|---|---|
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 301 | 46 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 60 | 48 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 58 | 40 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 34 | 32 | $0 |
| 73564 | X-ray of knee, 4 or more views | 29 | 25 | $0 |
Insurance plans in this area (ZIP 54166)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| ORTHOPEDIC SURGERY | WI | 73562 | X-ray of knee, 3 views | 38 | 23 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | WI | |
| Nurse Practitioner | WI | |
| Orthopedic Surgery | WI | |
| Certified Clinical Nurse Specialist (Cns) | WI | |
| Orthopedic Surgery | IL | |
| Orthopedic Surgery, Sports Medicine | WI | |
| Physician Assistant | WI | |
| Orthopedic Surgery, Hand Surgery | WI | |
| Nurse Practitioner | WI | |
| Orthopedic Surgery | WI |
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