KIERNAN J MINEHAN (M.D.) – Radiation Oncology Physician, NPI 1407834112

KIERNAN J MINEHAN (M.D.) is a healthcare provider. based in Sturgeon bay, Wisconsin. specializing in RADIATION ONCOLOGY. They hold the professional credentials M.D.. They hold a License No. 44633 (WI). The NPI Number for KIERNAN J MINEHAN (M.D.) is 1407834112

Main info

Male
39 Years Of Experience
Accepts Medicare Assignment
Name
KIERNAN J MINEHAN (M.D.)
NPI
1407834112
Phone
(920) 746-0090
Address
1843 MICHIGAN ST
Enumeration Date
3 January 2006
Last Update Date
24 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9209264100
Graduation Year
1987 (39 years ago)
PAC ID
3779495270
Group Practice PAC ID
1658289624
Professional Enrollment ID
I20040930000926
Address ID
WI549353734FO480XXSTXX400

Contacts

FHIR Endpoint
https://webproxyprd.monroeclinic.org/FHIR-PRD/api/FHIR/DSTU2/
Secure Messaging
kminehan433427@direct-ehr-ssmhc.com
Main Contact
https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience82
Completeness95
Years active:20State licenses:3Other names

28 RADIATION ONCOLOGY in ND

Provider Addresses for KIERNAN J MINEHAN (M.D.)

  • Sturgeon Bay, Michigan, United States

    STURGEON BAY, WI 542351007

    Phone: (920) 746-0090

    Fax: (920) 746-1072

    Type: Mailing

  • 2305 37th Ave SW

    Minot, ND 587017669

    Phone: (701) 418-8000

    Type: Location

  • 831 S Broadway

    Minot, ND 587014636

    Phone: (701) 418-8000

    Type: Location

  • 515 22nd Ave

    Monroe, WI 535661569

    Phone: (608) 324-1000

    Type: Location

  • Saint Nicholas Hospital, 3100, Superior Avenue, Sheboygan, Sheboygan County, Wisconsin, 53081, United States

    SHEBOYGAN, WI 530811948

    Phone: (920) 451-7468

    Type: Location

  • 228 S 18TH AVE

    STURGEON BAY, WI 542351000

    Phone: (920) 746-0090

    Fax: (920) 746-1072

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $139.

Total Amount is formed as General ($139) + Research ($0) + Ownership ($0) = $139.

Last reported payment date: 2024-05-19 • Largest payer in this snapshot: Sumitomo Pharma America, Inc. ($93).

Total Amount

$139

General + Research + Ownership

Payments

4

Total payment records

General Amount

$139

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-19

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: 2004-09-30

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
I20040930000926IRadiation OncologyWITBD

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
77014Ct guidance for insertion of radiation therapy fields28635$0
77334Design and construction of complex radiation treatment device6625$0
77300Calculation of radiation therapy dose6024$0
77427Radiation treatment management, 5 treatment sessions4417$0
99214Established patient office or other outpatient visit, 30-39 minutes3123$0
View full utilization report →

Insurance plans in this area (ZIP 54235)

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Provider's Procedures

KIERNAN J MINEHAN (M.D.) performs procedures in RADIATION ONCOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
RADIATION ONCOLOGYWI77263Management of radiation therapy, complex5756
RADIATION ONCOLOGYWI77427Radiation treatment management, 5 treatments8827

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: 1658289624View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)WI
-WI
U R O L O G YWI
-WI
P S Y C H I A T R YWI
Certified Registered Nurse Anesthetist (Crna)WI
Vascular Surgery, General SurgeryWI
-ND
Nephrology, Internal MedicineWI
Family PracticeWI

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Frequently asked questions

What is KIERNAN J MINEHAN (M.D.)'s NPI number?
KIERNAN J MINEHAN (M.D.)'s NPI is 1407834112 — the number used across U.S. healthcare to identify this provider.
Is KIERNAN J MINEHAN (M.D.) still an active registrant?
KIERNAN J MINEHAN (M.D.) carries an active NPI according to the public dataset.
How would a patient describe KIERNAN J MINEHAN (M.D.)'s focus?
For KIERNAN J MINEHAN (M.D.), the primary taxonomy reads as Radiation Oncology Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with KIERNAN J MINEHAN (M.D.)?
Directory geography for KIERNAN J MINEHAN (M.D.) centers on Sturgeon Bay, Wisconsin.
When was this NPI issued?
Enumeration for KIERNAN J MINEHAN (M.D.) is noted as January 3, 2006 where the registry provides it.