Tristate Brain and Spine Institute – Orthopaedic Surgery of the Spine Physician, NPI 1659301992
Orthopaedic Surgery of the Spine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Tristate Brain and Spine Institute
6600 STATE HIGHWAY 29 SOUTH
ALEXANDRIA, MN 56308
Phone: (320) 763-8888
Fax: (320) 200-7478
Type: Mailing
1601 HIGHWAY 13 E STE 211
BURNSVILLE, MN 553375105
Phone: (320) 763-8888
Fax: (952) 405-9760
Type: Location
1601 HIGHWAY 13 E STE 100
BURNSVILLE, MN 553376847
Phone: (320) 763-8888
Fax: (952) 405-9760
Type: Location
6600 State Highway 29 South
Alexandria, MN 56308
Phone: (320) 763-8888
Fax: (320) 200-7478
Type: Location
20635 Kuykendahl Rd
Spring, TX 773793533
Phone: (281) 317-1118
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: 2013-03-29
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2025-07-31 (316 days ago).
Enrollment records
2
Earliest due date
2025-07-31
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 |
|---|---|---|---|---|
| O20060822000124 | O | Clinic/Group Practice | MN | TBD |
| O20130329000062 | O | Physician - Orthopedic/Orthopedic Surgery | MN | 2025-07-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 56308)
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