Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Michael Kittok

Physician Assistant โ€ข Coon Rapids, MN

Active NPI 1245876796 Individual Practitioner Male Practitioner Accepts Medicare assignment Telehealth (some services)
Practice location in NPPES

11475 Robinson Dr Nw
Coon Rapids, MN 554337432

Call 7635879000 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

11475 Robinson Dr Nw

Coon Rapids, MN 554337432

Telephone 7635879000
Organization at the Same NPPES Address or Phone
Group Health Plan Inc Facility NPI 1043370091

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: Group Health Plan Inc. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2020

Medicare patients

128 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider, 2024.

Medicare-allowed amount

About $22,764 in 2024

The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

Paid by Medicare

About $17,470 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

30-day fills

2,659 standardized 30-day fills in 2024

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$53,220 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers โ€“ by Provider and Drug, 2024.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2021โ€“2025.

Guide: How to read an Open Payments record

Years since graduation

6 years (graduated 2020)

CMS Doctors and Clinicians data list 2020 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2019

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, โ€œDoes your provider accept Medicare as full payment?โ€

Guide: What Medicare assignment means

Telehealth (some services)

Recent Medicare claims show this clinician provided some services by telehealth, such as a video or phone visit.

What this does not show: Telehealth (some services)

It does not mean all services are offered by telehealth, or that telehealth is covered by your plan.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Michael Kittok has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Michael Kittok as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Coon Rapids and Minnesota

Billing and prescribing volume is not a quality rating.

Medicare Part B services

More Medicare Part B services than 70% of clinicians listed under Physician Assistant in Coon Rapids, MN (2024, 58 clinicians with data). Median for this group: 225. Middle half: 115 to 448.

More Medicare Part B services than 75% of clinicians listed under Physician Assistant in Minnesota (2024, 2,405 clinicians with data). Median for this group: 192. Middle half: 86 to 384.

Medicare-allowed amount

A higher Medicare-allowed amount than 70% of clinicians listed under Physician Assistant in Coon Rapids, MN (2024, 58 clinicians with data). Median for this group: $15,847. Middle half: $7,562 to $22,941.

A higher Medicare-allowed amount than 70% of clinicians listed under Physician Assistant in Minnesota (2024, 2,405 clinicians with data). Median for this group: $13,293. Middle half: $6,209 to $23,808.

Paid by Medicare

A higher Medicare payment amount than 70% of clinicians listed under Physician Assistant in Coon Rapids, MN (2024, 58 clinicians with data). Median for this group: $12,156. Middle half: $5,851 to $17,716.

A higher Medicare payment amount than 70% of clinicians listed under Physician Assistant in Minnesota (2024, 2,405 clinicians with data). Median for this group: $9,818. Middle half: $4,558 to $17,894.

Medicare Part D prescriptions

More Part D prescriptions than 65% of clinicians listed under Physician Assistant in Coon Rapids, MN (2024, 59 clinicians with data). Median for this group: 463. Middle half: 126 to 1,949.

More Part D prescriptions than 75% of clinicians listed under Physician Assistant in Minnesota (2024, 2,421 clinicians with data). Median for this group: 226. Middle half: 71 to 825.

Part D drug cost

Close to the middle for clinicians listed under Physician Assistant in Coon Rapids, MN (2024, 59 clinicians with data). Median for this group: $42,272. Middle half: $755 to $284,221.

A higher Part D drug cost than 70% of clinicians listed under Physician Assistant in Minnesota (2024, 2,421 clinicians with data). Median for this group: $3,260. Middle half: $590 to $83,279.

83 active clinicians are listed under Physician Assistant with a practice address in Coon Rapids, MN (4,007 in Minnesota).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Coon Rapids

30.1% of these 83 clinicians have the CMS telehealth indicator.

90.4% of these 83 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo ยท Report an error.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B ยท Data Year 2024
Reporting Year:

CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2021โ€“2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ€“ by Provider and Service data, 2022โ€“2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample
117 87 $21.50 $8.65
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
103 78 $403.56 $110.56
85027 Complete blood cell count (red cells, white blood cell, platelets), automated test
63 57 $25.90 $6.34
99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
46 43 $287.30 $78.49
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
32 32 $484.00 $114.26
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing
27 27 $25.50 $6.46
69209 Removal of impacted ear wax by washing
16 15 $95.63 $17.22
81001 Manual urinalysis test with examination using microscope, automated
14 13 $12.55 $3.11
71046 X-ray of chest, 2 views
12 12 $127.00 $27.81
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
12 12 $568.65 $155.87

Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2024.

CMS Part D ยท Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Atorvastatin Calcium Atorvastatin Calcium 120 9,755 $1,134.13 42
Amlodipine Besylate Amlodipine Besylate 78 5,950 $553.99 27
Lisinopril Lisinopril 63 5,670 $520.83 28
Losartan Potassium Losartan Potassium 61 5,520 $820.34 23
Rosuvastatin Calcium Rosuvastatin Calcium 55 4,890 $1,185.96 21
Levothyroxine Sodium Levothyroxine Sodium 53 3,747 $693.67 16
Tamsulosin Hcl Tamsulosin Hcl 46 2,882 $903.30 โ€”
Metformin Hcl Er Metformin Hcl 41 3,043 $357.57 15
Omeprazole Omeprazole 37 2,616 $565.05 15
Metformin Hcl Metformin Hcl 32 2,805 $381.42 12
Hydrochlorothiazide Hydrochlorothiazide 29 2,450 $154.44 14
Sertraline Hcl Sertraline Hcl 28 2,142 $424.23 โ€”
Trazodone Hcl Trazodone Hcl 28 2,160 $281.92 11
Gabapentin Gabapentin 27 2,294 $763.75 15
Fluticasone Propionate Fluticasone Propionate 27 1,620 $516.69 19
Pantoprazole Sodium Pantoprazole Sodium 22 1,920 $498.21 โ€”
Methocarbamol Methocarbamol 22 452 $220.30 13
Paroxetine Hcl Paroxetine Hcl 21 1,115 $445.99 โ€”
Simvastatin Simvastatin 20 1,087 $165.66 โ€”
Donepezil Hcl Donepezil Hcl 20 1,418 $314.50 โ€”
Albuterol Sulfate Hfa Albuterol Sulfate 20 427 $691.74 15
Metoprolol Succinate Metoprolol Succinate 19 1,710 $307.31 โ€”
Furosemide Furosemide 18 1,321 $100.04 13
Montelukast Sodium Montelukast Sodium 17 1,530 $148.01 โ€”
Mirtazapine Mirtazapine 17 817 $471.55 โ€”

(top 25 shown)

Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2022-12-22
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES MN 13578

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Minnesota Board of Medical Practice.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PHYSICIAN ASSISTANT

Medicare Enrollment ID

I20210311001311

Enrollment State Jurisdiction

MN

PECOS Control ID

9032525332

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Group Health Plan Inc

8450 Seasons Pkwy, Woodbury, MN 551254402

Phone: 6517025300

Group Health Plan Inc

8325 Seasons Pkwy, Woodbury, MN 551254402

Phone: 6517025868

Group Health Plan Inc

8600 Nicollet Ave, Bloomington, MN 554202824

Phone: 9528841148

Group Health Plan Inc

2621 Greenhaven, Anoka, MN 553031776

Phone: 7635874488

Group Health Plan Inc

2621 Greenhaven Rd, Anoka, MN 553031776

Phone: 9528538800

Group Health Plan Inc

11475 Robinson Dr Nw, Coon Rapids, MN 554333746

Phone: 7637540041

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

16 listed
Dr. Mariam Anwar , MD

Internal Medicine - Geriatric Medicine

NPI 1609044494

Doctor of Medicine (M.D.)

Dr. Kelsey Bertelsen , DO

Obstetrics & Gynecology

NPI 1154943538

Doctor of Osteopathic Medicine (D.O.)

Dr. Clarice Decker , MD

Obstetrics & Gynecology

NPI 1669441960

Doctor of Medicine (M.D.)

NPI 1003939968

Bachelor of Medicine, Bachelor of Surgery (M.B.B.S.)

Kelley Graves , APRN

Nurse Practitioner

NPI 1689313447

Advanced Practice Registered Nurse

Dr. Laura Hase , MD

Family Medicine

NPI 1992097844

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

13 Historical Events
๐Ÿ“
Updated Practice Location December 22, 2022

Registered at 11475 ROBINSON DR NW, COON RAPIDS, MN 554337432 (Tel: 7635879000)

๐Ÿ“
Updated Business Mailing Address December 22, 2022

Registered at 11475 ROBINSON DR NW, COON RAPIDS, MN 554337432

๐Ÿ“
Updated Practice Location October 20, 2021

Registered at 333 SMITH AVE N, SAINT PAUL, MN 551022344 (Tel: 6512418755)

๐Ÿ“
Updated Business Mailing Address October 20, 2021

Registered at 2829 UNIVERSITY AVE SE STE 730, MINNEAPOLIS, MN 554143279 (Tel: 6124391868)

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 20, 2021

Physician Assistant

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 29, 2021

Physician Assistant (license number reported to NPPES: MN 13578)

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) November 30, 2020

Physician Assistant

โœ…
NPI Profile Active November 21, 2019

NPI status registered as active in NPPES database

๐Ÿ“
Practice Location (Initial Record) November 21, 2019

Registered at 1274 SHERBURNE AVE, SAINT PAUL, MN 551042529 (Tel: 5123515383)

๐Ÿ“
Business Mailing Address (Initial Record) November 21, 2019

Registered at 1274 SHERBURNE AVE, SAINT PAUL, MN 551042529

๐Ÿ‘ค
Provider Name / Credentials (Initial Record) November 21, 2019

Recorded as MICHAEL KITTOK

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) November 21, 2019

Student in an Organized Health Care Education/Training Program

๐ŸŸข
Initial NPI Registration & Enumeration November 19, 2019

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1245876796
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 19, 2019
Last Update: December 22, 2022
Sole Proprietor: Yes

Other Physician Assistants in Coon Rapids

All Physician Assistants in Coon Rapids

Mailing Address

11475 Robinson Dr Nw

Coon Rapids, MN 554337432

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.