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John Paul Tennis , PA-C

Physician Assistant โ€ข Duluth, MN

Active NPI 1376667063 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

400 E 3rd St
Duluth, MN 558051951

Call 2187864000 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

400 E 3rd St

Duluth, MN 558051951

Telephone 2187864000
Organization at the Same NPPES Address or Phone
The Duluth Clinic, Ltd Facility NPI 1245278209

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

NPPES lists 2 distinct additional practice-address records in San Diego, CA; Superior, WI. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

CMS Doctors and Clinicians lists 2 distinct group names: Polinsky Medical Rehabilitation Center; The Duluth Clinic Ltd. 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

Medical School

University Of Nebraska College Of Medicine

Graduation Year

2013

Medicare patients

116 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 $7,560 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 $5,536 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

118 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

$689 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

13 years (graduated 2013)

CMS Doctors and Clinicians data list 2013 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

2007

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

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

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)

John Tennis 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 John Tennis 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 Duluth and Minnesota

Billing and prescribing volume is not a quality rating.

Medicare Part B services

Close to the middle for clinicians listed under Physician Assistant in Duluth, MN (2024, 112 clinicians with data). Median for this group: 95. Middle half: 42 to 182.

Fewer Medicare Part B services than 70% 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

Close to the middle for clinicians listed under Physician Assistant in Duluth, MN (2024, 112 clinicians with data). Median for this group: $6,193. Middle half: $3,137 to $14,203.

A lower Medicare-allowed amount than 65% 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

Close to the middle for clinicians listed under Physician Assistant in Duluth, MN (2024, 112 clinicians with data). Median for this group: $4,522. Middle half: $2,321 to $10,807.

A lower Medicare payment amount than 65% 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

Close to the middle for clinicians listed under Physician Assistant in Duluth, MN (2024, 114 clinicians with data). Median for this group: 154. Middle half: 52 to 599.

Fewer Part D prescriptions than 65% 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

A lower Part D drug cost than 60% of clinicians listed under Physician Assistant in Duluth, MN (2024, 114 clinicians with data). Median for this group: $1,850. Middle half: $346 to $53,975.

A lower 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.

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

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

Telehealth indicator in Duluth

16.8% of these 179 clinicians have the CMS telehealth indicator.

81% of these 179 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
48 46 $247.75 $76.22
99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
22 22 $156.36 $53.01
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
19 19 $232.42 $100.00
99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
12 12 $160.25 $69.64

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
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Naproxen Naproxen 41 492 $143.00 41
Doxycycline Monohydrate Doxycycline Monohydrate 22 191 $207.65 21
Nitrofurantoin Mono-Macro Nitrofurantoin Monohyd/M-Cryst 16 88 $149.54 16
Cephalexin Cephalexin 15 127 $67.10 15
Azithromycin Azithromycin 13 65 $46.64 13
Methylprednisolone Methylprednisolone 11 66 $74.82 11

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: 2025-01-07
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES MN 14525

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

License # reported to NPPES CA 1117331

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

License # reported to NPPES WI 7809

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

I20240531002526

Enrollment State Jurisdiction

WI

PECOS Control ID

2567848278

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

The Duluth Clinic Ltd

4212 Grand Ave, Duluth, MN 558072737

Phone: 2187863500

Polinsky Medical Rehabilitation Center

1600 Miller Trunk Hwy, Duluth, MN 558115640

Phone: 2187865360

Polinsky Medical Rehabilitation Center

1600 Miller Trunk Hwy, Duluth, MN 558115640

Phone: 2187865360

The Duluth Clinic Ltd

4855 W Arrowhead Rd, Hermantown, MN 558113936

Phone: 2187863540

The Duluth Clinic Ltd

1413 Hwy 33 S, Cloquet, MN 557202626

Phone: 2183374000

The Duluth Clinic Ltd

901 9th St N, Virginia, MN 557922398

Phone: 2187487750

The Duluth Clinic Ltd

603 9th St N, Virginia, MN 557922319

Phone: 2187413013

The Duluth Clinic Ltd

400 E 3rd St, Duluth, MN 558051951

Phone: 2187868364

Secondary Practice Locations

34800 Bob Wilson Dr

San Diego, CA 921341098

Phone: 7603392674

3500 Tower Ave

Superior, WI 548804491

Phone: 7158177100

Clinicians Sharing This Practice Address or Phone

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

18 listed
NPI 1033795596

Doctor of Medicine (M.D.)

Zachary Barclay , PA-C

Physician Assistant

NPI 1063144319

Physician Assistant (Certified)

Dr. Joseph Bettendorf , MD

Emergency Medicine

NPI 1225327620

Doctor of Medicine (M.D.)

Dr. Peter Chase , MD, PhD

Emergency Medicine

NPI 1063485563

Doctor of Medicine (M.D.), Doctor of Philosophy (Ph.D.)

Dr. Blake Collison , MD

Emergency Medicine

NPI 1003293804

Doctor of Medicine (M.D.)

NPI 1063489375

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

11 Historical Events
๐Ÿ“
Updated Practice Location January 07, 2025

Registered at 400 E 3RD ST, DULUTH, MN 558051951 (Tel: 2187864000)

๐Ÿ“
Updated Business Mailing Address January 07, 2025

Registered at 400 E 3RD ST, DULUTH, MN 558051951 (Tel: 2187868364)

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 07, 2025

Physician Assistant (license number reported to NPPES: CA 1117331)

๐Ÿ‘ค
Provider Name / Credentials Updated March 22, 2024

Recorded as JOHN TENNIS, PA-C

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 22, 2024

Physician Assistant (license number reported to NPPES: MN 14525)

โœ…
NPI Profile Active April 25, 2014

NPI status registered as active in NPPES database

๐Ÿ“
Practice Location (Initial Record) April 25, 2014

Registered at 34800 BOB WILSON DR, SAN DIEGO, CA 921341098 (Tel: 7603392674)

๐Ÿ“
Business Mailing Address (Initial Record) April 25, 2014

Registered at 10210 WATERIDGE CIR, UNIT UNIT 164, SAN DIEGO, CA 921215751 (Tel: 8588297102)

๐Ÿ‘ค
Provider Name / Credentials (Initial Record) April 25, 2014

Recorded as JOHN TENNIS, PHYSICIAN ASSISTANT

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 25, 2014

Physician Assistant (license number reported to NPPES: CA 1117331)

๐ŸŸข
Initial NPI Registration & Enumeration March 19, 2007

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1376667063
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 19, 2007
Last Update: January 07, 2025
Sole Proprietor: No

Other Physician Assistants in Duluth

All Physician Assistants in Duluth

Mailing Address

400 E 3rd St

Duluth, MN 558051951

Phone: 2187868364

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.