Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Dr. Jack Leon-Max Mutnick , MD

Internal Medicine • Edina, MN

Active NPI 1487601316 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

3939 W 69th St Ste A
Edina, MN 554352001

Call 6129308462 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

3939 W 69th St Ste A

Edina, MN 554352001

Telephone 6129308462
Fax 8007855608
Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: Primary Ent, L.L.C.. See the list

Source: CMS Doctors and Clinicians National Downloadable File, CMS release of October 2, 2026.

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

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File, CMS release of October 2, 2026

Medical School

University Of Nevada School Of Medicine

Graduation Year

2004

Medicare patients

97 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 – by Provider, 2024.

Medicare-allowed amount

About $31,135 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 – by Provider and Service, 2024.

Paid by Medicare

About $19,994 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 – by Provider and Service, 2024.

30-day fills

7,120 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

$515,301 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 – by Provider and Drug, 2024.

Open Payments general payments, program year 2025

All general payments: $88.41 across 4 records.

By nature of payment

  • Food and Beverage: $88.41 across 4 records.

Reporting-company totals (3 largest of 4)

  • Medtronic, Inc.: $40.01 across 1 record.
  • GlaxoSmithKline, LLC.: $18.31 across 1 record.
  • Sanofi and Genzyme US Companies: $17.21 across 1 record.

A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.

See the full table

Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).

Guide: How to read an Open Payments record

Years since graduation

22 years (graduated 2004)

CMS Doctors and Clinicians data list 2004 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, CMS release of October 2, 2026.

NPI first issued

2006

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, CMS release of October 2, 2026; Medicare.gov, “Does your provider accept Medicare as full payment?”

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, CMS release of October 2, 2026.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Mutnick 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 Dr. Mutnick 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 Edina and Minnesota

Billing and prescribing volume is not a quality rating.

Medicare Part B services

Fewer Medicare Part B services than 70% of clinicians listed under Internal Medicine in Edina, MN (2024, 89 clinicians with data). Median for this group: 574. Middle half: 337 to 1,136.

Close to the middle for clinicians listed under Internal Medicine in Minnesota (2024, 1,531 clinicians with data). Median for this group: 378. Middle half: 184 to 716.

Medicare-allowed amount

A lower Medicare-allowed amount than 75% of clinicians listed under Internal Medicine in Edina, MN (2024, 89 clinicians with data). Median for this group: $46,152. Middle half: $31,506 to $74,129.

Close to the middle for clinicians listed under Internal Medicine in Minnesota (2024, 1,531 clinicians with data). Median for this group: $35,230. Middle half: $18,453 to $60,254.

Paid by Medicare

A lower Medicare payment amount than 80% of clinicians listed under Internal Medicine in Edina, MN (2024, 89 clinicians with data). Median for this group: $35,378. Middle half: $24,213 to $59,640.

A lower Medicare payment amount than 60% of clinicians listed under Internal Medicine in Minnesota (2024, 1,531 clinicians with data). Median for this group: $27,670. Middle half: $14,331 to $47,665.

Medicare Part D prescriptions

More Part D prescriptions than 70% of clinicians listed under Internal Medicine in Edina, MN (2024, 81 clinicians with data). Median for this group: 1,207. Middle half: 76 to 3,981.

More Part D prescriptions than 75% of clinicians listed under Internal Medicine in Minnesota (2024, 1,474 clinicians with data). Median for this group: 273. Middle half: 77 to 3,473.

Part D drug cost

A higher Part D drug cost than 85% of clinicians listed under Internal Medicine in Edina, MN (2024, 81 clinicians with data). Median for this group: $100,946. Middle half: $5,575 to $342,786.

A higher Part D drug cost than 85% of clinicians listed under Internal Medicine in Minnesota (2024, 1,474 clinicians with data). Median for this group: $22,736. Middle half: $1,962 to $294,021.

118 active clinicians are listed under Internal Medicine with a practice address in Edina, MN (2,634 in Minnesota).

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

Telehealth indicator in Edina

33.1% of these 118 clinicians have the CMS telehealth indicator.

72.9% of these 118 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS release of October 2, 2026, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments · Program Year 2025
Disclosure Year:

Program year 2025 (payments made January 1 – December 31, 2025): fewer than 11 records totaling $88.41.

Manufacturer Payment Nature Product Type Amount ($)
Medtronic, Inc.
Food and Beverage
In-kind items and services
NUVENT General $40.01
GlaxoSmithKline, LLC.
Food and Beverage
In-kind items and services
NUCALA General $18.31
Sanofi and Genzyme US Companies
Food and Beverage
In-kind items and services
DUPIXENT General $17.21
Itamar Medical Inc
Food and Beverage
Cash or cash equivalent
WatchPATONE General $12.88

Source: CMS Open Payments, program year 2025, released June 30, 2026.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B · Data Year 2024
Reporting Year:

CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2020–2023 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 – by Provider and Service data, 2021–2024; 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
99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
199 69 $275.10 $84.59
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
59 38 $399.77 $118.19
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month
52 23 $80.00 $60.41
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
18 18 $545.91 $161.01
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
12 12 $364.72 $107.43

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 · Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Omeprazole Omeprazole 197 15,802 $4,590.05 77
Diclofenac Sodium Diclofenac Sodium 160 5,833 $3,778.92 74
Atorvastatin Calcium Atorvastatin Calcium 150 11,266 $2,146.74 44
Amlodipine Besylate Amlodipine Besylate 145 10,889 $2,037.64 45
Fluticasone Propionate Fluticasone Propionate 130 7,305 $2,407.95 58
Jardiance Empagliflozin 109 5,781 $112,194.78 24
Lisinopril Lisinopril 96 7,290 $1,437.81 31
Levothyroxine Sodium Levothyroxine Sodium 95 6,516 $1,838.27 26
Albuterol Sulfate Hfa Albuterol Sulfate 84 2,700 $4,045.87 33
Losartan Potassium Losartan Potassium 82 6,690 $1,402.56 29
Triamcinolone Acetonide Triamcinolone Acetonide 76 2,466 $1,596.55 29
Pantoprazole Sodium Pantoprazole Sodium 70 5,264 $1,347.96 26
Simvastatin Simvastatin 68 5,070 $955.38 21
Losartan-Hydrochlorothiazide Losartan/Hydrochlorothiazide 67 5,019 $1,472.89 20
Gabapentin Gabapentin 61 3,747 $940.82 22
Glipizide Er Glipizide 60 4,860 $1,703.27 22
Hydrocortisone Hydrocortisone 59 1,562 $1,464.05 19
Janumet Sitagliptin Phos/Metformin Hcl 59 3,360 $60,209.17 14
Metoprolol Succinate Metoprolol Succinate 58 4,652 $1,518.44 24
Creon Lipase/Protease/Amylase 58 2,262 $74,898.21 —
Furosemide Furosemide 53 2,524 $320.81 16
Tamsulosin Hcl Tamsulosin Hcl 52 4,410 $1,096.56 20
Montelukast Sodium Montelukast Sodium 50 4,050 $934.73 23
Rosuvastatin Calcium Rosuvastatin Calcium 48 4,230 $1,028.27 19
Metformin Hcl Metformin Hcl 47 3,660 $823.72 18

(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: 2024-12-11
Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

License # reported to NPPES MN 48180

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Allergy & Immunology

NUCC Taxonomy Code: 207K00000X

License # reported to NPPES MN 48180

An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system.

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 - ALLERGY/IMMUNOLOGY

Medicare Enrollment ID

I20100526001002

Enrollment State Jurisdiction

MN

PECOS Control ID

1658400866

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, CMS release of October 2, 2026

Primary Ent, L.l.c.

14020 Hwy 13 S, Savage, MN 553787103

Phone: 9523952500

Career & Practice History Timeline

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

13 Historical Events
📍
Updated Practice Location December 11, 2024

Registered at 3939 W 69TH ST STE A, EDINA, MN 554352001 (Tel: 6129308462)

📍
Updated Business Mailing Address October 12, 2024

Registered at 3440 MOLINA ST, SHAKOPEE, MN 553795444 (Tel: 7142966777)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 12, 2024

Allergy & Immunology (license number reported to NPPES: MN 48180)

📍
Updated Practice Location February 20, 2023

Registered at 4201 EXCELSIOR BLVD, ST LOUIS PARK, MN 554164728 (Tel: 9529338900)

📍
Updated Business Mailing Address February 20, 2023

Registered at 4920 UNDERWOOD LN N UNIT E, PLYMOUTH, MN 554424516 (Tel: 7142966777)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 20, 2023

Internal Medicine (license number reported to NPPES: MN 48180)

📍
Updated Practice Location May 07, 2020

Registered at 1 W LAKE ST, MINNEAPOLIS, MN 554083154 (Tel: 6128232947)

✅
NPI Profile Active November 15, 2016

NPI status registered as active in NPPES database

📍
Practice Location (Initial Record) November 15, 2016

Registered at 3440 MOLINA ST, SHAKOPEE, MN 553795444 (Tel: 7142966777)

📍
Business Mailing Address (Initial Record) November 15, 2016

Registered at 3440 MOLINA ST, SHAKOPEE, MN 553795444 (Tel: 7142966777)

👤
Provider Name / Credentials (Initial Record) November 15, 2016

Recorded as JACK MUTNICK, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 15, 2016

Allergy & Immunology (license number reported to NPPES: MN 48180)

🟢
Initial NPI Registration & Enumeration May 27, 2006

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1487601316
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 27, 2006
Last Update: December 11, 2024
Sole Proprietor: No

Other Internal Medicine Providers in Edina

All Internal Medicine Providers in Edina

Mailing Address

3440 Molina St

Shakopee, MN 553795444

Phone: 7142966777

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.