Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Tanner Jesus Verduzco

Physician Assistant โ€ข Maple Grove, MN

Active NPI 1073276259 Individual Practitioner Male Practitioner Accepts Medicare assignment Telehealth (some services)
Practice location in NPPES

12000 Elm Creek Blvd N Ste 300
Maple Grove, MN 553697075

Call 9528412345 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

12000 Elm Creek Blvd N Ste 300

Maple Grove, MN 553697075

Telephone 9528412345
Fax 9528412346
Organization at the Same NPPES Address or Phone
Andrew J Will Md Pa Facility NPI 1750797072

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 1 additional practice-address record in Edina, MN. See the list

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

CMS Doctors and Clinicians lists 1 group name: Andrew J Will Md Pa. 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

Graduation Year

2022

Medicare patients

242 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 $72,597 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 $57,751 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

1,971 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

$98,524 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.

Open Payments general payments, program year 2025

All general payments: $583.53 across 14 records.

By nature of payment

  • Food and Beverage: $583.53 across 14 records.

Reporting-company totals (3 largest of 5)

  • Medtronic, Inc.: $230.37 across 4 records.
  • Boston Scientific Corporation: $199.83 across 5 records.
  • Abbott Laboratories: $118.50 across 3 records.

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

4 years (graduated 2022)

CMS Doctors and Clinicians data list 2022 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

2021

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, 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, CMS release of October 2, 2026.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Tanner Verduzco 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 Tanner Verduzco 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 Maple Grove and Minnesota

Billing and prescribing volume is not a quality rating.

Medicare Part B services

More Medicare Part B services than 80% of clinicians listed under Physician Assistant in Maple Grove, MN (2024, 38 clinicians with data). Median for this group: 263. Middle half: 155 to 692.

More Medicare Part B services than 85% of clinicians listed under Physician Assistant in Minnesota (2024, 2,403 clinicians with data). Median for this group: 193. Middle half: 86 to 387.

Medicare-allowed amount

A higher Medicare-allowed amount than 90% of clinicians listed under Physician Assistant in Maple Grove, MN (2024, 38 clinicians with data). Median for this group: $20,276. Middle half: $9,915 to $36,014.

A higher Medicare-allowed amount than 95% of clinicians listed under Physician Assistant in Minnesota (2024, 2,403 clinicians with data). Median for this group: $13,356. Middle half: $6,227 to $23,836.

Paid by Medicare

A higher Medicare payment amount than 90% of clinicians listed under Physician Assistant in Maple Grove, MN (2024, 38 clinicians with data). Median for this group: $14,789. Middle half: $7,778 to $24,833.

A higher Medicare payment amount than 95% of clinicians listed under Physician Assistant in Minnesota (2024, 2,403 clinicians with data). Median for this group: $9,852. Middle half: $4,588 to $17,914.

Medicare Part D prescriptions

More Part D prescriptions than 70% of clinicians listed under Physician Assistant in Maple Grove, MN (2024, 39 clinicians with data). Median for this group: 930. Middle half: 281 to 2,004.

More Part D prescriptions than 85% of clinicians listed under Physician Assistant in Minnesota (2024, 2,425 clinicians with data). Median for this group: 227. Middle half: 71 to 832.

Part D drug cost

Close to the middle for clinicians listed under Physician Assistant in Maple Grove, MN (2024, 39 clinicians with data). Median for this group: $69,183. Middle half: $3,242 to $175,625.

A higher Part D drug cost than 75% of clinicians listed under Physician Assistant in Minnesota (2024, 2,425 clinicians with data). Median for this group: $3,262. Middle half: $590 to $83,279.

63 active clinicians are listed under Physician Assistant with a practice address in Maple Grove, MN (4,067 in Minnesota).

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

Telehealth indicator in Maple Grove

39.7% of these 63 clinicians have the CMS telehealth indicator.

79.4% of these 63 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 ยท 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 ยท Program Year 2025
Disclosure Year:

Program year 2025 (payments made January 1 โ€“ December 31, 2025): 14 records totaling $583.53.

Manufacturer Payment Nature Product Type Amount ($)
Medtronic, Inc.
Food and Beverage
In-kind items and services
SYNCHROMEDII General $152.00
Boston Scientific Corporation
Food and Beverage
In-kind items and services
Intracept RF Probe General $134.41
Abbott Laboratories
Food and Beverage
In-kind items and services
ETERNA General $70.99
Medtronic, Inc.
Food and Beverage
In-kind items and services
INCEPTIV General $39.06
Boston Scientific Corporation
Food and Beverage
In-kind items and services
Clinical Trial Product General $34.27
Abbott Laboratories
Food and Beverage
In-kind items and services
PROCLAIM General $24.04
Abbott Laboratories
Food and Beverage
In-kind items and services
ETERNA General $23.47
Medtronic, Inc.
Food and Beverage
In-kind items and services
KYPHON EXPRESS II KYPHOPAK TRAY General $20.63
SI-BONE, INC.
Food and Beverage
Cash or cash equivalent
โ€” General $20.34
Medtronic, Inc.
Food and Beverage
In-kind items and services
INCEPTIV General $18.68
Boston Scientific Corporation
Food and Beverage
In-kind items and services
General - Pain Management General $18.47
Collegium Pharmaceutical, Inc.
Food and Beverage
Cash or cash equivalent
Belbuca General $14.49
Boston Scientific Corporation
Food and Beverage
In-kind items and services
General - Pain Management General $7.58
Boston Scientific Corporation
Food and Beverage
In-kind items and services
General - Therapies General $5.10

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 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 2022โ€“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, 2023โ€“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
509 214 $360.00 $101.99
80307 Testing for presence of drug, by chemistry analyzers
83 55 $200.00 $57.99
G0481 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms
55 38 $300.00 $143.30
99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
38 31 $260.00 $71.23
62369 Electronic analysis reprogramming and refill of spinal canal drug infusion pump
25 14 $500.00 $76.77
76942 Ultrasonic guidance for needle placement
25 14 $150.00 $30.99
J7999 Compounded drug, not otherwise classified
24 13 $51.23 $50.43
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
11 11 $460.00 $125.31

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
Oxycodone Hcl Oxycodone Hcl 319 8,360 $5,761.57 143
Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen 251 6,283 $4,956.91 111
Oxycodone-Acetaminophen Oxycodone Hcl/Acetaminophen 224 5,448 $4,702.21 91
Pregabalin Pregabalin 136 4,751 $3,424.22 29
Tramadol Hcl Tramadol Hcl 105 2,558 $674.53 43
Gabapentin Gabapentin 95 3,367 $1,664.85 29
Morphine Sulfate Er Morphine Sulfate 95 2,808 $1,848.66 42
Tizanidine Hcl Tizanidine Hcl 82 2,942 $1,158.93 24
Methocarbamol Methocarbamol 63 1,722 $849.40 23
Memantine Hcl Memantine Hcl 58 2,035 $739.21 16
Hydromorphone Hcl Hydromorphone Hcl 56 1,433 $1,109.98 34
Xtampza Er Oxycodone Myristate 41 1,207 $22,737.67 โ€”
Cyclobenzaprine Hcl Cyclobenzaprine Hcl 36 1,215 $443.85 13
Oxycontin Oxycodone Hcl 33 849 $14,684.84 20
Morphine Sulfate Morphine Sulfate 29 705 $692.49 15
Tramadol Hcl Er Tramadol Hcl 26 754 $1,933.55 โ€”
Meloxicam Meloxicam 25 750 $102.61 โ€”
Duloxetine Hcl Duloxetine Hcl 21 1,050 $308.31 โ€”
Belbuca Buprenorphine Hcl 21 628 $17,798.85 โ€”
Buprenorphine Buprenorphine 21 588 $6,130.29 โ€”
Topiramate Topiramate 20 960 $146.90 โ€”
Fentanyl Fentanyl 19 550 $2,333.02 โ€”
Sumatriptan Succinate Sumatriptan Succinate 19 570 $220.52 โ€”
Buprenorphine-Naloxone Buprenorphine Hcl/Naloxone Hcl 16 465 $3,625.75 โ€”
Celecoxib Celecoxib 16 533 $308.21 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: 2023-12-21
Physician Assistant Primary Specialty

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

I20230508000958

Enrollment State Jurisdiction

MN

PECOS Control ID

9335504752

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

Andrew J Will Md Pa

12000 Elm Creek Blvd N, Maple Grove, MN 553697075

Phone: 9528412345

Andrew J Will Md Pa

7235 Ohms Ln, Edina, MN 554392148

Phone: 9528412345

Secondary Practice Locations

7235 Ohms Ln

Edina, MN 554392148

Phone: 9528412345

Clinicians Sharing This Practice Address or Phone

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

26 listed
Ashlie Bondarenko , RN, FNP-C

Nurse Practitioner - Family

NPI 1326338773

Registered Nurse, Family Nurse Practitioner (Certified)

David Botros , PA-C

Physician Assistant

NPI 1497360556

Physician Assistant (Certified)

Dr. Joshua Brogan , MD

Physical Medicine & Rehabilitation - Pain Medicine

NPI 1659995256

Doctor of Medicine (M.D.)

Nancy Cleveland , NP

Nurse Practitioner - Family

NPI 1972603363

Nurse Practitioner

Ann Dulen , PT

Physical Therapist

NPI 1679547723

Physical Therapist

Kjerstin Durie , PA-C

Physician Assistant

NPI 1538672548

Physician Assistant (Certified)

Career & Practice History Timeline

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

10 Historical Events
๐Ÿ“
Updated Practice Location December 21, 2023

Registered at 12000 ELM CREEK BLVD N STE 300, MAPLE GROVE, MN 553697075 (Tel: 9528412345)

๐Ÿข
Secondary Practice Location Registered December 21, 2023

Additional practice office at 7235 Ohms Ln, Edina, MN 554392148

๐Ÿ“
Updated Practice Location August 10, 2023

Registered at 7235 OHMS LN, EDINA, MN 554392148 (Tel: 9528412345)

๐Ÿ“
Updated Business Mailing Address August 10, 2023

Registered at 7235 OHMS LN, EDINA, MN 554392148 (Tel: 9528412345)

โœ…
NPI Profile Active October 14, 2021

NPI status registered as active in NPPES database

๐Ÿ“
Practice Location (Initial Record) October 14, 2021

Registered at 22900 SWEENEY LN, LAKEVILLE, MN 550444463 (Tel: 6123664806)

๐Ÿ“
Business Mailing Address (Initial Record) October 14, 2021

Registered at 22900 SWEENEY LN, LAKEVILLE, MN 550444463 (Tel: 6123664806)

๐Ÿ‘ค
Provider Name / Credentials (Initial Record) October 14, 2021

Recorded as TANNER VERDUZCO

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 14, 2021

Physician Assistant

๐ŸŸข
Initial NPI Registration & Enumeration October 14, 2021

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1073276259
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 14, 2021
Last Update: December 21, 2023
Sole Proprietor: Yes

Other Physician Assistants in Maple Grove

All Physician Assistants in Maple Grove

More public profiles in Minnesota

Directory navigation, in NPI number order.

Mailing Address

7235 Ohms Ln

Edina, MN 554392148

Phone: 9528412345

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.