Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1033178538 Individual Practitioner Male Practitioner

Dr. Evan L Domeyer , DO

Internal Medicine • Coon Rapids, MN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Evan Domeyer, DO is a certified Internal Medicine practicing in Coon Rapids, MN. With approximately 27 years of clinical experience since graduating from Kansas City University Of Med & Biosciences, College Of Osteo Med in 1999, Dr. Domeyer delivers high-quality medical care to the local community at 3960 COON RAPIDS BLVD NW.

Dr. Domeyer is affiliated with Allina Health System and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, initial hospital care with moderate level of medical decision making, if using time, at least, hospital discharge day management, more than. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3960 Coon Rapids Blvd Nw
100

Coon Rapids, MN 554332569

Telephone 7632369400
Fax 7632369423
Associated Practice Facility / Clinic
🏢 Patrick J Ennen Dds Pa Facility NPI 1346393485

Medicare Profile & Education

Medical School

Kansas City University Of Med & Biosciences, College Of Osteo Med

Graduation Year

1999

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Coon Rapids, MN

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
27 Yrs +2.7 yrs vs City Avg
City Avg: 24.3 Yrs
State Avg: 23.6 Yrs
Regional Practice Density
38 Specialists

Practicing in Coon Rapids, MN (2726 Statewide)

Telehealth Adoption Rate
23.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
79.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Domeyer (27 Years) 27 Yrs
Coon Rapids Specialty Average (24.3 Years) 24.3 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes
191 59 $542.70 $112.28
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes
79 79 $791.00 $163.12
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
57 25 $360.80 $74.66
99239 Hospital discharge day management, more than 30 minutes
43 43 $522.70 $109.12

Medical Specialties & State Licenses

CMS Verified: 2020-11-10
Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License MN 44533

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
315794600 (MN)

Hospital & Practice Group Affiliations

Allina Health System

2925 Chicago Ave, Minneapolis, MN 554071321

Phone: 6128634000

Allina Health System

4050 Coon Rapids Blvd Nw, Coon Rapids, MN 554332522

Phone: 7632366000

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

10 Associated Practitioners
Dr. Linda Soucie , MD

Internal Medicine

NPI 1043272230

Doctor of Medicine (M.D.)

NPI 1114984879

Doctor of Medicine (M.D.)

Dr. Adam Gunder , MD

Internal Medicine

NPI 1134126238

Doctor of Medicine (M.D.)

Dr. Klaus Suehler , MD

Internal Medicine

NPI 1174582803

Doctor of Medicine (M.D.)

Dr. Anne Whitney , MD

Internal Medicine

NPI 1215994801

Doctor of Medicine (M.D.)

Dr. Gregory Beall , MD

Internal Medicine

NPI 1548220395

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 3960 COON RAPIDS BLVD NW, 100, COON RAPIDS, MN 554332569 (Tel: 7632369400)

📍
Updated Business Mailing Address July 08, 2007

Registered at PO BOX 43, MR 10809, MINNEAPOLIS, MN 554400043 (Tel: 6122624813)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as EVAN DOMEYER, DO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Internal Medicine (License #44533 in MN)

🟢
Initial NPI Registration & Enumeration March 22, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1033178538
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 22, 2006
Last Update: November 10, 2020
Sole Proprietor: No

Mailing Address

Po Box 43, Mr 10809

Minneapolis, MN 554400043

Phone: 6122624813

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.