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Active NPI 1487601316 Individual Practitioner Male Practitioner

Dr. Jack Leon-Max Mutnick , MD

Internal Medicine • Edina, MN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Jack Mutnick, MD is a certified Internal Medicine practicing in Edina, MN. With approximately 22 years of clinical experience since graduating from University Of Nevada School Of Medicine in 2004, Dr. Mutnick delivers high-quality medical care to the local community at 3939 W 69TH ST STE A.

Dr. Mutnick is affiliated with Primary Ent, L.L.C. and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, chronic care management services, first, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3939 W 69th St Ste A

Edina, MN 554352001

Telephone 6129308462
Fax 8007855608

Medicare Profile & Education

Medical School

University Of Nevada School Of Medicine

Graduation Year

2004

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Edina, MN

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
22 Yrs +2.3 yrs vs City Avg
City Avg: 19.7 Yrs
State Avg: 23.6 Yrs
Regional Practice Density
119 Specialists

Practicing in Edina, MN (2726 Statewide)

Telehealth Adoption Rate
31.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
68.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Mutnick (22 Years) 22 Yrs
Edina Specialty Average (19.7 Years) 19.7 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
99213 Established patient office or other outpatient visit, typically 15 minutes
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

Medical Specialties & State Licenses

CMS Verified: 2024-12-11
Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License 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

State License 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.

Hospital & Practice Group Affiliations

Primary Ent, L.l.c.

14020 Hwy 13 S, Savage, MN 553787103

Phone: 9523952500

Career & Practice History Timeline

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

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 #48180 in MN)

📍
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 #48180 in MN)

📍
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

📍
Updated Practice Location November 15, 2016

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

📍
Updated Business Mailing Address November 15, 2016

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

👤
Provider Name / Credentials Updated November 15, 2016

Recorded as JACK MUTNICK, M.D.

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

Allergy & Immunology (License #48180 in MN)

🟢
Initial NPI Registration & Enumeration May 27, 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: 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

Mailing Address

3440 Molina St

Shakopee, MN 553795444

Phone: 7142966777

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.