Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1477543957 Individual Practitioner Female Practitioner

Dr. Kathleen Maccarthy Demanivel , MD

Dermatology • Maple Grove, MN

Professional Overview & Biography Verified Profile Summary

Dr. Kathleen Demanivel, MD is a registered healthcare professional specializing in Dermatology in Maple Grove, MN. Practice services are available at 14500 99TH AVE N under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, biopsy of single growth of skin and/or tissue, biopsy of. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

14500 99th Ave N

Maple Grove, MN 553694478

Telephone 7638981000
Associated Practice Facility / Clinic
🏢 Fairview Clinics Facility NPI 1841315165

Specialty Benchmarks & Practice Insights

Comparative analytics for Dermatology in Maple Grove, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 15.7 Yrs
State Avg: 20.4 Yrs
Regional Practice Density
9 Specialists

Practicing in Maple Grove, MN (337 Statewide)

Telehealth Adoption Rate
33.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
54.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2018)
Reporting Year:
HCPCS Code & Description 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
35 29 $205.00 $103.21
11100 Biopsy of single growth of skin and/or tissue
32 27 $204.00 $93.09
99213 Established patient office or other outpatient visit, typically 15 minutes
20 18 $139.00 $69.75
11101 Biopsy of each additional growth of skin and/or tissue
20 14 $64.00 $30.81
17000 Destruction of skin growth
19 16 $160.00 $42.32
17110 Destruction of up to 14 skin growths
14 13 $218.00 $108.36

Medical Specialties & State Licenses

Dermatology Primary Specialty

NUCC Taxonomy Code: 207N00000X

State License MN 31117

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
550507100 (MN)

Practice Associates & Co-Workers

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

40 Associated Practitioners
Heather Lage , RN, CDE

Registered Nurse - Diabetes Educator

NPI 1003161787

Registered Nurse, Certified Diabetes Educator

Dr. Michaela Monetti , PhD, LP

Psychologist - Clinical

NPI 1033585914

Doctor of Philosophy (Ph.D.), Licensed Psychologist

Dr. Katti Woerner , DO

Internal Medicine - Nephrology

NPI 1043486590

Doctor of Osteopathic Medicine (D.O.)

Dr. Kristin Mcbeath , DO

Internal Medicine - Gastroenterology

NPI 1073855367

Doctor of Osteopathic Medicine (D.O.)

Jennifer Bremer , RD, LD

Dietitian, Registered

NPI 1114627171

Registered Dietitian, Licensed Dietitian

Dr. Aazim Omer , MD

Internal Medicine - Hematology & Oncology

NPI 1134382690

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 August 13, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location August 13, 2012

Registered at 14500 99TH AVE N, MAPLE GROVE, MN 553694478 (Tel: 7638981000)

📍
Updated Business Mailing Address August 13, 2012

Registered at 14500 99TH AVE N, MAPLE GROVE, MN 553694478 (Tel: 7638981000)

👤
Provider Name / Credentials Updated August 13, 2012

Recorded as KATHLEEN DEMANIVEL, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 13, 2012

Dermatology (License #31117 in MN)

🟢
Initial NPI Registration & Enumeration October 25, 2005

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: 1477543957
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 25, 2005
Last Update: August 13, 2012
Sole Proprietor: No

Mailing Address

14500 99th Ave N

Maple Grove, MN 553694478

Phone: 7638981000

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.