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Active NPI 1073276259 Individual Practitioner Male Practitioner

Tanner Jesus Verduzco

Physician Assistant • Maple Grove, MN

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Tanner Verduzco is a certified Physician Assistant practicing in Maple Grove, MN. With approximately 4 years of clinical experience since completing medical education in 2022, Tanner Verduzco delivers high-quality medical care to the local community at 12000 ELM CREEK BLVD N STE 300.

Tanner Verduzco is affiliated with Andrew J Will Md Pa and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, testing for presence of drug, by chemistry analyzers, 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. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

12000 Elm Creek Blvd N Ste 300

Maple Grove, MN 553697075

Telephone 9528412345
Fax 9528412346
Associated Practice Facility / Clinic
🏢 Andrew J Will Md Pa Facility NPI 1750797072

Medicare Profile & Education

Medical School

Other

Graduation Year

2022

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Maple Grove, MN

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
4 Yrs -7.2 yrs vs City Avg
City Avg: 11.2 Yrs
State Avg: 10.9 Yrs
Regional Practice Density
63 Specialists

Practicing in Maple Grove, MN (4026 Statewide)

Telehealth Adoption Rate
38.1% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
71.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Verduzco (4 Years) 4 Yrs
Maple Grove Specialty Average (11.2 Years) 11.2 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
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, typically 15 minutes
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 imaging supervision and interpretation for insertion of needle
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

Medical Specialties & State Licenses

CMS Verified: 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.

Hospital & Practice Group Affiliations

Andrew J Will Md Pa

7235 Ohms Ln, Edina, MN 554392148

Phone: 9528412345

Andrew J Will Md Pa

12000 Elm Creek Blvd N, Maple Grove, MN 553697075

Phone: 9528412345

Secondary Practice Locations

7235 Ohms Ln

Edina, MN 554392148

Phone: 9528412345

Practice Associates & Co-Workers

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

33 Associated Practitioners
Dr. Therese Maas , DNP

Nurse Practitioner

NPI 1043543093

Doctor of Nursing Practice

Dr. Anne Kokayeff , MD

Psychiatry & Neurology - Pain Medicine

NPI 1053516443

Doctor of Medicine (M.D.)

Amy Krenzer , CNP

Nurse Practitioner - Adult Health

NPI 1144232943

Certified Nurse Practitioner

Dr. Andrew Will , MD

Physical Medicine & Rehabilitation - Pain Medicine

NPI 1215997168

Doctor of Medicine (M.D.)

Sally Kangas , CNP

Nurse Practitioner - Adult Health

NPI 1225466840

Certified Nurse Practitioner

Ashlie Bondarenko , RN, FNP-C

Nurse Practitioner - Family

NPI 1326338773

Registered Nurse, Family Nurse Practitioner (Certified)

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location December 21, 2023

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

📍
Updated Practice Location August 10, 2023

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

📍
Updated Business Mailing Address August 10, 2023

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

NPI Profile Active October 14, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location October 14, 2021

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

📍
Updated Business Mailing Address October 14, 2021

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

👤
Provider Name / Credentials Updated October 14, 2021

Recorded as TANNER VERDUZCO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 14, 2021

Physician Assistant

🟢
Initial NPI Registration & Enumeration October 14, 2021

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: 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

Mailing Address

7235 Ohms Ln

Edina, MN 554392148

Phone: 9528412345

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.