DR. ANDREW CARAGANIS MD
NPI 1013271352
Internal Medicine - Pulmonary Disease in Saint Paul, MN

Active since July 02, 2012PECOS EnrolledAccepts Medicare Assignment
401 PHALEN BLVD, SAINT PAUL, MN 55130(651) 254-7670(651) 254-7676 Get Directions Write a Review

NPPES record last updated: March 22, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 22, 2023, Jun 21, 2021, Jul 18, 2019 and 1 more (4 updates tracked since 2016).

About Dr. Andrew Caraganis Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ANDREW CARAGANIS MD (NPI 1013271352) is an individual pulmonary disease provider in Saint Paul, Minnesota, licensed in Minnesota (61812) and active in the NPI registry since July 2012. He is enrolled in Medicare PECOS, is affiliated with Lakeview Memorial Hospital, and maintains a secondary practice location in Minneapolis.

NPPES Registry Identity

NPI1013271352
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameDR. ANDREW CARAGANISCredential: MD
Location Address401 PHALEN BLVDSaint Paul, MN 55130-5302
Mailing Address8170 33rd Ave S # Ms 21110qBloomington, MN 55425-4516
Fax(651) 254-7676
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateJuly 2, 2012
Last NPPES UpdateMarch 22, 20234 updates tracked since enumeration
NPPES CertifiedMarch 22, 2023
NPI 1013271352 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License Licensed in MN · 61812
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal MedicineTaxonomy 207R00000X · License CLP02590 (RI), 61812 (MN)
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 61812 (MN)
401 PHALEN BLVD, Saint Paul, MN 55130

Secondary Practice Location 1

Location 1909 Fulton St SEMinneapolis, MN 55455-4800 · Phone (612) 672-7422

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Andrew Caraganis Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8123267887
PECOS Enrollment IDI20190621001271
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
183 services75 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
56 services34 patients
Test to measure expiratory airflow and volume 94010
This test, known as spirometry, assesses how well your lungs work. It measures how much air you can inhale, how much you can exhale and how quickly you can exhale. It's non-invasive and helps diagnose conditions like asthma or COPD.
32 services23 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
29 services25 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
20 services20 patients
Test to measure the level of nitric oxide gas 95012
A test to measure the level of nitric oxide gas helps assess inflammation in the lungs, often linked with asthma. You'll breathe into a device, and it'll provide a reading of nitric oxide levels. This helps monitor and manage respiratory conditions.
17 services12 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Lakeview Memorial Hospital

Acute Care Hospitals · Stillwater, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number240066
Location927 West Churchill StreetStillwater, MN 55082 · Washington County
Emergency services Birthing friendly

Regions Hospital

Acute Care Hospitals · Saint Paul, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240106
Location640 Jackson StreetSaint Paul, MN 55101 · Ramsey County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55130 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$127.61 typical visit price
range $56.00 – $168.28
Typical copayment $31.90 (range $14.00 – $42.07)
Most-billed visit code 99204
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$14.39 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
5 suppliers53 claims53 services$65.73 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
2 suppliers26 claims26 services$31.12 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dermatology
401 PHALEN BLVD
SAINT PAUL, MN 55130
Physician Assistant
401 PHALEN BLVD
SAINT PAUL, MN 55130
Internal Medicine (Critical Care Medicine)
401 PHALEN BLVD
SAINT PAUL, MN 55130
Internal Medicine (Rheumatology)
401 PHALEN BLVD
SAINT PAUL, MN 55130
Optometrist
401 PHALEN BLVD
SAINT PAUL, MN 55130
Internal Medicine (Infectious Disease)
401 PHALEN BLVD
SAINT PAUL, MN 55130
Dermatology
401 PHALEN BLVD
SAINT PAUL, MN 55130
Clinic/Center (Rehabilitation)
401 PHALEN BLVD
SAINT PAUL, MN 55130

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Andrew Caraganis's NPI number?

The NPI number for Andrew Caraganis is 1013271352. It was assigned to this individual provider in the NPPES registry on July 2, 2012.

Where is Andrew Caraganis located?

Andrew Caraganis practices at 401 Phalen Blvd, Saint Paul, MN 55130. The listed phone number is (651) 254-7670.

What is Andrew Caraganis's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Andrew Caraganis enrolled in Medicare?

Yes. Andrew Caraganis is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Andrew Caraganis accept?

Health plans from HealthPartners list Andrew Caraganis as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Andrew Caraganis affiliated with any hospitals?

According to CMS data, Andrew Caraganis is affiliated with Lakeview Memorial Hospital and Regions Hospital.

When was this NPI record last updated?

The NPPES record for Andrew Caraganis was last updated on March 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.