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DR. GARY M IVINS MD
NPI 1083610356
Internal Medicine in Eden Prairie, MN

Active since June 22, 2005PECOS Enrolled
11905 THORNHILL RD, EDEN PRAIRIE, MN 55344(612) 669-3091(952) 924-8358 Get Directions Write a Review

NPPES record last updated: October 3, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Gary M Ivins Md NPPES

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

DR. GARY M IVINS MD (NPI 1083610356) is an individual internal medicine provider in Eden Prairie, Minnesota, licensed in Minnesota (37014) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083610356
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. GARY M IVINSCredential: MD
Location Address11905 THORNHILL RDEden Prairie, MN 55344-3276
Mailing Address11905 Thornhill RdEden Prairie, MN 55344-3276 · (612) 669-3091 · Fax (952) 924-8358
Phone(612) 669-3091
Fax(952) 924-8358
Sole ProprietorNo
Enumeration DateJune 22, 2005
Last NPPES UpdateOctober 3, 2016
✔ NPI 1083610356 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MN · 37014
Definition
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.
11905 THORNHILL RD, Eden Prairie, MN 55344
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Other Identifiers 4

Medicare UPINB89331
Medicare ID-Type Unspecified110002645MN
Medicaid339323200MN
Other110002645MN · Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Sanford Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Gary M Ivins Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Gary Ivins reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Fairview Health Services
5.0 mi
General Acute Care Hospital
6401 FRANCE AVE S
Edina, MN 55435
  • Reassigned Medicare billing, Minnesota enrollment
  • 4,038 clinicians in this Medicare group
NPI 1699752915 (952) 924-5000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55344 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.

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 Gary Ivins's NPI number?

The NPI number for Gary Ivins is 1083610356. It was assigned to this individual provider in the NPPES registry on June 22, 2005.

Where is Gary Ivins located?

Gary Ivins practices at 11905 Thornhill Rd, Eden Prairie, MN 55344. The listed phone number is (612) 669-3091.

What is Gary Ivins's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Gary Ivins enrolled in Medicare?

Yes. Gary Ivins is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Gary Ivins's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gary Ivins reassigns Medicare benefits to Fairview Health Services (Edina, MN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Gary Ivins's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Gary Ivins accept?

Health plans from Sanford Health Plan list Gary Ivins 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.

When was this NPI record last updated?

The NPPES record for Gary Ivins was last updated on October 3, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.