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MARISA BARTLEY DO
NPI 1104480359
Family Medicine - Sports Medicine in Minneapolis, MN

Active since April 23, 2019PECOS EnrolledAccepts Medicare Assignment
87.63/100
CMS Quality Rating
2450 RIVERSIDE AVE STE R200, MINNEAPOLIS, MN 55454(612) 672-7100 Get Directions Write a Review

NPPES record last updated: June 12, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 12, 2024, Apr 23, 2019 (2 updates tracked since 2019).

About Marisa Bartley Do NPPES

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

MARISA BARTLEY DO (NPI 1104480359) is an individual sports medicine provider in Minneapolis, Minnesota, licensed in Minnesota (74330) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS, is affiliated with M Health Fairview Ridges Hospital, and is a graduate of College Of Osteo Med Of The Pacific At Pomona (2019).

NPPES Registry Identity

NPI1104480359
Entity TypeIndividualFemale
Primary Taxonomy207QS0010X
Provider Legal NameMARISA BARTLEYCredential: DO
Location Address2450 RIVERSIDE AVE STE R200Minneapolis, MN 55454-1450
Mailing Address2450 Riverside Ave Ste R200Minneapolis, MN 55454-1450
Phone(612) 672-7100
Sole ProprietorNo
Medical School CMSCollege Of Osteo Med Of The Pacific At PomonaGraduated 2019
Enumeration DateApril 23, 2019
Last NPPES UpdateJune 12, 20242 updates tracked since enumeration
NPPES CertifiedJune 12, 2024
✔ NPI 1104480359 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QS0010X
License✔ Licensed in MN · 74330
Definition
A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.
2450 RIVERSIDE AVE STE R200, Minneapolis, MN 55454
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Accepted Insurance

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

Marisa Bartley Do 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 ID9638405442
PECOS Enrollment IDI20230626002715
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 6

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
242 services44 patients
Aspiration and/or injection of fluid large joint using ultrasound guidance 20611
This procedure involves using ultrasound technology to accurately locate a large joint, usually the knee or shoulder. A needle is then inserted to either extract fluid (aspiration) or inject medication. The ultrasound helps ensure precision and safety.
40 services34 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.
37 services37 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.
28 services23 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
16 services16 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
12 services12 patients

Hospital Affiliations CMS Care Compare 3

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

M Health Fairview Ridges Hospital

Acute Care Hospitals · Burnsville, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number240207
Location201 East Nicollet BoulevardBurnsville, MN 55337 · Dakota County
Emergency services Birthing friendly

M Health Fairview St John's Hospital

Acute Care Hospitals · Maplewood, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240210
Location1575 Beam AvenueMaplewood, MN 55109 · Ramsey County
Emergency services Birthing friendly

M Health Fairview Woodwinds Hospital

Acute Care Hospitals · Woodbury, MN
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240213
Location1925 Woodwinds DriveWoodbury, MN 55125 · Washington County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55454 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

87.63/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality83.78
Promoting Interoperability100
Improvement Activities40
Cost71.59

Other Providers at the Same Location NPPES

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

DR. ALLISON JAMIE RAO M.D.
Orthopaedic Surgery
2450 RIVERSIDE AVE STE R200
MINNEAPOLIS, MN 55454
Hennepin County (612) 273-1290

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 Marisa Bartley's NPI number?

The NPI number for Marisa Bartley is 1104480359. It was assigned to this individual provider in the NPPES registry on April 23, 2019.

Where is Marisa Bartley located?

Marisa Bartley practices at 2450 Riverside Ave Ste R200, Minneapolis, MN 55454. The listed phone number is (612) 672-7100.

What is Marisa Bartley's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Is Marisa Bartley enrolled in Medicare?

Yes. Marisa Bartley 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 Marisa Bartley accept?

Health plans from HealthPartners, Medica and Sanford Health Plan list Marisa Bartley 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 Marisa Bartley affiliated with any hospitals?

According to CMS data, Marisa Bartley is affiliated with M Health Fairview Ridges Hospital, M Health Fairview St John's Hospital and M Health Fairview Woodwinds Hospital.

When was this NPI record last updated?

The NPPES record for Marisa Bartley was last updated on June 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.