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DR. ANTHONY JOHN SKINNER DDS
NPI 1114089315
Dentist - Periodontics in St Louis Park, MN

Active since December 14, 2006Opted out of Medicare · through Jul 15, 2027
6600 EXCELSIOR BLVD, 180, ST LOUIS PARK, MN 55426(952) 935-9009(952) 935-1006 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Anthony John Skinner Dds NPPES

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

DR. ANTHONY JOHN SKINNER DDS (NPI 1114089315) is an individual periodontics provider in St Louis Park, Minnesota, licensed in Minnesota (D11998) and active in the NPI registry since December 2006. He has opted out of Medicare through July 15, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1114089315
Entity TypeIndividualMale
Primary Taxonomy1223P0300X
Provider Legal NameDR. ANTHONY JOHN SKINNERCredential: DDS
Location Address6600 EXCELSIOR BLVD, 180St Louis Park, MN 55426-4744
Mailing Address6600 Excelsior Blvd, 180St Louis Park, MN 55426-4744 · (952) 935-9009 · Fax (952) 935-1006
Phone(952) 935-9009
Fax(952) 935-1006
Sole ProprietorNo
Enumeration DateDecember 14, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1114089315 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in MN · D11998
Definition

That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

6600 EXCELSIOR BLVD, St Louis Park, MN 55426
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Anthony John Skinner Dds has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 15, 2021 through July 15, 2027.

Opt-Out Effective DateJuly 15, 2021
Opt-Out In Effect ThroughJuly 15, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55426 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
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

LEE H BEECHER MD PA
Psychiatry & Neurology (Psychiatry)
6600 EXCELSIOR BLVD, CREEKSIDE BLDG SUITE 121
ST LOUIS PARK, MN 55426
Hennepin County (952) 935-7116
DR. SARA JOHANNA MITLYNG M.D.
Family Medicine
6600 EXCELSIOR BLVD, SUITE 100
ST LOUIS PARK, MN 55426
Hennepin County (952) 993-7700
MICHAEL DUKINFIELD
Family Medicine
6600 EXCELSIOR BLVD, SUITE 160
ST LOUIS PARK, MN 55426
Hennepin County (952) 993-7700
MR. GEORGE V BABOILA MSW, LICSW
Social Worker (Clinical)
6600 EXCELSIOR BLVD, STE 160
ST LOUIS PARK, MN 55426
Hennepin County (952) 993-7707
MARY D WAGNER
Family Medicine
6600 EXCELSIOR BLVD, STE 160
ST LOUIS PARK, MN 55426
Hennepin County (952) 993-7707
MARK A NAMMACHER MD
Pediatrics
6600 EXCELSIOR BLVD, 131
ST LOUIS PARK, MN 55426
Hennepin County (952) 401-8290
DR. AMY LAUREN KAUFMAN MD
Internal Medicine
6600 EXCELSIOR BLVD
ST LOUIS PARK, MN 55426
Hennepin County (952) 993-7700
MRS. JENNIFER M VESELY M.D.
Family Medicine
6600 EXCELSIOR BLVD, SUITE 160
ST LOUIS PARK, MN 55426
Hennepin County (952) 993-7711

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 Anthony Skinner's NPI number?

The NPI number for Anthony Skinner is 1114089315. It was assigned to this individual provider in the NPPES registry on December 14, 2006.

Where is Anthony Skinner located?

Anthony Skinner practices at 6600 Excelsior Blvd 180, St Louis Park, MN 55426. The listed phone number is (952) 935-9009.

What is Anthony Skinner's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Is Anthony Skinner enrolled in Medicare?

No. Anthony Skinner has opted out of Medicare through July 15, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Anthony Skinner was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.