DR. DAMON RAY OLSON M.D.
NPI 1114283173
Pathology - Pediatric Pathology in Minneapolis, MN

Q: What is Damon Olson's NPI number?

The NPI number for Damon Olson is 1114283173. It was assigned to this individual provider in the NPPES registry on April 4, 2012.

Q: What is Damon Olson's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Pediatric Pathology, with taxonomy code 207ZP0213X.

Q: When was this NPI record last updated?

The NPPES record for Damon Olson was last updated on April 24, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since April 04, 2012PECOS Enrolled

2525 CHICAGO AVE, MINNEAPOLIS, MN 55404(612) 813-6000 Get Directions Write a Review

NPPES record last updated: April 24, 2018. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Dr. Damon Ray Olson M.d. NPPES

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

DR. DAMON RAY OLSON M.D. (NPI 1114283173) is an individual pediatric pathology provider in Minneapolis, Minnesota, licensed in Minnesota (63562) and active in the NPI registry since April 2012. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114283173

Entity TypeIndividualMale

Primary Taxonomy207ZP0213X

Provider Legal NameDR. DAMON RAY OLSONCredential: M.D.

Location Address2525 CHICAGO AVEMinneapolis, MN 55404-4518

Mailing Address5901 Lincoln Drive, Cbc-2-rev/peEdina, MN 55436-1611

Phone(612) 813-6000

Sole ProprietorNo

Enumeration DateApril 4, 2012

Last NPPES UpdateApril 24, 2018

✔ NPI 1114283173 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPathology · Pediatric PathologyAllopathic & Osteopathic Physicians

Taxonomy Code207ZP0213X

License✔ Licensed in MN · 63562

Definition

A pediatric pathologist is expert in the laboratory diagnosis of diseases that occur during fetal growth, infancy and child development. The practice requires a strong foundation in general pathology and substantial understanding of normal growth and development, along with extensive knowledge of pediatric medicine.

Also ListedPathology · Anatomic Pathology & Clinical PathologyTaxonomy 207ZP0102X · License 63562 (MN)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

2525 CHICAGO AVE, Minneapolis, MN 55404

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Damon Ray Olson M.d. 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 Reassignments

Medicare enrollment records show Damon Olson reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Childrens Health Care

Same address

Anatomic Pathology & Clinical Pathology

2525 CHICAGO AVE S
Minneapolis, MN 55404

Reassigned Medicare billing, Minnesota enrollment
Medicare enrollment name: Children's Health Care
551 clinicians in this Medicare group

NPI 1053410928 (612) 813-6280

Fairview Express Care

1.3 mi

Multi-Specialty

2312 S 6TH ST STE F105
Minneapolis, MN 55454

Reassigned Medicare billing, Minnesota enrollment
3,633 clinicians in this Medicare group

NPI 1053952606 (612) 273-3565

Fairview Health Services

1.4 mi

General Acute Care Hospital

2450 RIVERSIDE AVE
Minneapolis, MN 55454

Reassigned Medicare billing, Minnesota enrollment
4,038 clinicians in this Medicare group

NPI 1013994359 (612) 672-6000

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 55404 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.

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.

CATHERINE ELAINE MCNAUGHTON LICSW

Social Worker (Clinical)