BRENT MEDOFF MD
NPI 1114419652
Internal Medicine - Cardiovascular Disease in Saint Paul, MN

Active since May 31, 2018PECOS EnrolledAccepts Medicare Assignment
640 JACKSON ST, SAINT PAUL, MN 55101(651) 254-4887 Get Directions Write a Review

NPPES record last updated: July 1, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 15, 2025, Apr 20, 2024, Jul 6, 2021 and 1 more (4 updates tracked since 2021).

About Brent Medoff Md NPPES

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

BRENT MEDOFF MD (NPI 1114419652) is an individual cardiovascular disease provider in Saint Paul, Minnesota, licensed in Minnesota (80176) and active in the NPI registry since May 2018. He is enrolled in Medicare PECOS, is affiliated with Lakeview Memorial Hospital, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1114419652
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameBRENT MEDOFFCredential: MD
Location Address640 JACKSON STSaint Paul, MN 55101-2502
Mailing Address640 Jackson StSaint Paul, MN 55101-2502
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateMay 31, 2018
Last NPPES UpdateJuly 1, 20264 updates tracked since enumeration
NPPES CertifiedJuly 1, 2026
✔ NPI 1114419652 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
Licenses✔ Licensed in MN · 80176✔ Licensed in PA · MD472992
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Also ListedInternal MedicineTaxonomy 207R00000X · License MD472992 (PA)
640 JACKSON ST, Saint Paul, MN 55101

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Brent Medoff 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 ID1052668258
PECOS Enrollment IDI20260107004270
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

2

Medicare enrollment records show Brent Medoff reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pediatric Dentistry
205 WABASHA ST S
Saint Paul, MN 55107
  • Reassigned Medicare billing, Minnesota enrollment
  • 2,274 clinicians in this Medicare group
Neurological Surgery
425 W FIFTH ST, EAST LIVERPOOL CITY HOSPITAL
East Liverpool, OH 43920
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 7,114 clinicians in this Medicare group

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

Hospital Affiliations CMS Care Compare 4

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

Amery Hospital & Clinic

Critical Access Hospitals · Amery, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521308
Location265 Griffin Street EastAmery, WI 54001 · Polk County
Emergency services Birthing friendly

Westfields Hospital And Clinic

Critical Access Hospitals · New Richmond, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521345
Location535 Hospital RdNew Richmond, WI 54017 · St. Croix County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55101 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
$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.

Internal Medicine
640 JACKSON ST
SAINT PAUL, MN 55101
Internal Medicine
640 JACKSON ST
SAINT PAUL, MN 55101
Nurse Anesthetist, Certified Registered
640 JACKSON ST
SAINT PAUL, MN 55101
Internal Medicine
640 JACKSON ST
SAINT PAUL, MN 55101
Nurse Anesthetist, Certified Registered
640 JACKSON ST
SAINT PAUL, MN 55101
Orthopaedic Surgery
640 JACKSON ST
SAINT PAUL, MN 55101
Nurse Anesthetist, Certified Registered
640 JACKSON ST, MAIL STOP 11503P
ST PAUL, MN 55101
Pathology (Anatomic Pathology & Clinical Pathology)
640 JACKSON ST, MC 11103E
ST PAUL, MN 55101

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 Brent Medoff's NPI number?

The NPI number for Brent Medoff is 1114419652. It was assigned to this individual provider in the NPPES registry on May 31, 2018.

Where is Brent Medoff located?

Brent Medoff practices at 640 Jackson St, Saint Paul, MN 55101. The listed phone number is (651) 254-4887.

What is Brent Medoff's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Brent Medoff enrolled in Medicare?

Yes. Brent Medoff 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.

Which organizations bill Medicare for Brent Medoff's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brent Medoff reassigns Medicare benefits to 2 organizations: Group Health, Inc. (Saint Paul, MN) and University Of Pittsburgh Physicians (East Liverpool, OH). Each 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 Brent Medoff's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Brent Medoff accept?

Health plans from HealthPartners list Brent Medoff 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 Brent Medoff affiliated with any hospitals?

According to CMS data, Brent Medoff is affiliated with Lakeview Memorial Hospital, Regions Hospital, Amery Hospital & Clinic and Westfields Hospital And Clinic.

When was this NPI record last updated?

The NPPES record for Brent Medoff was last updated on July 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.