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DR. GEORGE V KOMARIDIS PH.D.. LP
NPI 1124297213
Psychologist - Clinical in Mankato, MN

Active since February 22, 2008PECOS EnrolledAccepts Medicare Assignment
11 CIVIC CENTER PLZ STE 2090, MANKATO, MN 56001(507) 345-4679(507) 345-8685 Get Directions Write a Review

NPPES record last updated: November 29, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. George V Komaridis Ph.d.. Lp NPPES

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

DR. GEORGE V KOMARIDIS PH.D.. LP (NPI 1124297213) is an individual clinical provider in Mankato, Minnesota, licensed in Minnesota (LP1673) and active in the NPI registry since February 2008. He is enrolled in Medicare PECOS and is a graduate of University Of Nebraska College Of Medicine (1969).

NPPES Registry Identity

NPI1124297213
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. GEORGE V KOMARIDISCredential: PH.D.. LP
Location Address11 CIVIC CENTER PLZ STE 2090Mankato, MN 56001-7710
Mailing Address11 Civic Center Plz Ste 205Mankato, MN 56001-7718 · (507) 345-4679 · Fax (507) 345-8685
Phone(507) 345-4679
Fax(507) 345-8685
Sole ProprietorYes
Medical School CMSUniversity Of Nebraska College Of MedicineGraduated 1969
Enumeration DateFebruary 22, 2008
Last NPPES UpdateNovember 29, 2023
NPPES CertifiedNovember 29, 2023
✔ NPI 1124297213 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in MN · LP1673
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
11 CIVIC CENTER PLZ STE 2090, Mankato, MN 56001
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Other Identifiers 1

Medicaid264547500MN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.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

Dr. George V Komaridis Ph.d.. Lp 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 ID7719124544
PECOS Enrollment IDI20130515000189
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 George Komaridis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Addictions And Stress Clinics Ltd
25 mi
Psychologist
11 CIVIC CENTER PLZ STE 205
Mankato, MN 56001
  • Reassigned Medicare billing, Minnesota enrollment
  • 5 clinicians in this Medicare group
NPI 1376820118 (507) 345-4679

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

Areas of Expertise CMS Part B claims

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.

Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
139 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 56001 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
$168.28 typical visit price
range $56.00 – $168.28
Typical copayment $42.07 (range $14.00 – $42.07)
Most-billed visit code 99205
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 George Komaridis's NPI number?

The NPI number for George Komaridis is 1124297213. It was assigned to this individual provider in the NPPES registry on February 22, 2008.

Where is George Komaridis located?

George Komaridis practices at 11 Civic Center Plz Ste 2090, Mankato, MN 56001. The listed phone number is (507) 345-4679.

What is George Komaridis's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is George Komaridis enrolled in Medicare?

Yes. George Komaridis 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 organization bills Medicare for George Komaridis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), George Komaridis reassigns Medicare benefits to Addictions And Stress Clinics Ltd (Mankato, 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 George Komaridis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does George Komaridis accept?

Health plans from HealthPartners list George Komaridis 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 George Komaridis was last updated on November 29, 2023. 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.