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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

TESS MARY LUKOWIAK MD
NPI 1124606074
Dermatology - MOHS-Micrographic Surgery in Wyoming, MN

Active since March 31, 2021PECOS Enrolled
5200 FAIRVIEW BLVD, WYOMING, MN 55092(612) 625-5656 Get Directions Write a Review

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

About Tess Mary Lukowiak Md NPPES

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

TESS MARY LUKOWIAK MD (NPI 1124606074) is an individual mohs-micrographic surgery provider in Wyoming, Minnesota, licensed in Minnesota (79809) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124606074
Entity TypeIndividualFemale
Primary Taxonomy207ND0101X
Provider Legal NameTESS MARY LUKOWIAKCredential: MD
Location Address5200 FAIRVIEW BLVDWyoming, MN 55092-8013
Mailing Address5200 Fairview BlvdWyoming, MN 55092-8013
Phone(612) 625-5656
Sole ProprietorNo
Enumeration DateMarch 31, 2021
Last NPPES UpdateJune 12, 2026
NPPES CertifiedJune 12, 2026
✔ NPI 1124606074 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDermatology · MOHS-Micrographic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207ND0101X
License✔ Licensed in MN · 79809
Definition
The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.
Also ListedDermatologyTaxonomy 207N00000X · License 79809 (MN)
5200 FAIRVIEW BLVD, Wyoming, MN 55092
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tess Mary Lukowiak Md 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55092 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.

LINDA KOEHLER
Rehabilitation Practitioner
5200 FAIRVIEW BLVD
WYOMING, MN 55092
Chisago County (651) 982-7000
SHANA M MCCRACKEN PA-C
Physician Assistant
5200 FAIRVIEW BLVD
WYOMING, MN 55092
Chisago County (651) 982-7000
SARAH CONNAUGHTY FUERSTENBERG MD
Pediatrics
5200 FAIRVIEW BLVD
WYOMING, MN 55092
Chisago County (651) 982-7000
JOHN B CARLSON-BUREN DPM
Podiatrist (Foot & Ankle Surgery)
5200 FAIRVIEW BLVD
WYOMING, MN 55092
Chisago County (651) 389-0182
DEAN E KRATS MD
Emergency Medicine
5200 FAIRVIEW BLVD
WYOMING, MN 55092
Chisago County (651) 982-7000
MOLLY LEVY FNP-C
Nurse Practitioner (Family)
5200 FAIRVIEW BLVD
WYOMING, MN 55092
Chisago County (651) 982-7600
NATASHA LEWIS
Speech-Language Pathologist
5200 FAIRVIEW BLVD
WYOMING, MN 55092
Chisago County (651) 982-7000
MANI MOKALLA MD
Pediatrics
5200 FAIRVIEW BLVD
WYOMING, MN 55092
Chisago County (651) 982-7000

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 Tess Lukowiak's NPI number?

The NPI number for Tess Lukowiak is 1124606074. It was assigned to this individual provider in the NPPES registry on March 31, 2021.

Where is Tess Lukowiak located?

Tess Lukowiak practices at 5200 Fairview Blvd, Wyoming, MN 55092. The listed phone number is (612) 625-5656.

What is Tess Lukowiak's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in MOHS-Micrographic Surgery, with taxonomy code 207ND0101X.

Is Tess Lukowiak enrolled in Medicare?

Yes. Tess Lukowiak is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Tess Lukowiak was last updated on June 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 59 days 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.