DR. MICHAEL JOHN EBERTZ M.D.
NPI 1144386392
Dermatology in Burnsville, MN

Active since December 29, 2006PECOS Enrolled
84.7/100
CMS Quality Rating
14000 NICOLLET AVE, SUITE 304, BURNSVILLE, MN 55337(952) 898-1600 Get Directions Write a Review

NPPES record last updated: October 15, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Michael John Ebertz M.d. NPPES

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

DR. MICHAEL JOHN EBERTZ M.D. (NPI 1144386392) is an individual dermatology provider in Burnsville, Minnesota, licensed in Minnesota (36998) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1144386392
Entity TypeIndividualMale
Primary Taxonomy207N00000X
Provider Legal NameDR. MICHAEL JOHN EBERTZCredential: M.D.
Location Address14000 NICOLLET AVE, SUITE 304Burnsville, MN 55337-5790
Mailing Address14000 Nicollet Ave Ste 304Burnsville, MN 55337-5784 · (952) 898-1600
Sole ProprietorNo
Enumeration DateDecember 29, 2006
Last NPPES UpdateOctober 15, 2020
NPPES CertifiedOctober 15, 2020
NPI 1144386392 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in MN · 36998
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Also ListedDermatology · MOHS-Micrographic SurgeryTaxonomy 207ND0101X · License 36998 (MN)
14000 NICOLLET AVE, Burnsville, MN 55337

Other Identifiers 1

Medicaid225522700MN

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Michael John Ebertz 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55337 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

84.7/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability82
Improvement Activities40

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
14000 NICOLLET AVE, SUITE 200
BURNSVILLE, MN 55337
Dentist (Orthodontics and Dentofacial Orthopedics)
14000 NICOLLET AVE, SUITE 300
BURNSVILLE, MN 55337
Optometrist
14000 NICOLLET AVE
BURNSVILLE, MN 55337
Family Medicine
14000 NICOLLET AVE, BURNSVILLE MEDICAL CENTER
BURNSVILLE, MN 55337
Family Medicine
14000 NICOLLET AVE
BURNSVILLE, MN 55337
Clinic/Center (Dental)
14000 NICOLLET AVE, STE 302
BURNSVILLE, MN 55337
Family Medicine
14000 NICOLLET AVE, SUITE 100
BURNSVILLE, MN 55337
Physician Assistant
14000 NICOLLET AVE, SUITE 100
BURNSVILLE, MN 55337

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 Michael Ebertz's NPI number?

The NPI number for Michael Ebertz is 1144386392. It was assigned to this individual provider in the NPPES registry on December 29, 2006.

Where is Michael Ebertz located?

Michael Ebertz practices at 14000 Nicollet Ave Suite 304, Burnsville, MN 55337. The listed phone number is (952) 898-1600.

What is Michael Ebertz's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Michael Ebertz enrolled in Medicare?

Yes. Michael Ebertz is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Michael Ebertz was last updated on October 15, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.