DR. PHILLIP MICHAEL ARMAND RADKE M.D.
NPI 1407112881
Ophthalmology - Ophthalmic Plastic and Reconstructive Surgery in Minnetonka, MN
About Dr. Phillip Michael Armand Radke M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. PHILLIP MICHAEL ARMAND RADKE M.D. (NPI 1407112881) is an individual ophthalmic plastic and reconstructive surgery provider in Minnetonka, Minnesota, licensed in Minnesota (64918) and active in the NPI registry since April 2012. He is enrolled in Medicare PECOS, is affiliated with Park Nicollet Methodist Hospital, and maintains a secondary practice location in Edina.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
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
Dr. Phillip Michael Armand Radke M.d. 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.
Medicare Billing Reassignments
2Medicare enrollment records show Phillip Radke reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
St Louis Park, MN 55416
- Reassigned Medicare billing, Minnesota enrollment
- Medicare enrollment name: Park Nicollet Clinic
- 2,527 clinicians in this Medicare group
St. Paul, MN 55101
- Reassigned Medicare billing, Minnesota enrollment
- Medicare enrollment name: Gillette Childrens Specialty Healthcare
- 304 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.
Areas of Expertise CMS Part B claims 10
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Park Nicollet Methodist Hospital
Acute Care Hospitals · Saint Louis Park, MNPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55305 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
MINNETONKA, MN 55305
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 Phillip Radke's NPI number?
The NPI number for Phillip Radke is 1407112881. It was assigned to this individual provider in the NPPES registry on April 10, 2012.
Where is Phillip Radke located?
Phillip Radke practices at 15111 Twelve Oaks Center Dr, Minnetonka, MN 55305. The listed phone number is (952) 993-4500.
What is Phillip Radke's specialty?
The primary specialty registered for this NPI is Ophthalmology, specializing in Ophthalmic Plastic and Reconstructive Surgery, with taxonomy code 207WX0200X.
Is Phillip Radke enrolled in Medicare?
Yes. Phillip Radke 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 Phillip Radke's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Phillip Radke reassigns Medicare benefits to 2 organizations: Park Nicollet Methodist Hospital (St Louis Park, MN) and Gillette Children's Specialty Healthcare (St. Paul, MN). 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 Phillip Radke's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Phillip Radke accept?
Health plans from HealthPartners list Phillip Radke 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 Phillip Radke affiliated with any hospitals?
According to CMS data, Phillip Radke is affiliated with Park Nicollet Methodist Hospital.
When was this NPI record last updated?
The NPPES record for Phillip Radke was last updated on August 31, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Dr. Phillip Michael Armand Radke, M.D. · NPI 1407112881
Ophthalmic Plastic and Reconstructive Surgery physician in Minnetonka, Minnesota. Individual provider, active in the CMS NPPES registry since April 10, 2012.
## Identity
- **NPI:** 1407112881 (Entity type: Individual)
- **Enumerated:** April 10, 2012
- **Primary specialty:** Ophthalmology - Ophthalmic Plastic and Reconstructive Surgery · taxonomy 207WX0200X
- **State license:** 64918 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 15111 TWELVE OAKS CENTER DR, Minnetonka, MN 55305-5202
- **Phone:** (952) 993-4500
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Park Nicollet Methodist Hospital (NPI 1194113217, St Louis Park, MN); Gillette Children's Specialty Healthcare (NPI 1225119175, St. Paul, MN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2012
## Record status
- **NPPES last updated:** August 31, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1407112881) · Data from the CMS NPPES public registry.