BRAYTON KIEDROWSKI D.O.
NPI 1770019796
Family Medicine - Sports Medicine in Shakopee, MN

Active since May 11, 2017PECOS EnrolledAccepts Medicare Assignment
1700 SAINT FRANCIS AVE, SHAKOPEE, MN 55379(952) 831-8742 Get Directions Write a Review

NPPES record last updated: September 13, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 13, 2024, Dec 7, 2021, Oct 5, 2021 and 3 more (6 updates tracked since 2017).

About Brayton Kiedrowski D.o. NPPES

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

BRAYTON KIEDROWSKI D.O. (NPI 1770019796) is an individual sports medicine provider in Shakopee, Minnesota, licensed in Minnesota (77987) and active in the NPI registry since May 2017. He is enrolled in Medicare PECOS, is affiliated with Reid Health, and maintains a secondary practice location in Richmond.

NPPES Registry Identity

NPI1770019796
Entity TypeIndividualMale
Primary Taxonomy207QS0010X
Provider Legal NameBRAYTON KIEDROWSKICredential: D.O.
Location Address1700 SAINT FRANCIS AVEShakopee, MN 55379
Mailing Address8170 33rd Ave S # Ms 21110qBloomington, MN 55425-4516
Sole ProprietorYes
Medical School CMSMidwestern University, Chicago College Of Osteopathic MedGraduated 2017
Enumeration DateMay 11, 2017
Last NPPES UpdateSeptember 13, 20246 updates tracked since enumeration
NPPES CertifiedSeptember 9, 2024
NPI 1770019796 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QS0010X
Licenses Licensed in MN · 77987 Licensed in IN · 02006537A
Definition
A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.
Also ListedFamily MedicineTaxonomy 207Q00000X · License 88752 (MT)
1700 SAINT FRANCIS AVE, Shakopee, MN 55379

Secondary Practice Location 1

Location 11400 Highland Rd Ste 1Richmond, IN 47374-8810 · Phone (765) 962-4444

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Brayton Kiedrowski D.o. 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 ID2860763513
PECOS Enrollment IDI20210902001035, I20240926001017
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.

Areas of Expertise CMS Part B claims 13

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
1,990 services213 patients
Aspiration and/or injection of fluid large joint using ultrasound guidance 20611
This procedure involves using ultrasound technology to accurately locate a large joint, usually the knee or shoulder. A needle is then inserted to either extract fluid (aspiration) or inject medication. The ultrasound helps ensure precision and safety.
385 services228 patients
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg J0702
This injection contains two medications, betamethasone acetate and betamethasone sodium phosphate. It is used to reduce inflammation and pain. It's given by a healthcare professional, often directly into the area causing discomfort.
205 services70 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
163 services129 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
104 services104 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
63 services54 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Reid Health

Acute Care Hospitals · Richmond, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150048
Location1100 Reid PkwyRichmond, IN 47374 · Wayne County
Emergency services Birthing friendly

St Francis Regional Medical Center

Acute Care Hospitals · Shakopee, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number240104
Location1455 St Francis AvenueShakopee, MN 55379 · Scott County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55379 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
$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.

Other Providers at the Same Location NPPES 3

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

Physician Assistant
1700 SAINT FRANCIS AVE
SHAKOPEE, MN 55379
Orthopaedic Surgery
1700 SAINT FRANCIS AVE
SHAKOPEE, MN 55379
Specialist/Technologist (Athletic Trainer)
1700 SAINT FRANCIS AVE
SHAKOPEE, MN 55379

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 Brayton Kiedrowski's NPI number?

The NPI number for Brayton Kiedrowski is 1770019796. It was assigned to this individual provider in the NPPES registry on May 11, 2017.

Where is Brayton Kiedrowski located?

Brayton Kiedrowski practices at 1700 Saint Francis Ave, Shakopee, MN 55379. The listed phone number is (952) 831-8742.

What is Brayton Kiedrowski's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Is Brayton Kiedrowski enrolled in Medicare?

Yes. Brayton Kiedrowski 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.

What insurance does Brayton Kiedrowski accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, HealthPartners and Medica list Brayton Kiedrowski 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 Brayton Kiedrowski affiliated with any hospitals?

According to CMS data, Brayton Kiedrowski is affiliated with Reid Health and St Francis Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Brayton Kiedrowski was last updated on September 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.