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

Q: 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.

Q: What is Brayton Kiedrowski's specialty?

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

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: November 01, 2026.

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

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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

Phone(952) 831-8742

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)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1700 SAINT FRANCIS AVE, Shakopee, MN 55379

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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

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

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.

Medicare Billing Reassignments

Medicare enrollment records show Brayton Kiedrowski reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Tria Orthopaedic Center LLC

10 mi

Orthopaedic Surgery

8100 NORTHLAND DR
Bloomington, MN 55431

Reassigned Medicare billing, Minnesota enrollment
693 clinicians in this Medicare group

NPI 1346624384 (952) 831-8742

Park Nicollet Methodist Hospital

13 mi

General Acute Care Hospital

3900 PARK NICOLLET BLVD
St Louis Park, MN 55416

Reassigned Medicare billing, Minnesota enrollment
Medicare enrollment name: Park Nicollet Clinic
2,527 clinicians in this Medicare group

NPI 1194113217 (952) 993-1953

Reid Physician Associates, Inc.

556 mi

Internal Medicine

1100 REID PKWY
Richmond, IN 47374

Reassigned Medicare billing, Indiana enrollment
527 clinicians in this Medicare group

NPI 1265689111 (765) 983-3127

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 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

Ultrasonic guidance for needle placement 76942

Ultrasonic guidance for needle placement is a technique where sound waves create images that help accurately position the needle during procedures. This method ensures precision, minimizes discomfort, and increases safety.

43 services38 patients

X-ray of knee, 4 or more views 73564

An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.

42 services38 patients

Injection of trigger points, 1-2 muscles 20552

Trigger point injection is a procedure used to treat painful areas of muscle that contain trigger points, or knots of muscle that form when muscles do not relax. 1-2 muscles are typically treated in one session. The procedure involves injecting medications into these points to alleviate pain.

39 services34 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

30 services30 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

28 services26 patients

X-ray of hip, 2-3 views 73502

An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.

28 services27 patients

X-ray of shoulder, minimum of 2 views 73030

An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.

24 services23 patients

Hospital Affiliations CMS Care Compare 3

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

Park Nicollet Methodist Hospital

Acute Care Hospitals · Saint Louis Park, MN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number240053

Location6500 Excelsior BlvdSaint Louis Park, MN 55426 · Hennepin 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.

ANNMARIE ELIZABETH ANDERSON PA-C

Physician Assistant

1700 SAINT FRANCIS AVE
SHAKOPEE, MN 55379

Scott County (952) 831-8742

DR. RYAN DAVID HORAZDOVSKY M.D.

Orthopaedic Surgery

1700 SAINT FRANCIS AVE
SHAKOPEE, MN 55379

Scott County (952) 831-8742

SASHA KOHANA-YAMADA BRONIOLA

Specialist/Technologist (Athletic Trainer)

1700 SAINT FRANCIS AVE
SHAKOPEE, MN 55379

Scott County (952) 831-8742

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.

Which organizations bill Medicare for Brayton Kiedrowski's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brayton Kiedrowski reassigns Medicare benefits to 3 organizations: Tria Orthopaedic Center LLC (Bloomington, MN), Park Nicollet Methodist Hospital (St Louis Park, MN) and Reid Physician Associates, Inc. (Richmond, IN). 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 Brayton Kiedrowski's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Brayton Kiedrowski accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and HealthPartners and 1 other insurer 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, Park Nicollet Methodist Hospital 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 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.