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DR. GREGORY J. PFLASTER M.D.
NPI 1790753580
Pediatrics in Maple Grove, MN

Active since March 09, 2006PECOS Enrolled
12720 BASS LAKE RD, MAPLE GROVE, MN 55369(763) 559-2861(763) 559-1338 Get Directions Write a Review

NPPES record last updated: September 22, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Gregory J. Pflaster M.d. NPPES

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

DR. GREGORY J. PFLASTER M.D. (NPI 1790753580) is an individual pediatrics provider in Maple Grove, Minnesota, licensed in Minnesota (34925) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790753580
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. GREGORY J. PFLASTERCredential: M.D.
Location Address12720 BASS LAKE RDMaple Grove, MN 55369-6307
Mailing Address12720 Bass Lake RdMaple Grove, MN 55369-6307 · (763) 559-2861
Phone(763) 559-2861
Fax(763) 559-1338
Sole ProprietorNo
Enumeration DateMarch 9, 2006
Last NPPES UpdateSeptember 22, 2011
✔ NPI 1790753580 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in MN · 34925
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
12720 BASS LAKE RD, Maple Grove, MN 55369
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Other Identifiers 2

Medicaid164508100MN
Medicare UPINF42046MN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Gregory J. Pflaster 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.

Medicare Billing Reassignment

Medicare enrollment records show Gregory Pflaster reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Children's Clinic Network
Same address
Primary Care
12720 BASS LAKE RD
Maple Grove, MN 55369
  • Reassigned Medicare billing, Minnesota enrollment
  • 62 clinicians in this Medicare group
NPI 1013278720 (763) 559-2861

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55369 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 16

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

LAURA WOODBECK MOUSTAFA
Pediatrics
12720 BASS LAKE RD
MAPLE GROVE, MN 55369
Hennepin County (763) 559-2861
CHILDREN'S CLINIC NETWORK
Clinic/Center (Primary Care)
12720 BASS LAKE RD
MAPLE GROVE, MN 55369
Hennepin County (763) 559-2861
DR. SUSAN K. MAHLE M.D.
Pediatrics
12720 BASS LAKE RD
MAPLE GROVE, MN 55369
Hennepin County (763) 559-2861
PAMELA JEAN NIKSICH M.D.
Pediatrics
12720 BASS LAKE RD
MAPLE GROVE, MN 55369
Hennepin County (763) 559-2861
DR. REBECCA A DOEGE MD
Pediatrics
12720 BASS LAKE RD
MAPLE GROVE, MN 55369
Hennepin County (414) 266-2000
DR. ALLEN P. KUPERMAN M.D.
Pediatrics
12720 BASS LAKE RD
MAPLE GROVE, MN 55369
Hennepin County (763) 559-2861
MEGAN ELIZABETH CAMERINO M.D.
Pediatrics
12720 BASS LAKE RD
MAPLE GROVE, MN 55369
Hennepin County (763) 559-2861
MRS. ANMARIE L. OPPEL PNP
Nurse Practitioner (Pediatrics)
12720 BASS LAKE RD
MAPLE GROVE, MN 55369
Hennepin County (763) 559-2861

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 Gregory Pflaster's NPI number?

The NPI number for Gregory Pflaster is 1790753580. It was assigned to this individual provider in the NPPES registry on March 9, 2006.

Where is Gregory Pflaster located?

Gregory Pflaster practices at 12720 Bass Lake Rd, Maple Grove, MN 55369. The listed phone number is (763) 559-2861.

What is Gregory Pflaster's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Gregory Pflaster enrolled in Medicare?

Yes. Gregory Pflaster is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Gregory Pflaster's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gregory Pflaster reassigns Medicare benefits to Children's Clinic Network (Maple Grove, MN). The 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 Gregory Pflaster's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Gregory Pflaster accept?

Health plans from HealthPartners list Gregory Pflaster 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.

When was this NPI record last updated?

The NPPES record for Gregory Pflaster was last updated on September 22, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.