DR. ILYA PEREPELITSYN MD
NPI 1992795058
Otolaryngology - Otolaryngology/Facial Plastic Surgery in Minneapolis, MN

Active since October 28, 2005PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
2211 PARK AVE, MINNEAPOLIS, MN 55404(612) 871-1144(612) 871-2012 Get Directions Write a Review

NPPES record last updated: June 13, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Ilya Perepelitsyn Md NPPES

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

DR. ILYA PEREPELITSYN MD (NPI 1992795058) is an individual otolaryngology/facial plastic surgery provider in Minneapolis, Minnesota, licensed in Minnesota (49351) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with Abbott Northwestern Hospital, and is a graduate of Tufts University School Of Medicine (1999).

NPPES Registry Identity

NPI1992795058
Entity TypeIndividualMale
Primary Taxonomy207YX0905X
Provider Legal NameDR. ILYA PEREPELITSYNCredential: MD
Location Address2211 PARK AVEMinneapolis, MN 55404-3711
Mailing Address2211 Park AveMinneapolis, MN 55404-3711 · (612) 871-1144 · Fax (612) 871-2012
Fax(612) 871-2012
Sole ProprietorNo
Medical School CMSTufts University School Of MedicineGraduated 1999
Enumeration DateOctober 28, 2005
Last NPPES UpdateJune 13, 2013
NPI 1992795058 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOtolaryngology · Otolaryngology/Facial Plastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207YX0905X
Licenses Licensed in MN · 49351 Licensed in MA · 219565
Definition

An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.

2211 PARK AVE, Minneapolis, MN 55404

Other Identifiers 6

Medicare PIN040000839MN
Medicare UPINI09304
OtherJ27270MA · Blue Cross Blue Shield
Medicaid305473200MN
OtherAA11436MA · Harvard Pilgrim
Medicaid34756700WI

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

Dr. Ilya Perepelitsyn Md 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 ID6103896006
PECOS Enrollment IDI20070621000141
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 12

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

New patient office or other outpatient visit, 45-59 minutes 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.
145 services145 patients
Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
127 services105 patients
Established patient office or other outpatient visit, 30-39 minutes 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.
115 services97 patients
Established patient office or other outpatient visit, 20-29 minutes 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.
103 services92 patients
New patient office or other outpatient visit, 30-44 minutes 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.
59 services59 patients
Diagnostic exam of nasal passages using an endoscope 31231
A diagnostic exam of nasal passages using an endoscope is a non-invasive procedure. A small, flexible tube with a light and camera at the end, called an endoscope, is inserted into the nose. This allows the doctor to view the nasal passages and sinuses, helping to identify any issues.
54 services46 patients

Hospital Affiliations CMS Care Compare 3

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

Abbott Northwestern Hospital

Acute Care Hospitals · Minneapolis, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240057
Location800 East 28th StreetMinneapolis, MN 55407 · Hennepin County
Emergency services Birthing friendly

M Health Fairview Southdale Hospital

Acute Care Hospitals · Edina, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240078
Location6401 France Avenue SouthEdina, MN 55435 · Hennepin County
Emergency services Birthing friendly

Mercy Hospital

Acute Care Hospitals · Coon Rapids, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240115
Location4050 Coon Rapids BlvdCoon Rapids, MN 55433 · Anoka County
Emergency services Birthing friendly

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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

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.

Otolaryngology
2211 PARK AVE
MINNEAPOLIS, MN 55404
Otolaryngology
2211 PARK AVE
MINNEAPOLIS, MN 55404
Audiologist
2211 PARK AVE
MINNEAPOLIS, MN 55404
Audiologist
2211 PARK AVE
MINNEAPOLIS, MN 55404
Audiologist
2211 PARK AVE
MINNEAPOLIS, MN 55404
Audiologist
2211 PARK AVE
MINNEAPOLIS, MN 55404
Audiologist
2211 PARK AVE
MINNEAPOLIS, MN 55404
Otolaryngology
2211 PARK AVE
MINNEAPOLIS, MN 55404

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1992795058, enumerated as an "individual" on October 28, 2005.

The provider is located at 2211 PARK AVE MINNEAPOLIS, MN 55404 and the phone number is (612) 871-1144.

Otolaryngology with taxonomy code 207YX0905X and a focus in Otolaryngology/Facial Plastic Surgery.

The provider might be accepting Accepts: HealthPartners, Medica, Medicare, Medicaid and. Please consult your insurance carrier or call the provider to verify.

Ilya Perepelitsyn is affiliated with: ABBOTT NORTHWESTERN HOSPITAL, M HEALTH FAIRVIEW SOUTHDALE HOSPITAL and MERCY HOSPITAL.