Luboslav Rosen Dimitrov, DO
NPI 1174150577ActiveIndividual· Orthopaedic Surgery, Sports Medicine· Burnsville, MN
Orthopaedic Surgery, Sports Medicine (DO) with Park Nicollet Clinic and 1 other group, practicing in Burnsville, Minnesota. Their prescriptions cost Medicare Part D more than their services did: $24,260 for 297 claims, against $10,859 paid for services in 2024. Lists Park Nicollet Methodist Hospital as a hospital affiliation.
Overview
| NPI | 1174150577 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DO |
| Sole proprietor | No |
| NPI issued | Mar 25, 2020 |
| Last updated in NPPES | Jun 19, 2024 |
| Certified by provider | Jun 19, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Orthopaedic Surgery, Sports Medicine Primary | 207XX0005X | 76072 | MN |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Sports Medicine (MN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 82 |
|---|---|
| Services billed | 428 across 13 procedure codes |
| Paid by Medicare | $10,859 |
Part D prescriptions in 2024
| Prescriptions (claims) | 297 · 505 30-day fills |
|---|---|
| Patients | 131 |
| Total drug cost | $24,260 |
| Generic share | 88% of claims |
Education and affiliations
| Graduation year | 2020 |
|---|---|
| Medicare specialty | Sports Medicine |
Medical groups
- Park Nicollet ClinicSt Louis Park, MN · 1,787 clinicians
- Tria Orthopaedic Center LLCWoodbury, MN · 515 clinicians
Hospital affiliation
- Park Nicollet Methodist HospitalSaint Louis Park, MN
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other sports medicine orthopedic surgeons in Burnsville
- 1184832578
- 1861802019
- 1871541672