Simon Henry Lueth, PAC
NPI 1215357108ActiveIndividual· Physician Assistant· Oak Park Heights, MN
Physician Assistant (PAC) with Fairview Express Care and 1 other group, practicing in Oak Park Heights, Minnesota. Medicare paid $1,081 for services to 16 patients in 2024. Lists M Health Fairview St John's Hospital and 1 other hospital as hospital affiliations.
Overview
| NPI | 1215357108 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PAC |
| Sole proprietor | No |
| NPI issued | Apr 18, 2014 |
| Last updated in NPPES | Apr 20, 2026 |
| Certified by provider | Apr 20, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 11596 | MN |
| Physician Assistant, Surgical | 363AS0400X | 11596 | MN |
| Physician Assistant, Surgical | 363AS0400X | 3312-23 | WI |
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 - Physician Assistant (MN); Practitioner - Physician Assistant (WI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 16 |
|---|---|
| Services billed | 17 across 4 procedure codes |
| Paid by Medicare | $1,081 |
Education and affiliations
| Graduation year | 2014 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical groups
- Fairview Express CareMinneapolis, MN · 1,911 clinicians
- Group Health IncBloomington, MN · 1,638 clinicians
Hospital affiliations
- M Health Fairview St John's HospitalMaplewood, MN
- Regions HospitalSaint Paul, MN
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 15 physician assistants in Oak Park Heights · All physician assistants in Minnesota