Tess Michielutti, MD
NPI 1477086288ActiveIndividual· Pediatrics· Maple Grove, MN
Pediatrics (MD) in Maple Grove, Minnesota, trained at University of Minnesota Medical School (class of 2017). Their prescriptions cost Medicare Part D more than their services did: $267,863 for 2,999 claims, against $54,925 paid for services in 2024.
Overview
| NPI | 1477086288 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | Yes |
| NPI issued | Apr 7, 2017 |
| Last updated in NPPES | Oct 25, 2021 |
| Certified by provider | Oct 25, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pediatrics Primary | 208000000X | 67174 | MN |
| Internal Medicine | 207R00000X | 67174 | MN |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Internal Medicine (MN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 109 |
|---|---|
| Services billed | 2,243 across 79 procedure codes |
| Paid by Medicare | $54,925 |
Part D prescriptions in 2024
| Prescriptions (claims) | 2,999 · 7,407 30-day fills |
|---|---|
| Patients | 276 |
| Total drug cost | $267,863 |
| Generic share | 89% of claims |
Education and affiliations
| Medical school | University of Minnesota Medical School |
|---|---|
| Graduation year | 2017 |
| Medicare specialty | Internal Medicine |
| Telehealth | Offers telehealth |
Medical group
- Park Nicollet ClinicSt Louis Park, MN · 1,787 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 Pediatrics providers in Maple Grove
- 1487604104
- 1770914095
- 1679889042
- 1942277744
- 1851362214
- 1477931152
- 1710964705
- 1730875337
- 1205151669
- 1083665913
- 1740257187
- 1225011760