James N. Cavallaro, PA-C
NPI 1730166729ActiveIndividual· Physician Assistant, Surgical· St Louis Park, MN
Physician Assistant, Surgical (PA-C) with Park Nicollet Clinic and 1 other group, practicing in St Louis Park, Minnesota. Medicare paid $39,314 for services to 266 patients in 2024.
Overview
| NPI | 1730166729 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Dec 29, 2005 |
| Last updated in NPPES | Mar 11, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant, Surgical Primary | 363AS0400X | 9864 | MN |
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 - Physician Assistant (MN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 266 |
|---|---|
| Services billed | 6,615 across 19 procedure codes |
| Paid by Medicare | $39,314 |
Education and affiliations
| Graduation year | 2003 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical groups
- Park Nicollet ClinicSt Louis Park, MN · 1,787 clinicians
- Tria Orthopaedic Center LLCWoodbury, MN · 515 clinicians
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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