Pauline A. Fedunok, PA-C
NPI 1932205408ActiveIndividual· Physician Assistant, Surgical· Minneapolis, MN
Physician Assistant, Surgical (PA-C) with Fairview Express Care and 1 other group, practicing in Minneapolis, Minnesota. Their prescriptions cost Medicare Part D more than their services did: $42,647 for 482 claims, against $8,526 paid for services in 2024. Lists M Health Fairview St John's Hospital and 1 other hospital as hospital affiliations.
Overview
| NPI | 1932205408 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Sep 15, 2006 |
| Last updated in NPPES | Aug 16, 2023 |
| Certified by provider | Aug 16, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant, Surgical Primary | 363AS0400X | 11377 | MN |
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) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 93 |
|---|---|
| Services billed | 157 across 19 procedure codes |
| Paid by Medicare | $8,526 |
Part D prescriptions in 2024
| Prescriptions (claims) | 482 · 873 30-day fills |
|---|---|
| Patients | 204 |
| Total drug cost | $42,647 |
| Generic share | 91% of claims |
Education and affiliations
| Graduation year | 2002 |
|---|---|
| Medicare specialty | Physician Assistant |
| Telehealth | Offers telehealth |
Medical groups
- Fairview Express CareMinneapolis, MN · 1,911 clinicians
- University of Minnesota Health Clinics and Surgery Center IncMinneapolis, MN · 617 clinicians
Hospital affiliations
- M Health Fairview St John's HospitalMaplewood, MN
- M Health Fairview University of Mn Medical CenterMinneapolis, 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 33 surgical physician assistants in Minneapolis · All surgical physician assistants in Minnesota