DR. ANDREW F FEDOR III PHD LP
NPI 1568984078
Psychologist in Minneapolis, MN


Quality Rating: 84.89 out of 100 score

NPI Status: Active since July 17, 2017

Contact Information

800 E 28TH ST STE 1750
MINNEAPOLIS, MN
ZIP 55407
Phone: (612) 863-4495

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  • Individual
  • Male
  • Years of Experience 11
  • Psychologist
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About ANDREW FEDOR

This page provides the complete NPI Profile along with additional information for Andrew Fedor, a provider established in Minneapolis, Minnesota with a medical specialization in Psychologist and more than 11 years of experience. The healthcare provider is registered in the NPI registry with number 1568984078 assigned on July 2017. The practitioner's primary taxonomy code is 103T00000X with license number LP6140 (MN). The provider is registered as an individual and his NPI record was last updated 4 years ago.

NPI
1568984078
Provider Name
DR. ANDREW F FEDOR III PHD LP
Gender
Male
Entity Type
Individual
Location Address
800 E 28TH ST STE 1750 MINNEAPOLIS, MN 55407
Location Phone
(612) 863-4495
Mailing Address
2925 CHICAGO AVE MINNEAPOLIS, MN 55407
Medical School Name
OTHER
Graduation Year
2015
Is Sole Proprietor?
No
Enumeration Date
07-17-2017
Last Update Date
10-28-2021
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A psychologist like Andrew Fedor studies cognitive, emotional, social processes and behavior by observing, interpreting, and recording how people relate to one another and to their environments. Psychologists gather information and evaluate behavior through controlled laboratory experiments, psychoanalysis, psychotherapy or through personality, performance, aptitude, or intelligence tests, and use this information when testing theories in their research or when treating patients.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychologist

Taxonomy Code
103T00000X
Type
Behavioral Health & Social Service Providers
License No.
LP6140
License State
MN
Taxonomy Description
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1103G00000XBehavioral Health & Social Service Providers

Clinical Neuropsychologist

 

Medicare Participation & PECOS Enrollment Status

Andrew Fedor is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Andrew Fedor is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 2860768645

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20171023001817

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): No

  • Eligible to Order or Refer Power Mobility Devices: No

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Administration of psychological or neuropsychological test by technician, each additional 30 minutes

This service involves a technician administering additional psychological or neuropsychological testing. Each session lasts for an extra 30 minutes. These tests assess cognitive abilities, such as memory, attention, and problem-solving skills, to aid in diagnosing or monitoring mental health conditions.

This service was performed 192 times for 32 patients

Administration of psychological or neuropsychological test by technician, first 30 minutes

This procedure involves a trained technician administering a psychological or neuropsychological test. It's a process that assesses your mental function and behavior. The initial session will last 30 minutes. The aim is to understand your cognitive abilities better.

This service was performed 32 times for 32 patients

Evaluation of neuropsychological test, each additional hour

This service involves further evaluation of your neuropsychological test results beyond the initial hour. It helps to understand your cognitive functioning better, focusing on areas like memory, attention, and problem-solving skills.

This service was performed 45 times for 29 patients

Evaluation of neuropsychological test, first hour

An evaluation of neuropsychological tests is a process to assess your brain's function. It involves tasks designed to measure cognitive abilities such as memory, attention, problem-solving, and language skills. The first hour involves initial testing and observation.

This service was performed 35 times for 35 patients

Exam of neurobehavioral status, first hour

An exam of neurobehavioral status is a medical procedure that evaluates your brain's functions. This includes assessing your cognitive abilities, emotional responses, and behavioral patterns. The first hour of the exam is typically dedicated to this initial evaluation.

This service was performed 35 times for 35 patients

Overall MIPS Quality Performance

The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 84.89, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.

The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.

  • Final Score: 84.89 out of 100

    The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.

  • Quality Score: 78.98

    The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.

    There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.

  • Promoting Interoperability Score: 100

    The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.

    The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data.

  • Improvement Activities Score: 40

    The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The improvement activities measure category compromises 15% providers final MPIS scores.

    The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores.

  • Cost Score: 70.66

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

  • Cost Score: 70.66

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Andrew Fedor is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
ABBOTT NORTHWESTERN HOSPITAL800 EAST 28TH STREET
MINNEAPOLIS, MN 55407
(612) 863-4000Acute Care Hospitals

Reviews for DR. ANDREW F FEDOR III PHD LP

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1568984078
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
251281888014
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 1 + 2 + 8 + 1 + 8 + 8 + 8 + 0 + 1 + 4 + 24 = 72
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 72 = 88

The NPI number 1568984078 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1164673380 SUZANNE MARIE SCHILTZ NP-C
Individual
Nurse Practitioner (Adult Health)800 E 28TH ST STE 1750
MINNEAPOLIS, MN 55407
(612) 863-4495
1588628184 JACKSON W Q MADDUX MD
Individual
Physical Medicine & Rehabilitation800 E 28TH ST STE 1750
MINNEAPOLIS, MN 55407
(612) 863-4495
1528478625DR. ARUN IDICULLA M.D.
Individual
Physical Medicine & Rehabilitation800 E 28TH ST STE 1750
MINNEAPOLIS, MN 55407
(612) 863-4495
1336515030MR. CHRIS NELSON LICSW
Individual
Social Worker (Clinical)800 E 28TH ST STE 1750
MINNEAPOLIS, MN 55407
(612) 262-1166
1639276637 SONYA CARLSON CNP
Individual
Nurse Practitioner800 E 28TH ST STE 1750
MINNEAPOLIS, MN 55407
(612) 863-4495
1295968790 LIAT GOLDMAN MD
Individual
Physical Medicine & Rehabilitation800 E 28TH ST STE 1750 ABBOTT NORTHWESTERN HOSPITAL
MINNEAPOLIS, MN 55407
(612) 863-4495
1235559147 ANNE CATHERINE TITA M.D.
Individual
Physical Medicine & Rehabilitation800 E 28TH ST STE 1750
MINNEAPOLIS, MN 55407
(612) 863-4495
1134503469 NOAH JARED CHAPPELL NP
Individual
Nurse Practitioner (Adult Health)800 E 28TH ST STE 1750
MINNEAPOLIS, MN 55407
(612) 863-4495
1013041540DR. INDRA LIM MD
Individual
Physical Medicine & Rehabilitation800 E 28TH ST STE 1750
MINNEAPOLIS, MN 55407
(612) 863-4495
1942699293DR. AMANDA KAY DERASMI DO
Individual
Physical Medicine & Rehabilitation800 E 28TH ST STE 1750
MINNEAPOLIS, MN 55407
(612) 863-4495
1861999062DR. JUAN QUERUBIN DO
Individual
Physical Medicine & Rehabilitation800 E 28TH ST STE 1750
MINNEAPOLIS, MN 55407
(612) 863-4495
1336573419 SANDRA UNDIS PH.D, L.P.
Individual
Psychologist800 E 28TH ST STE 1750
MINNEAPOLIS, MN 55407
(612) 863-4495
1619604790 SUSAN ARNESON PSYD
Individual
Psychologist800 E 28TH ST STE 1750
MINNEAPOLIS, MN 55407
(612) 863-4495
1093192833 CARLY JO ALEXANDER PSYD
Individual
Psychologist (Clinical)800 E 28TH ST STE 1750
MINNEAPOLIS, MN 55407
(612) 863-4495
1801422928DR. DUSTIN BROCKBERG PHD
Individual
Psychologist800 E 28TH ST STE 1750
MINNEAPOLIS, MN 55407
(612) 863-4495
1790953685 KORINNE ANN NOVAK NP
Individual
Nurse Practitioner (Adult Health)800 E 28TH ST STE 1750
MINNEAPOLIS, MN 55407
(612) 863-4495
1871290114 SUSAN WANJIKU COVINGTON CNP
Individual
Nurse Practitioner (Family)800 E 28TH ST STE 1750
MINNEAPOLIS, MN 55407
(612) 863-4495
1275577215ALLINA HEALTH SYSTEM
Organization
Physical Medicine & Rehabilitation800 E 28TH ST STE 1750
MINNEAPOLIS, MN 55407
(612) 863-4495
1700625662 LAURA ANN FRY PHD, LP
Individual
Psychologist800 E 28TH ST STE 1750
MINNEAPOLIS, MN 55407
(612) 863-4495
1760002968 SAMUEL JEFFREY MARTIN
Individual
Student in an Organized Health Care Education/Training Program800 E 28TH ST STE 1750
MINNEAPOLIS, MN 55407
(952) 807-5384

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1568984078, enumerated in the NPI registry as an "individual" on July 17, 2017

The provider is located at 800 E 28th St Ste 1750 Minneapolis, Mn 55407 and the phone number is (612) 863-4495

The provider's speciality is Psychologist with taxonomy code 103T00000X

The provider has more than 11 years of experience.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

The provider has an overall high rating in the following quality measures: uses technology to exchange and make use of healthcare information.

The most common procedures or services performed by this practitioner are: Administration of psychological or neuropsychological test by technician, each additional 30 minutes, Administration of psychological or neuropsychological test by technician, first 30 minutes, Evaluation of neuropsychological test, each additional hour, Evaluation of neuropsychological test, first hour and Exam of neurobehavioral status, first hour.

The practitioner is affiliated to the following hospital(s): ABBOTT NORTHWESTERN HOSPITAL. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

This NPI record was last updated on July 17, 2017. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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