DR. ERIC JAMES SWANSON D.O.
NPI 1437442852
Internal Medicine - Critical Care Medicine in Duluth, MN
NPI Status: Active since May 18, 2011
Contact Information
400 EAST THIRD STREET
ESSENTIA HEALTH DULUTH CLINIC
DULUTH, MN
ZIP 55805
Phone: (218) 786-8364
- Individual
- Male
- Years of Experience 15
- Internal Medicine
- Critical Care Medicine
- Accepts Insurance
- Accepts Medicare Approved Payment
- PECOS Enrolled
About ERIC SWANSON
This page provides the complete NPI Profile along with additional information for Eric Swanson, an internist established in Duluth, Minnesota with a medical specialization in Internal Medicine, focusing in critical care medicine and more than 15 years of experience. The healthcare provider is registered in the NPI registry with number 1437442852 assigned on May 2011. The practitioner's primary taxonomy code is 207RC0200X with license number 56433 (MN). The provider is registered as an individual and his NPI record was last updated 3 years ago.
- NPI
- 1437442852
- Provider Name
- DR. ERIC JAMES SWANSON D.O.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 400 EAST THIRD STREET ESSENTIA HEALTH DULUTH CLINIC DULUTH, MN 55805
- Location Phone
- (218) 786-8364
- Mailing Address
- 400 EAST THIRD STREET ESSENTIA HEALTH DULUTH CLINIC MCL2CRED DULUTH, MN 55805
- Mailing Phone
- (218) 786-1183
- Medical School Name
- OTHER
- Graduation Year
- 2011
- Is Sole Proprietor?
- No
- Enumeration Date
- 05-18-2011
- Last Update Date
- 07-21-2022
- Code Navigator
An internist like Eric Swanson is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
Location Map
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
Internal Medicine Critical Care Medicine
- Taxonomy Code
- 207RC0200X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 56433
- License State
- MN
- Taxonomy Description
- An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
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) |
|---|---|---|---|---|
| 1 | 207R00000X | Allopathic & Osteopathic Physicians | Internal Medicine | 56433 (MN) |
| 2 | 207RP1001X | Allopathic & Osteopathic Physicians | Internal Medicine | 56433 (MN) |
| 3 | 208M00000X | Allopathic & Osteopathic Physicians | Hospitalist | 56433 (MN) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Anthem Bronze Priority/Lean 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - HMO
- Anthem Bronze Priority/Lean HSA (+ Incentives) - HMO
- Anthem Bronze Priority/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Gold Priority/Lean 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Gold Priority/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Heart Healthy Bronze Priority/Lean 0 Med Ded ($0 Virtual PCP+$0 Select Drugs+Incentives) - HMO
- Anthem Silver Priority/Lean 4000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - HMO
- Anthem Silver Priority/Lean 5300 (3 Free PCP Visits + $0 Select Drugs + Incentives) - HMO
- Anthem Silver Priority/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Atlas $1,000 Gold - PPO
- Atlas $1,500 Standard Gold - PPO
- Atlas $2,650 Plus Silver - PPO
- Atlas $3,500 HSA Silver - PPO
- Atlas $5,000 Standard Silver - PPO
- Atlas $6,500 Plus Bronze - PPO
- Atlas $7,500 Standard Bronze - PPO
- Atlas $8,200 HSA Bronze - PPO
- Atlas $9,200 Catastrophic - PPO
- Medica Individual Choice Bronze $0 Copay PCP Visits - HMO
- Medica Individual Choice Bronze HSA - EPO
- Medica Individual Choice Bronze Share - EPO
- Medica Individual Choice Bronze Share - HMO
- Medica Individual Choice Expanded Bronze Standard - EPO
- Medica Individual Choice Expanded Bronze Standard - HMO
- Medica Individual Choice Gold $0 Copay PCP Visits - EPO
- Medica Individual Choice Gold $0 Copay PCP Visits - HMO
- Medica Individual Choice Gold Share - EPO
- Medica Individual Choice Gold Share - HMO
- Medica Individual Choice Gold Standard - EPO
- Medica Individual Choice Gold Standard - HMO
- Medica Individual Choice Silver $0 Copay PCP Visits - EPO
- Medica Individual Choice Silver $0 Copay PCP Visits - HMO
- Medica Individual Choice Silver Share - EPO
- Medica Individual Choice Silver Share - HMO
- Medica Individual Choice Silver Standard - EPO
- Medica Individual Choice Silver Standard - HMO
- Sanford Individual Simplicity $1,750 - PPO
- Sanford Individual Simplicity $3,500 - PPO
- Sanford Individual Simplicity $4,750 - PPO
- Sanford Individual Simplicity $6,000 - PPO
- Sanford Individual Simplicity $7,100 HSA Qualified - PPO
- Sanford Individual Simplicity $9,200 - PPO
- Sanford Individual Simplicity Standardized $1,500 - PPO
- Sanford Individual Simplicity Standardized $5,000 - PPO
- Sanford Individual Simplicity Standardized $7,500 - PPO
- Premier $1,500 - 25% - HMO
- Premier $3,500 - 30% - HMO
- Premier $4,100 HDHP - HMO
- Premier $5,000 - 40% - HMO
- Premier $6,200 HDHP - HMO
- Premier $7,500 - HMO
- Premier $9,200 - HMO
- Premier Protection - HMO
- Select $1,500 - 25% - EPO
- Select $3,500 - 30% - EPO
- Select $4,100 HDHP - EPO
- Select $5,000 - 40% - EPO
- Select $6,200 HDHP - EPO
- Select $7,500 - EPO
- Select $9,200 - EPO
- Select Protection - EPO
- Premier HMO $1,500 - 30% - HMO
- Premier HMO $2,500 - 20% Copay - HMO
- Premier HMO $3,300 - 30% HDHP - HMO
- Premier HMO $3,500 - 30% - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Eric Swanson 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.
Eric Swanson 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, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
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: 648419374
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: I20130610000476
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): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Provider Referred Orders for Durable Medical Equipment, Devices & Supplies
The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.
Durable Medical Equipment
DME-Oxygen and Supplies (DC002N)
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate (HCPCS:E1390)
3 DME suppliers used 16 Medicare Claims 16 Services Paid
DME-Oxygen and Supplies (DC002N)
Portable oxygen concentrator, rental (HCPCS:E1392)
2 DME suppliers used 11 Medicare Claims 11 Services Paid
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.
Aspiration of initial secretion of lung airway using an endoscope
Biopsy of lobe of lung using an endoscope, 1 lobe
Biopsy of lung airway using an endoscope
Computer-assisted image-guided navigation of lung airways using an endoscope
Critical care, each additional 30 minutes
Critical care, first 30-74 minutes
Established patient office or other outpatient visit, 40-54 minutes
Exam of lung airways and sampling of lymph nodes using an endoscope and ultrasound guidance, 1-2 lymph nodes
Exam of lung airways and sampling of lymph nodes using an endoscope and ultrasound guidance, 3 or more lymph nodes
Exam of lung airways with diagnostic or therapeutic procedure on growths using an endoscope and ultrasound
Follow-up hospital inpatient care per day, typically 35 minutes
Irrigation and suction of lung airways to obtain cells using an endoscope
Needle biopsy of windpipe cartilage, airway, and/or lung using an endoscope
New patient office or other outpatient visit, 60-74 minutes
Test to determine lung volumes using sensors
Test to examine how well the lungs exchange gases
Test to measure expiratory airflow and volume changes before and after medication administration
This procedure involves using a thin, flexible tube called an endoscope to collect initial secretions from your lung airway. This helps doctors diagnose and treat respiratory conditions. It's a safe, minimally invasive procedure.
This service was performed 17 times for 15 patientsA lung biopsy is a procedure where a small piece of lung tissue is taken for testing. An endoscope, a flexible tube with a light and camera, is used. It's inserted through the mouth or nose, down the windpipe, and into one lobe of the lung.
This service was performed 15 times for 14 patientsA biopsy of the lung airway using an endoscope is a procedure where a small, flexible tube with a light and camera is inserted through your mouth or nose to reach your lungs. A tiny tool on the endoscope collects a small tissue sample for examination.
This service was performed 12 times for 11 patientsThis procedure involves the use of a special camera, called an endoscope, and computer technology to create real-time images of your lung airways. This helps doctors navigate through your lungs accurately, aiding in diagnosis or treatment.
This service was performed 20 times for 17 patientsCritical care refers to special attention given to patients facing life-threatening conditions. Each additional 30 minutes indicates the extension of this specialized care. This might include close monitoring, medication adjustments, and immediate interventions as needed.
This service was performed 42 times for 23 patientsCritical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
This service was performed 80 times for 40 patientsThis service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
This service was performed 44 times for 38 patientsThis procedure involves a special tube with a camera (endoscope) entering your lung airways. Guided by ultrasound, it collects samples from 1-2 lymph nodes. This helps doctors understand and diagnose potential issues in your lungs.
This service was performed 21 times for 21 patientsThis procedure involves using a special scope and ultrasound to examine your lung airways and sample tissue from 3 or more lymph nodes. It aids in diagnosing lung conditions and checking lymph node health.
This service was performed 14 times for 14 patientsThis procedure involves using a specialized instrument, called an endoscope, to examine the lung airways. An ultrasound is also used to get a clearer image of any growths. If necessary, the doctor can perform procedures to diagnose or treat these growths.
This service was performed 21 times for 18 patientsFollow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
This service was performed 13 times for 11 patientsThis is a procedure where a thin, flexible tube called an endoscope is inserted through your mouth into the lungs. A small amount of saline is then introduced to wash the airways. The fluid, along with cells from the lung, is suctioned back for analysis.
This service was performed 25 times for 25 patientsA needle biopsy of windpipe cartilage, airway, or lung involves using a thin, flexible tube with a camera (endoscope) to access and collect tissue samples. This procedure helps doctors diagnose lung conditions or diseases effectively and safely.
This service was performed 16 times for 14 patientsThis is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
This service was performed 27 times for 27 patientsThis test, called spirometry, measures lung capacity using sensors. You breathe into a mouthpiece attached to a device that records the amount and rate of air you inhale and exhale. It helps diagnose and monitor lung conditions.
This service was performed 22 times for 22 patientsThis is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.
This service was performed 26 times for 26 patientsThis procedure measures how air flows in and out of your lungs. It's done before and after medication to see if the treatment improves your breathing. It's a simple, non-invasive test that involves breathing into a device called a spirometer.
This service was performed 19 times for 19 patientsPhysician Visit Costs
The typical physician office visit costs for Medicare beneficiaries in this area are: $31.9 for a new patient copayment and $24.65 for an established patient copayment.
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 55805 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $127.61
- Minimum New Patient Price $56
- Maximum New Patient Price $168.28
- Average New Patient Copayment $31.9
- Minimum New Patient Copayment $14
- Maximum New Patient Copayment $42.07
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $98.61
- Minimum Established Patient Price $18.32
- Maximum Established Patient Price $138.04
- Average Established Patient Copayment $24.65
- Minimum Established Patient Copayment $4.58
- Maximum Established Patient Copayment $34.51
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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. Eric Swanson is affiliated with the following medical facilities:
| Hospital Name | Address | Phone | Hospital Type | Overall Rating |
|---|---|---|---|---|
| ESSENTIA HEALTH ST MARY'S MEDICAL CENTER | 402 EAST SECOND STREET DULUTH, MN 55805 | (218) 786-3574 | Acute Care Hospitals | |
| ESSENTIA HEALTH DULUTH | 502 EAST SECOND STREET DULUTH, MN 55805 | (218) 786-2652 | Acute Care Hospitals | |
| ESSENTIA HEALTH MOOSE LAKE | 4572 COUNTY ROAD 61 MOOSE LAKE, MN 55767 | (218) 786-1367 | Critical Access Hospitals | |
| ESSENTIA HEALTH DEER RIVER | 115 10TH AVENUE NORTHEAST DEER RIVER, MN 56636 | (218) 246-4200 | Critical Access Hospitals | |
| ST MARYS HOSPITAL SUPERIOR | 3500 TOWER AVE SUPERIOR, WI 54880 | (715) 817-7000 | Critical Access Hospitals |
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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. | |||||||||
| 1 | 4 | 3 | 7 | 4 | 4 | 2 | 8 | 5 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 6 | 7 | 8 | 4 | 4 | 8 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 6 + 7 + 8 + 4 + 4 + 8 + 1 + 0 + 24 = 68 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 68 = 2 | 2 | ||||||||
The NPI number 1437442852 is valid because the calculated check digit 2 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 |
|---|---|---|---|
| 1366646879 | MOSTAFA ABDUL-RAHMAN FARACHE MD Individual | Psychiatry & Neurology (Neurology) | 400 EAST THIRD STREET DULUTH CLINIC DULUTH, MN 55805 (218) 786-8364 |
| 1760701882 | DANIEL CRAIG WOLBRINK MD Individual | Internal Medicine | 400 EAST THIRD STREET DULUTH, MN 55805 (218) 786-8364 |
| 1710343165 | KELSEY ANN SELLNOW PA-C Individual | Physician Assistant | 400 EAST THIRD STREET ESSENTIA HEALTH DULUTH CLINIC DULUTH, MN 55805 (218) 786-8364 |
| 1871810630 | ERIN MAUREEN CRIMMINS GRIMSBY M.D. Individual | Physical Medicine & Rehabilitation | 400 EAST THIRD STREET DULUTH, MN 55805 (218) 786-8364 |
| 1215256409 | MARIA KATARZYNA BEAVER MD Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 400 EAST THIRD STREET ESSENTIA HEALTH DULUTH CLINIC DULUTH, MN 55805 (218) 786-8364 |
| 1588756860 | MRS. VICKIE CATHERINE GRAVES RN, CNP Individual | Nurse Practitioner (Family) | 400 EAST THIRD STREET DULUTH, MN 55805 (218) 786-3392 |
| 1104250257 | MICHELE MARIE DAVIS APRN, CNP Individual | Nurse Practitioner (Adult Health) | 400 EAST THIRD STREET ESSENTIA HEALTH DULUTH CLINIC DULUTH, MN 55805 (218) 786-8364 |
| 1962584706 | JOSE' D PANIAQUA PA-C, ATC Individual | Physician Assistant | 400 EAST THIRD STREET ESSENTIA HEALTH DULUTH CLINIC DULUTH, MN 55805 (218) 786-8364 |
| 1336304971 | SARAH KATHERINE DAGGETT CPNP Individual | Nurse Practitioner (Pediatrics) | 400 EAST THIRD STREET ESSENTIA HEALTH DULUTH CLINIC DULUTH, MN 55805 (218) 786-8364 |
| 1316494891 | MALLORIE MARIE VAN WINKLE DPT Individual | Physical Therapist | 400 EAST THIRD STREET ESSENTIA HEALTH DULUTH CLINIC DULUTH, MN 55805 (218) 786-5360 |
| 1770035933 | JESSICA ANN MCDONNELL Individual | Nurse Anesthetist, Certified Registered | 400 EAST THIRD STREET ESSENTIA HEALTH DULUTH CLINIC DULUTH, MN 55805 (218) 786-8364 |
| 1699726752 | DR. CHRISTOPHER F. HECK MD Individual | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 400 EAST THIRD STREET ESSENTIA HEALTH DULUTH CLINIC DULUTH, MN 55805 (218) 786-3900 |
| 1922055607 | WILSON L GINETE Individual | Internal Medicine (Interventional Cardiology) | 400 EAST THIRD STREET ESSENTIA HEALTH DULUTH CLINIC DULUTH, MN 55805 (218) 786-3146 |
| 1578665121 | ERIC M GRIFFITH RN, CFNP Individual | Nurse Practitioner (Family) | 400 EAST THIRD STREET ESSENTIA HEALTH DULUTH CLINIC DULUTH, MN 55805 (218) 786-8364 |
| 1760932487 | JACOB RYAN SWETTE LAC Individual | Acupuncturist | 400 EAST THIRD STREET ESSENTIA HEALTH DULUTH CLINIC DULUTH, MN 55805 (218) 786-8364 |
| 1922517093 | MEGHAN EILEEN ROCHEFORT APRN, CNP Individual | Nurse Practitioner (Family) | 400 EAST THIRD STREET ESSENTIA HEALTH DULUTH CLINIC DULUTH, MN 55805 (218) 786-8364 |
| 1679876080 | TRACY FLYNN UDEEN APRN, CNS Individual | Clinical Nurse Specialist (Adult Health) | 400 EAST THIRD STREET ESSENTIA HEALTH DULUTH CLINIC DULUTH, MN 55805 (218) 786-8364 |
| 1366886053 | DR. LUKE DAVID WIDSTROM D.O. Individual | Family Medicine (Sports Medicine) | 400 EAST THIRD STREET ESSENTIA HEALTH DULUTH CLINIC DULUTH, MN 55805 (218) 786-8364 |
| 1609037035 | CHAD JAMES ST. GERMAIN M.D. Individual | Radiology (Diagnostic Radiology) | 400 EAST THIRD STREET DULUTH, MN 55805 (218) 786-8364 |
| 1982024683 | GUNTHER WAGONER MD Individual | Internal Medicine | 400 EAST THIRD STREET DULUTH, MN 55805 (218) 786-3146 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1437442852, enumerated in the NPI registry as an "individual" on May 18, 2011
The provider is located at 400 East Third Street Essentia Health Duluth Clinic Duluth, Mn 55805 and the phone number is (218) 786-8364
The provider's speciality is Internal Medicine with taxonomy code 207RC0200X with a focus in Critical Care Medicine
The provider has more than 15 years of experience.
The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, HealthPartners,. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
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, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $127.61 with an average copayment of $31.9 for new patient appointments. Established patients should expect a typical charge of $98.61 and an average copayment of 24.65. Please review your insurance plan or contact the provider directly to determine your specific costs.
The most common procedures or services performed by this practitioner are: Aspiration of initial secretion of lung airway using an endoscope, Biopsy of lobe of lung using an endoscope, 1 lobe, Biopsy of lung airway using an endoscope, Computer-assisted image-guided navigation of lung airways using an endoscope, Critical care, each additional 30 minutes, Critical care, first 30-74 minutes, Established patient office or other outpatient visit, 40-54 minutes, Exam of lung airways and sampling of lymph nodes using an endoscope and ultrasound guidance, 1-2 lymph nodes, Exam of lung airways and sampling of lymph nodes using an endoscope and ultrasound guidance, 3 or more lymph nodes, Exam of lung airways with diagnostic or therapeutic procedure on growths using an endoscope and ultrasound, Follow-up hospital inpatient care per day, typically 35 minutes, Irrigation and suction of lung airways to obtain cells using an endoscope, Needle biopsy of windpipe cartilage, airway, and/or lung using an endoscope, New patient office or other outpatient visit, 60-74 minutes, Test to determine lung volumes using sensors, Test to examine how well the lungs exchange gases and Test to measure expiratory airflow and volume changes before and after medication administration.
The practitioner is affiliated to the following hospital(s): ESSENTIA HEALTH ST MARY'S MEDICAL CENTER, ESSENTIA HEALTH DULUTH, ESSENTIA HEALTH MOOSE LAKE, ESSENTIA HEALTH DEER RIVER and ST MARYS HOSPITAL SUPERIOR. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.
This NPI record was last updated on May 18, 2011. 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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