MAGGIE BETH NEUDECKER (MD) – Family Medicine Physician, NPI 1154647071

MAGGIE BETH NEUDECKER (MD) is a healthcare provider. based in Moose lake, Minnesota. specializing in FAMILY PRACTICE, EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. 54207 (MN). The NPI Number for MAGGIE BETH NEUDECKER (MD) is 1154647071

Main info

Female
16 Years Of Experience
Accepts Medicare Assignment
Name
MAGGIE BETH NEUDECKER (MD)
NPI
1154647071
Phone
(218) 485-4491
Address
4570 CTY. HWY. 61
Enumeration Date
16 April 2010
Last Update Date
13 January 2014

Doctor Profile

Medical School Name
UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Secondary Phone
2184854491
Graduation Year
2010 (16 years ago)
PAC ID
6901078690
Group Practice PAC ID
6305758657
Professional Enrollment ID
I20110930000046
Address ID
MN557679401MO4570X61XX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:16State licenses:1Digital endpointsOther names

3,075 FAMILY PRACTICE in MN

Provider Addresses for MAGGIE BETH NEUDECKER (MD)

  • 4570 CTY. HWY. 61

    MOOSE LAKE, MN 557679401

    Phone: (218) 485-4491

    Fax: (218) 485-4724

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $59.

Total Amount is formed as General ($59) + Research ($0) + Ownership ($0) = $59.

Last reported payment date: 2024-06-25 • Largest payer in this snapshot: ABBVIE INC. ($43).

Total Amount

$59

General + Research + Ownership

Payments

3

Total payment records

General Amount

$59

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-25

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2011-09-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20110930000046IFamily PracticeMNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
36415Insertion of needle into vein for collection of blood sample10769$0
99213Established patient office or other outpatient visit, 20-29 minutes6746$0
99214Established patient office or other outpatient visit, 30-39 minutes4624$0
85027Complete blood cell count (red cells, white blood cell, platelets), automated test4642$0
80061Blood test, lipids (cholesterol and triglycerides)3736$0
View full utilization report →

Insurance plans in this area (ZIP 55767)

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Provider's Procedures

MAGGIE BETH NEUDECKER (MD) performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEMN83036Hemoglobin A1C level2418

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6305758657View full group profile
NameSpecialtyState
Internal Medicine, Pediatric MedicineMN
Family PracticeMN
Family PracticeMN
Family Practice, Emergency MedicineMN
Family PracticeMN
Family PracticeMN
Family PracticeMN
-FL
Family PracticeMN
Nurse PractitionerMN

Reviews

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Frequently asked questions

Is MAGGIE BETH NEUDECKER (MD) listed with a National Provider Identifier?
Yes — MAGGIE BETH NEUDECKER (MD) has NPI 1154647071 on file in the registry.
Is MAGGIE BETH NEUDECKER (MD) shown as active in public data?
Registry records indicate MAGGIE BETH NEUDECKER (MD) maintains an active NPI.
What expertise is attributed to MAGGIE BETH NEUDECKER (MD)?
MAGGIE BETH NEUDECKER (MD)'s specialty line reads Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where in Minnesota is MAGGIE BETH NEUDECKER (MD) registered?
Use Moose Lake, Minnesota as the headline location for MAGGIE BETH NEUDECKER (MD) here.
Can I trust this NPI listing for MAGGIE BETH NEUDECKER (MD)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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