DAVID LOWELL KITTELSON (DPM) – Podiatrist, NPI 1164485819

DAVID LOWELL KITTELSON (DPM) is a healthcare provider. based in Bloomington, Minnesota. specializing in PODIATRY. They hold the professional credentials DPM. They hold a License No. 645 (MN). The NPI Number for DAVID LOWELL KITTELSON (DPM) is 1164485819

Main info

Male
29 Years Of Experience
Accepts Medicare Assignment
Name
DAVID LOWELL KITTELSON (DPM)
NPI
1164485819
Phone
Not provided
Address
600 W 98TH ST
Enumeration Date
11 April 2006
Last Update Date
16 May 2008

Doctor Profile

Medical School Name
COLLEGE OF PODIATRIC MED AND SURGERY, DES MOINES UNIVERSITY
Secondary Phone
9529933123
Graduation Year
1997 (29 years ago)
PAC ID
4486699303
Group Practice PAC ID
7911819438
Professional Enrollment ID
I20050622000184
Address ID
MN554162503ST3900XBLVD400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

232 PODIATRY in MN

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Provider Addresses for DAVID LOWELL KITTELSON (DPM)

  • West 98th Street, Bloomington, Hennepin County, Minnesota, 55438, United States

    BLOOMINGTON, MN 554204773

    Phone:

    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 1 Open Payments records for all available years, with a total value of $22.

Total Amount is formed as General ($22) + Research ($0) + Ownership ($0) = $22.

Last reported payment date: 2023-09-26 • Largest payer in this snapshot: Foundation Medical, Llc ($22).

Total Amount

$22

General + Research + Ownership

Payments

1

Total payment records

General Amount

$22

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-09-26

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Foundation Medical, Llc$22
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: 2005-06-22

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
I20050622000184IPodiatryMNTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes211142$0
J1100Injection, dexamethasone sodium phosphate, 1 mg20147$0
99203New patient office or other outpatient visit, 30-44 minutes102102$0
99214Established patient office or other outpatient visit, 30-39 minutes9072$0
99204New patient office or other outpatient visit, 45-59 minutes5050$0
View full utilization report →

Insurance plans in this area (ZIP 55420)

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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: 7911819438View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YMN
Family PracticeMN
-MN
Pulmonary Disease, Critical Care (Intensivists), Internal MedicineMN
Cardiac ElectrophysiologyMN
Family PracticeMN
Physician AssistantMN
Physical Therapist In Private PracticeMN
Physician AssistantMN
D E R M A T O L O G YMN

Reviews

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Frequently asked questions

Is there an official ID for DAVID LOWELL KITTELSON (DPM) in U.S. healthcare records?
The official identifier for DAVID LOWELL KITTELSON (DPM) is NPI 1164485819.
Is DAVID LOWELL KITTELSON (DPM) shown as active in public data?
Registry records indicate DAVID LOWELL KITTELSON (DPM) maintains an active NPI.
What expertise is attributed to DAVID LOWELL KITTELSON (DPM)?
DAVID LOWELL KITTELSON (DPM)'s specialty line reads Podiatrist. Clinical services aligned with this taxonomy classification.
What practice footprint exists for DAVID LOWELL KITTELSON (DPM)?
Travel planning: use Bloomington, Minnesota as the reference point for DAVID LOWELL KITTELSON (DPM), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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