KENNETH DORNFELD (MD) – Radiation Oncology Physician, NPI 1174524300

KENNETH DORNFELD (MD) is a healthcare provider. based in Duluth, Minnesota. specializing in RADIATION ONCOLOGY. They hold the professional credentials MD. They hold a License No. 34808 (IA). The NPI Number for KENNETH DORNFELD (MD) is 1174524300

Main info

Male
33 Years Of Experience
Accepts Medicare Assignment
Name
KENNETH DORNFELD (MD)
NPI
1174524300
Phone
(218) 786-8364
Address
400 EAST 3RD STREET
Enumeration Date
10 August 2005
Last Update Date
19 May 2011

Doctor Profile

Medical School Name
UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Secondary Phone
2187868364
Graduation Year
1993 (33 years ago)
PAC ID
8729171707
Group Practice PAC ID
2567374283
Professional Enrollment ID
I20080104000352
Address ID
MN558051913DU530XXSTXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:20State licenses:2Digital endpointsOther names

157 RADIATION ONCOLOGY in MN

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Provider Addresses for KENNETH DORNFELD (MD)

  • 400, East 3rd Street, Duluth, Saint Louis County, Minnesota, 55805, United States

    DULUTH, MN 55805

    Phone: (218) 786-8364

    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)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2016-06-02

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20080104000352IRadiation OncologyMNTBD
I20160602001391IRadiation OncologyWITBD

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
77014Ct guidance for insertion of radiation therapy fields68742$0
77300Calculation of radiation therapy dose28249$0
77427Radiation treatment management, 5 treatment sessions14242$0
77334Design and construction of complex radiation treatment device11736$0
G6002Stereoscopic x-ray guidance for localization of target volume for the delivery of radiation therapy7212$0
View full utilization report →

Insurance plans in this area (ZIP 55805)

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Provider's Procedures

KENNETH DORNFELD (MD) performs procedures in RADIATION ONCOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
RADIATION ONCOLOGYMN77263Management of radiation therapy, complex4138
RADIATION ONCOLOGYMN77300Calculation of radiation therapy dose17423
RADIATION ONCOLOGYMN77427Radiation treatment management, 5 treatments9329

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: 2567374283View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeMT
-ND
Physician AssistantMN
Nurse PractitionerSD
-MN
N E U R O L O G YMN
Qualified AudiologistMN
-MN
-MN
P A T H O L O G YWV

Reviews

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Frequently asked questions

How do payers reference KENNETH DORNFELD (MD)?
For KENNETH DORNFELD (MD), use NPI 1174524300 as the unique 10-digit identifier.
Is KENNETH DORNFELD (MD) still an active registrant?
KENNETH DORNFELD (MD) carries an active NPI according to the public dataset.
What clinical focus is listed for KENNETH DORNFELD (MD)?
At a glance, KENNETH DORNFELD (MD) is tied to Radiation Oncology Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with KENNETH DORNFELD (MD)?
Directory geography for KENNETH DORNFELD (MD) centers on Duluth, Minnesota.
When was this NPI issued?
Enumeration for KENNETH DORNFELD (MD) is noted as August 10, 2005 where the registry provides it.

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