DALE J DUTHOY (MD) – Family Medicine Physician, NPI 1215942180

DALE J DUTHOY (MD) is a healthcare provider. based in White bear lake, Minnesota. specializing in Family Medicine Physician. They hold the professional credentials MD. They hold a License No. 27120 (MN). The NPI Number for DALE J DUTHOY (MD) is 1215942180

Main info

Male
45 Years Of Experience
Accepts Medicare Assignment
Name
DALE J DUTHOY (MD)
NPI
1215942180
Phone
(651) 426-6402
Address
4786 BANNING AVE
Enumeration Date
29 July 2006
Last Update Date
17 October 2019

Doctor Profile

Medical School Name
UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Secondary Phone
6514266402
Graduation Year
1981 (45 years ago)
PAC ID
2466365069
Group Practice PAC ID
1355369018
Professional Enrollment ID
I20071215000194
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for DALE J DUTHOY (MD)

  • 4786, Banning Avenue, White Bear Lake, Ramsey County, Minnesota, 55110, United States

    WHITE BEAR LAKE, MN 551103264

    Phone: (651) 426-6402

    Fax: (651) 429-3402

    Type: Location

  • 2025 SLOAN PL STE 35

    SAINT PAUL, MN 551172092

    Phone: (651) 772-1572

    Fax: (651) 772-1889

    Type: Mailing

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.

No Medicare enrollment or revalidation data available for this provider in our database.

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55110)

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Provider's Procedures

DALE J DUTHOY (MD) performs procedures in Family Medicine Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEMN83036Hemoglobin A1C level4826
FAMILY MEDICINEMN85610Blood test, clotting time11121

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: 1355369018View full group profile
NameSpecialtyState
AARON ULLAND
-CA
MS. SARAH CHRISTINE OLSON (PA-C)
Physician AssistantMN
DENISE J LONG (MD)
Family PracticeMN
JOHN P BARSANTI (MD)
Family PracticeMN
ANTHONY B FERRARA (MD)
-MN
KRISTINE ANN JOHNSON (PA-C)
-MN
JEFFREY D ELBERS (MD)
Family PracticeMN
EVAN R EIDE (MD)
Family PracticeMN
CASANDERA KAY WIEK (FNP)
Nurse PractitionerMN
MS. TARA LEE KELLY (MD)
Family PracticeMN

Reviews

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Frequently asked questions

Can I use this page to confirm DALE J DUTHOY (MD)'s NPI?
Yes. DALE J DUTHOY (MD) is listed with NPI 1215942180 in the public NPI dataset.
Does the file indicate DALE J DUTHOY (MD) is practicing under active NPI?
Directory data currently reports DALE J DUTHOY (MD) as active.
What is DALE J DUTHOY (MD)'s primary classification?
Family Medicine Physician is the headline specialty for DALE J DUTHOY (MD) here. Clinical services aligned with this taxonomy classification.
Does DALE J DUTHOY (MD) list a practice location?
Patients near White Bear Lake, Minnesota may find DALE J DUTHOY (MD) in results; validate coverage separately.
Is the information about DALE J DUTHOY (MD) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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