JOSEPH BETTENDORF (M.D.) – Emergency Medicine Physician, NPI 1225327620

JOSEPH BETTENDORF (M.D.) is a healthcare provider. based in Duluth, Minnesota. specializing in EMERGENCY MEDICINE. They hold the professional credentials M.D.. They hold a License No. 60993 (MN). The NPI Number for JOSEPH BETTENDORF (M.D.) is 1225327620

Main info

Male
15 Years Of Experience
Accepts Medicare Assignment
Name
JOSEPH BETTENDORF (M.D.)
NPI
1225327620
Phone
(218) 786-8319
Address
400 E 3RD ST
Enumeration Date
6 April 2011
Last Update Date
17 February 2017

Doctor Profile

Medical School Name
MICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE
Secondary Phone
2187413340
Graduation Year
2011 (15 years ago)
PAC ID
4981821113
Group Practice PAC ID
7810149002
Professional Enrollment ID
I20160818002065
Address ID
MN557922325VI901XXNXXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness75
Years active:15State licenses:2Digital endpointsOther names

1,172 EMERGENCY MEDICINE in MN

Provider Addresses for JOSEPH BETTENDORF (M.D.)

  • 400 E 3RD ST

    ESSENTIA HEALTH DULUTH CLINIC MCL2CRED

    DULUTH, MN 558051951

    Phone: (218) 786-8319

    Type: Mailing

  • 407 E 3RD ST

    ESSENTIA HEALTH ST. MARY'S MEDICAL CENTER

    DULUTH, MN 558051950

    Phone: (218) 786-4000

    Fax: (585) 473-3516

    Type: Location

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: 2017-02-21

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
I20160818002065IEmergency MedicineMNTBD
I20170221002082IEmergency MedicineWITBD

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
99285Emergency department visit with high level of medical decision making7977$0
99284Emergency department visit with moderate level of medical decision making6766$0
99291Critical care, first 30-74 minutes4545$0
99283Emergency department visit with low level of medical decision making3433$0
View full utilization report →

Insurance plans in this area (ZIP 55805)

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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: 7810149002View full group profile
NameSpecialtyState
-MN
Family PracticeMN
Family Practice, Emergency MedicineMN
Emergency MedicineMN
-MN
Emergency Medicine, Medical ToxicologyND
Family PracticeMN
Family PracticeMN
Nurse PractitionerMN
Nurse PractitionerMN

Reviews

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Frequently asked questions

How do payers reference JOSEPH BETTENDORF (M.D.)?
For JOSEPH BETTENDORF (M.D.), use NPI 1225327620 as the unique 10-digit identifier.
Active or inactive — what applies to JOSEPH BETTENDORF (M.D.)?
You should see JOSEPH BETTENDORF (M.D.) as active in CMS-hosted NPPES data.
What clinical focus is listed for JOSEPH BETTENDORF (M.D.)?
At a glance, JOSEPH BETTENDORF (M.D.) is tied to Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with JOSEPH BETTENDORF (M.D.)?
Directory geography for JOSEPH BETTENDORF (M.D.) centers on Duluth, Minnesota.
What does 2 location(s) imply?
2 practice locations appear in the available data.