ANN DOBERSTEIN (MD) – Family Medicine Physician, NPI 1699765206
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,075 FAMILY PRACTICE in MN
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Provider Addresses for ANN DOBERSTEIN (MD)
Volkswagen of Duluth, 4735, Loberg Avenue, Hermantown, Saint Louis County, Minnesota, 55811, United States
DULUTH, MN 558112652
Phone: (218) 249-5700
Fax: (218) 249-4666
Type: Location
508 UPLAND ST
KENAI, AK 996118026
Phone: (907) 335-7500
Type: Location
4190 Loberg Ave
Duluth, MN 558112652
Phone: (218) 249-5700
Fax: (218) 249-4666
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: 2025-07-15
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040503000612 | I | Family Practice | MN | TBD |
| I20250715000391 | I | Family Practice | TX | TBD |
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.
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 55811)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| FAMILY MEDICINE | MN | 83036 | Hemoglobin A1C level | 20 | 20 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | NC | |
| - | WA | |
| - | UT | |
| Emergency Medicine | AZ | |
| Physician Assistant | MN | |
| Diagnostic Radiology | AK | |
| O P T O M E T R Y | OR | |
| Family Practice | AK | |
| - | AK | |
| Physician Assistant | CO |
Reviews
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