ABBY M DETTMER (DO) – Family Medicine Physician, NPI 1891706263

ABBY M DETTMER (DO) is a healthcare provider. based in North mankato, Minnesota. specializing in FAMILY PRACTICE. They hold the professional credentials DO. They hold a License No. R-7613 (IA). The NPI Number for ABBY M DETTMER (DO) is 1891706263

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
ABBY M DETTMER (DO)
NPI
1891706263
Phone
(507) 625-1811
Address
1575 LOOKOUT DR
Enumeration Date
11 August 2006
Last Update Date
9 November 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5076251811
Graduation Year
2005 (21 years ago)
PAC ID
3476550831
Group Practice PAC ID
5597677955
Professional Enrollment ID
I20080701000547
Address ID
MN560028674MA1230XEXXX401

Contacts

Secure Messaging
adettmer91538@ehrdirect.mayoclinicmsg.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness85
Years active:19State licenses:2Other namesUpdated within 12 months

3,076 FAMILY PRACTICE in MN

Provider Addresses for ABBY M DETTMER (DO)

  • 1575 LOOKOUT DR

    NORTH MANKATO, MN 560032503

    Phone: (507) 625-1811

    Type: Mailing

  • Mayo Clinic Health System Waseca, 501, North State Street, Waseca, Waseca County, Minnesota, 56093, United States

    WASECA, MN 560932811

    Phone: (507) 835-1210

    Fax: (507) 837-4278

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $78.

Total Amount is formed as General ($78) + Research ($0) + Ownership ($0) = $78.

Last reported payment date: 2024-12-02 • Largest payer in this snapshot: Xeris Pharmaceuticals, Inc. ($20).

Total Amount

$78

General + Research + Ownership

Payments

5

Total payment records

General Amount

$78

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-02

Latest reported date

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: 2008-07-01

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
I20080701000547IFamily PracticeMNTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes3831$0
36415Insertion of needle into vein for collection of blood sample2922$0
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count2217$0
99213Established patient office or other outpatient visit, 20-29 minutes1515$0
80048Blood test, basic group of blood chemicals (calcium, total)1211$0
View full utilization report →

Insurance plans in this area (ZIP 56003)

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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: 5597677955View full group profile
NameSpecialtyState
Physician AssistantMN
Nurse PractitionerMN
-MN
Diagnostic RadiologyCO
Physician AssistantMN
P O D I A T R YMN
-MN
-MN
General SurgeryMN
Diagnostic Radiology, Internal MedicineMN

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

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Frequently asked questions

What number should I use to identify ABBY M DETTMER (DO) for billing?
Administrative and clinical systems typically use NPI 1891706263 for ABBY M DETTMER (DO).
Quick check: is ABBY M DETTMER (DO) active?
Public NPPES data shows ABBY M DETTMER (DO) with an active NPI status right now.
What services align with ABBY M DETTMER (DO)'s listing?
ABBY M DETTMER (DO)'s public classification highlights Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to ABBY M DETTMER (DO)?
ABBY M DETTMER (DO) shows a connection to North Mankato, Minnesota in registry-derived data.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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