ABBY M DETTMER (DO) – Family Medicine Physician, NPI 1891706263
Family Medicine Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
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
Top Companies
Largest payers in this snapshot
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20080701000547 | I | Family Practice | MN | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 38 | 31 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 29 | 22 | $0 |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 22 | 17 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 15 | 15 | $0 |
| 80048 | Blood test, basic group of blood chemicals (calcium, total) | 12 | 11 | $0 |
Insurance plans in this area (ZIP 56003)
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Group practice members
- 1
- 2
- 3
- 4
- 5
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | MN | |
| Nurse Practitioner | MN | |
| - | MN | |
| Diagnostic Radiology | CO | |
| Physician Assistant | MN | |
| P O D I A T R Y | MN | |
| - | MN | |
| - | MN | |
| General Surgery | MN | |
| Diagnostic Radiology, Internal Medicine | MN |
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