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DR. KEVIN TORKELSON M.D.
NPI 1003298548
Emergency Medicine in Fargo, ND

Active since June 21, 2015PECOS Enrolled
82.99/100
CMS Quality Rating
5225 23RD AVE S, FARGO, ND 58104(701) 417-2575(701) 417-2535 Get Directions Write a Review

NPPES record last updated: January 14, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 24, 2023, Mar 24, 2021, May 10, 2019 and 1 more (4 updates tracked since 2018).

About Dr. Kevin Torkelson M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KEVIN TORKELSON M.D. (NPI 1003298548) is an individual emergency medicine provider in Fargo, North Dakota, licensed in North Dakota (17149) and active in the NPI registry since June 2015. He is enrolled in Medicare PECOS and maintains 5 additional practice locations.

NPPES Registry Identity

NPI1003298548
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. KEVIN TORKELSONCredential: M.D.
Location Address5225 23RD AVE SFargo, ND 58104-7927
Mailing AddressPo Box 5074Sioux Falls, SD 57117-5074 · (605) 328-9449 · Fax (605) 312-9802
Phone(701) 417-2575
Fax(701) 417-2535
Sole ProprietorNo
Enumeration DateJune 21, 2015
Last NPPES UpdateJanuary 14, 20254 updates tracked since enumeration
NPPES CertifiedJanuary 14, 2025
✔ NPI 1003298548 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in ND · 17149✔ Licensed in MN · 63466✔ Licensed in WI · 68985-20
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
5225 23RD AVE S, Fargo, ND 58104
Open in Google Maps ↗

Secondary Practice Locations 5

Location 1640 Jackson St # Mc11102FSaint Paul, MN 55101-2502 · Phone (651) 254-3666
Location 2535 Hospital RdNew Richmond, WI 54017-1449 · Phone (715) 243-2600
Location 3927 Churchill St WStillwater, MN 55082-6605 · Phone (651) 439-5330
Location 4265 Griffin St EAmery, WI 54001-1439 · Phone (715) 268-8000
Location 5405 Stageline RdHudson, WI 54016-7848 · Phone (715) 531-6000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of North Dakota, Sanford Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kevin Torkelson M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

8

Medicare enrollment records show Kevin Torkelson reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Sanford Medical Center Fargo
1.8 mi
Family Medicine
1220 SHEYENNE ST
West Fargo, ND 58078
  • Reassigned Medicare billing, North Dakota enrollment
  • 1,464 clinicians in this Medicare group
NPI 1184917924 (701) 234-4445
Group Health Plan, Inc
155 mi
General Practice
2251 CONNECTICUT AVE, HEALTHPARTNERS CENTRAL MN CLINIC - DENTAL
Sartell, MN 56337
  • Reassigned Medicare billing, Minnesota and Wisconsin enrollments
  • Medicare enrollment name: Group Health Inc
  • Also billed through NPI 1710924683 (Wisconsin)
  • 2,274 clinicians in this Medicare group
NPI 1538213566 (320) 253-5824
Regions Hospital
224 mi
Rehabilitation
401 PHALEN BLVD
Saint Paul, MN 55130
  • Reassigned Medicare billing, Minnesota enrollment
  • 393 clinicians in this Medicare group
NPI 1134157092 (651) 254-3908
St. Croix Regional Medical Center
226 mi
Critical Access
235 STATE ST
Saint Croix Falls, WI 54024
  • Reassigned Medicare billing, Wisconsin enrollment
  • 453 clinicians in this Medicare group
NPI 1043240922 (715) 483-3221
Amery Regional Medical Center, Inc.
228 mi
Rural Health
2547 STATE ROAD 35 STE 1
Luck, WI 54853
  • Reassigned Medicare billing, Wisconsin enrollment
  • 348 clinicians in this Medicare group
NPI 1851345268 (715) 472-2177
Lakeview Memorial Hospital Association Inc.
232 mi
Neonatal
927 CHURCHILL ST W
Stillwater, MN 55082
  • Reassigned Medicare billing, Minnesota enrollment
  • 94 clinicians in this Medicare group
NPI 1821114729 (651) 430-4529
Hudson Hospital, Inc.
239 mi
Critical Access
405 STAGELINE RD
Hudson, WI 54016
  • Reassigned Medicare billing, Wisconsin enrollment
  • Also billed through NPI 1396849303 (Wisconsin)
  • 158 clinicians in this Medicare group
NPI 1255532875 (715) 531-6000
Westfields Hospital, Inc.
240 mi
Critical Access
535 HOSPITAL ROAD
New Richmond, WI 54017
  • Reassigned Medicare billing, Wisconsin enrollment
  • 357 clinicians in this Medicare group
NPI 1881640183 (715) 243-2600

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
70 services69 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
56 services56 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
19 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 58104 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.71 typical visit price
range $55.75 – $168.12
Typical copayment $21.42 (range $13.93 – $42.03)
Most-billed visit code 99203
Established Patient
$98.29 typical visit price
range $18.11 – $137.65
Typical copayment $24.57 (range $4.52 – $34.41)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

82.99/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality87.06
Promoting Interoperability99
Improvement Activities40
Cost57.08

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DANIEL GREGORY FALVEY M.D.
Emergency Medicine
5225 23RD AVE S
FARGO, ND 58104
Cass County (701) 417-2575
DRE STEINWEHR
Internal Medicine
5225 23RD AVE S
FARGO, ND 58104
Cass County (701) 417-2575
DEREK ANDERSON DO
Hospitalist
5225 23RD AVE S
FARGO, ND 58104
Cass County (701) 234-5933
MRS. SARAH ELAINE NELL
Nurse Anesthetist, Certified Registered
5225 23RD AVE S
FARGO, ND 58104
Cass County (701) 417-2575
MARY M. NYBAKKEN MD
Obstetrics & Gynecology
5225 23RD AVE S
FARGO, ND 58104
Cass County (701) 417-2575
ASHLEY HEULE
Nurse Anesthetist, Certified Registered
5225 23RD AVE S
FARGO, ND 58104
Cass County (701) 371-7635
MIRANDA SCHAAN
Nurse Practitioner
5225 23RD AVE S
FARGO, ND 58104
Cass County (701) 417-2575
LINDSEY K HOLTER
Nurse Anesthetist, Certified Registered
5225 23RD AVE S
FARGO, ND 58104
Cass County (701) 417-2575

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kevin Torkelson's NPI number?

The NPI number for Kevin Torkelson is 1003298548. It was assigned to this individual provider in the NPPES registry on June 21, 2015.

Where is Kevin Torkelson located?

Kevin Torkelson practices at 5225 23rd Ave S, Fargo, ND 58104. The listed phone number is (701) 417-2575.

What is Kevin Torkelson's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Kevin Torkelson enrolled in Medicare?

Yes. Kevin Torkelson is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kevin Torkelson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kevin Torkelson reassigns Medicare benefits to 8 organizations: Sanford Medical Center Fargo (West Fargo, ND), Group Health Plan, Inc (Sartell, MN), Regions Hospital (Saint Paul, MN), St. Croix Regional Medical Center (Saint Croix Falls, WI), Amery Regional Medical Center, Inc. (Luck, WI) and 3 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kevin Torkelson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kevin Torkelson accept?

Health plans from Blue Cross Blue Shield of North Dakota and Sanford Health Plan list Kevin Torkelson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kevin Torkelson was last updated on January 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.