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DR. GLENN LEROY DETLEFSEN M.D.
NPI 1013052554
Family Medicine in Rosemount, MN

Active since February 21, 2007PECOS Enrolled
15120 CHIPPENDALE AVE W, ROSEMOUNT, MN 55068(651) 423-4114 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Glenn Leroy Detlefsen M.d. NPPES

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

DR. GLENN LEROY DETLEFSEN M.D. (NPI 1013052554) is an individual family medicine provider in Rosemount, Minnesota, licensed in Minnesota (26214) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1013052554
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. GLENN LEROY DETLEFSENCredential: M.D.
Location Address15120 CHIPPENDALE AVE WRosemount, MN 55068-1796
Mailing Address15120 Chippendale Ave WRosemount, MN 55068-1796 · (651) 423-4114
Phone(651) 423-4114
Sole ProprietorYes
Enumeration DateFebruary 21, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1013052554 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MN · 26214
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
15120 CHIPPENDALE AVE W, Rosemount, MN 55068
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Other Identifiers 1

Medicare UPINC46849MN

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Glenn Leroy Detlefsen 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55068 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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.

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 Glenn Detlefsen's NPI number?

The NPI number for Glenn Detlefsen is 1013052554. It was assigned to this individual provider in the NPPES registry on February 21, 2007.

Where is Glenn Detlefsen located?

Glenn Detlefsen practices at 15120 Chippendale Ave W, Rosemount, MN 55068. The listed phone number is (651) 423-4114.

What is Glenn Detlefsen's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Glenn Detlefsen enrolled in Medicare?

Yes. Glenn Detlefsen is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Glenn Detlefsen was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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.