MATTHEW DAIN BRAITHWAITE MD
NPI 1104280817
Internal Medicine - Hematology & Oncology in Duluth, MN

Active since April 08, 2016PECOS EnrolledAccepts Medicare Assignment
420 E 1ST ST, DULUTH, MN 55805(218) 786-8364 Get Directions Write a Review

NPPES record last updated: September 8, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 8, 2023, Aug 5, 2020, Jun 29, 2020 (3 updates tracked since 2020).

About Matthew Dain Braithwaite Md NPPES

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

MATTHEW DAIN BRAITHWAITE MD (NPI 1104280817) is an individual hematology & oncology provider in Duluth, Minnesota, licensed in Minnesota (67339) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS, is affiliated with Essentia Health St Mary's Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1104280817
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NameMATTHEW DAIN BRAITHWAITECredential: MD
Location Address420 E 1ST STDuluth, MN 55805-1901
Mailing Address400 E 3rd StDuluth, MN 55805-1951 · (218) 786-8364
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateApril 8, 2016
Last NPPES UpdateSeptember 8, 20233 updates tracked since enumeration
NPPES CertifiedSeptember 8, 2023
NPI 1104280817 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License Licensed in MN · 67339
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
420 E 1ST ST, Duluth, MN 55805

Secondary Practice Locations 2

Location 1200 1st St SWRochester, MN 55905-0001 · Phone (507) 284-2511
Location 250 N Medical DrSalt Lake City, UT 84132-0001 · Phone (801) 581-2121

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Matthew Dain Braithwaite Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1456617901
PECOS Enrollment IDI20200716000082, I20240612000410
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.

Areas of Expertise CMS Part B claims 7

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
168 services65 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
110 services47 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
71 services32 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
44 services19 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
32 services32 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
19 services18 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Essentia Health St Mary's Medical Center

Acute Care Hospitals · Duluth, MN
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240002
Location402 East Second StreetDuluth, MN 55805 · St. Louis County
Emergency services Birthing friendly

Essentia Health Duluth

Acute Care Hospitals · Duluth, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240019
Location502 East Second StreetDuluth, MN 55805 · St. Louis County
Birthing friendly

Essentia Health Sandstone

Critical Access Hospitals · Sandstone, MN
OwnershipVoluntary non-profit - Private
CMS Certification Number241309
Location705 Lundorff Drive SouthSandstone, MN 55072 · Pine County
Emergency services

Essentia Health Moose Lake

Critical Access Hospitals · Moose Lake, MN
OwnershipGovernment - Hospital District or Authority
CMS Certification Number241350
Location4572 County Road 61Moose Lake, MN 55767 · Carlton County
Emergency services Birthing friendly

St Marys Hospital Superior

Critical Access Hospitals · Superior, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521329
Location3500 Tower AveSuperior, WI 54880 · Douglas County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55805 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
$168.28 typical visit price
range $56.00 – $168.28
Typical copayment $42.07 (range $14.00 – $42.07)
Most-billed visit code 99205
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.

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.

Nurse Practitioner (Family)
420 E 1ST ST
DULUTH, MN 55805
Family Medicine
420 E 1ST ST
DULUTH, MN 55805
Internal Medicine
420 E 1ST ST
DULUTH, MN 55805
Pediatrics
420 E 1ST ST
DULUTH, MN 55805
Obstetrics & Gynecology
420 E 1ST ST
DULUTH, MN 55805
Nurse Practitioner (Family)
420 E 1ST ST
DULUTH, MN 55805
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
420 E 1ST ST
DULUTH, MN 55805
Pharmacist
420 E 1ST ST
DULUTH, MN 55805

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 Matthew Braithwaite's NPI number?

The NPI number for Matthew Braithwaite is 1104280817. It was assigned to this individual provider in the NPPES registry on April 8, 2016.

Where is Matthew Braithwaite located?

Matthew Braithwaite practices at 420 E 1st St, Duluth, MN 55805. The listed phone number is (218) 786-8364.

What is Matthew Braithwaite's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Matthew Braithwaite enrolled in Medicare?

Yes. Matthew Braithwaite is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Matthew Braithwaite accept?

Health plans from HealthPartners, Medica, Sanford Health Plan and Security Health Plan list Matthew Braithwaite 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.

Is Matthew Braithwaite affiliated with any hospitals?

According to CMS data, Matthew Braithwaite is affiliated with Essentia Health St Mary's Medical Center, Essentia Health Duluth, Essentia Health Sandstone, Essentia Health Moose Lake and St Marys Hospital Superior.

When was this NPI record last updated?

The NPPES record for Matthew Braithwaite was last updated on September 8, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.