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STACEY LYNN LUETMER MD
NPI 1205816162
Family Medicine in Glenwood, MN

Active since January 18, 2006Opted out of Medicare · through Oct 29, 2026
77.26/100
CMS Quality Rating
23896 N LAKESHORE DR, GLENWOOD, MN 56334(320) 491-1691(800) 878-9591 Get Directions Write a Review

NPPES record last updated: December 23, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 23, 2022, May 30, 2017 (2 updates tracked since 2017).

About Stacey Lynn Luetmer Md NPPES

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

STACEY LYNN LUETMER MD (NPI 1205816162) is an individual family medicine provider in Glenwood, Minnesota, licensed in Minnesota (43321) and active in the NPI registry since January 2006. She has opted out of Medicare through October 29, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1205816162
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameSTACEY LYNN LUETMERCredential: MD
Location Address23896 N LAKESHORE DRGlenwood, MN 56334-9372
Mailing Address23896 N Lakeshore DrGlenwood, MN 56334-9372 · (320) 491-1691 · Fax (800) 878-9591
Phone(320) 491-1691
Fax(800) 878-9591
Sole ProprietorYes
Enumeration DateJanuary 18, 2006
Last NPPES UpdateDecember 23, 20222 updates tracked since enumeration
NPPES CertifiedDecember 23, 2022
✔ NPI 1205816162 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 · 43321
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.

23896 N LAKESHORE DR, Glenwood, MN 56334
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Other Identifiers 2

OtherP00305932MN · Rr Medicare
Medicaid398898800MN

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Stacey Lynn Luetmer Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 29, 2020 through October 29, 2026.

Opt-Out Effective DateOctober 29, 2020
Opt-Out In Effect ThroughOctober 29, 2026Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 56334 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.

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.

77.26/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality87.8
Promoting Interoperability97
Improvement Activities40
Cost38.9

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 Stacey Luetmer's NPI number?

The NPI number for Stacey Luetmer is 1205816162. It was assigned to this individual provider in the NPPES registry on January 18, 2006.

Where is Stacey Luetmer located?

Stacey Luetmer practices at 23896 N Lakeshore Dr, Glenwood, MN 56334. The listed phone number is (320) 491-1691.

What is Stacey Luetmer's specialty?

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

Is Stacey Luetmer enrolled in Medicare?

No. Stacey Luetmer has opted out of Medicare through October 29, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Stacey Luetmer was last updated on December 23, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.