SHAWN PATRICK PRITCHARD M.D.
NPI 1245676683
Internal Medicine in Duluth, MN

Active since May 13, 2013PECOS EnrolledAccepts Medicare Assignment
1001 E SUPERIOR ST, STE. L401, DULUTH, MN 55802(218) 249-7960(218) 249-7997 Get Directions Write a Review

NPPES record last updated: November 17, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 17, 2022, Dec 4, 2020, Mar 31, 2020 and 1 more (4 updates tracked since 2017).

About Shawn Patrick Pritchard M.d. NPPES

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

SHAWN PATRICK PRITCHARD M.D. (NPI 1245676683) is an individual internal medicine provider in Duluth, Minnesota, licensed in Minnesota (60559) and active in the NPI registry since May 2013. He is enrolled in Medicare PECOS, is affiliated with Aspirus Ironwood Hospital, and maintains a secondary practice location in Duluth.

NPPES Registry Identity

NPI1245676683
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameSHAWN PATRICK PRITCHARDCredential: M.D.
Location Address1001 E SUPERIOR ST, STE. L401Duluth, MN 55802-2207
Mailing Address915 E 1st StDuluth, MN 55805-2107 · (218) 249-5555 · Fax (218) 249-7997
Fax(218) 249-7997
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateMay 13, 2013
Last NPPES UpdateNovember 17, 20224 updates tracked since enumeration
NPPES CertifiedDecember 4, 2020
NPI 1245676683 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses Licensed in MN · 60559 Licensed in WI · 63245
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedHospitalistTaxonomy 208M00000X · License 60559 (MN)
1001 E SUPERIOR ST, Duluth, MN 55802

Secondary Practice Location 1

Location 1915 E 1st StDuluth, MN 55805-2107 · Phone (218) 249-5555

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

Shawn Patrick Pritchard M.d. 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 ID2567690985
PECOS Enrollment IDI20150402000664, I20160622000569, I20240821003527
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 2

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
57 services25 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
15 services15 patients

Hospital Affiliations CMS Care Compare 3

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

Aspirus Ironwood Hospital

Critical Access Hospitals · Ironwood, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number231333
LocationN10561 Grand View LaneIronwood, MI 49938 · Gogebic County
Emergency services Birthing friendly

Howard Young Medical Center

Acute Care Hospitals · Woodruff, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520091
Location240 Maple StWoodruff, WI 54568 · Vilas County
Emergency services

Marshfield Medical Center - Minocqua

Acute Care Hospitals · Minocqua, WI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520212
Location9576 Highway 70Minocqua, WI 54548 · Oneida County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55802 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
$127.61 typical visit price
range $56.00 – $168.28
Typical copayment $31.90 (range $14.00 – $42.07)
Most-billed visit code 99204
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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
4 suppliers14 claims14 services$18.41 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
4 suppliers14 claims14 services$97.00 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Physician Assistant
1001 E SUPERIOR ST, SUITE L201
DULUTH, MN 55802
Internal Medicine
1001 E SUPERIOR ST, SUITE L401
DULUTH, MN 55802
Hospitalist
1001 E SUPERIOR ST, SUITE L401
DULUTH, MN 55802
Internal Medicine (Hematology & Oncology)
1001 E SUPERIOR ST, STE. L101
DULUTH, MN 55802
Internal Medicine
1001 E SUPERIOR ST, STE L401
DULUTH, MN 55802
Nurse Practitioner
1001 E SUPERIOR ST, STE. 201
DULUTH, MN 55802
Nurse Practitioner (Family)
1001 E SUPERIOR ST, DULUTH
DULUTH, MN 55802
Nurse Practitioner
1001 E SUPERIOR ST, STE, L201
DULUTH, MN 55802

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 Shawn Pritchard's NPI number?

The NPI number for Shawn Pritchard is 1245676683. It was assigned to this individual provider in the NPPES registry on May 13, 2013.

Where is Shawn Pritchard located?

Shawn Pritchard practices at 1001 E Superior St Ste. L401, Duluth, MN 55802. The listed phone number is (218) 249-7960.

What is Shawn Pritchard's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Shawn Pritchard enrolled in Medicare?

Yes. Shawn Pritchard 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 Shawn Pritchard accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Sanford Health Plan list Shawn Pritchard 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 Shawn Pritchard affiliated with any hospitals?

According to CMS data, Shawn Pritchard is affiliated with Aspirus Ironwood Hospital, Howard Young Medical Center and Marshfield Medical Center - Minocqua.

When was this NPI record last updated?

The NPPES record for Shawn Pritchard was last updated on November 17, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.