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BRANDY LEE UTTER MD
NPI 1255468914
Family Medicine in Shoreview, MN

Active since February 28, 2007PECOS EnrolledAccepts Medicare Assignment
4194 LEXINGTON AVE N, SHOREVIEW, MN 55126(651) 483-5461 Get Directions Write a Review

NPPES record last updated: December 5, 2011. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Brandy Lee Utter Md NPPES

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

BRANDY LEE UTTER MD (NPI 1255468914) is an individual family medicine provider in Shoreview, Minnesota, licensed in Minnesota (52395) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2006).

NPPES Registry Identity

NPI1255468914
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameBRANDY LEE UTTERCredential: MD
Location Address4194 LEXINGTON AVE NShoreview, MN 55126-6106
Mailing Address2925 Chicago AveMinneapolis, MN 55407-1321 · (612) 262-5000
Phone(651) 483-5461
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateFebruary 28, 2007
Last NPPES UpdateDecember 5, 2011
✔ NPI 1255468914 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 · 52395
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.
4194 LEXINGTON AVE N, Shoreview, MN 55126
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Other Identifiers 1

Medicare PIN080020792MN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Arkansas Blue Cross and Blue Shield, Health Advantage, Octave.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

Brandy Lee Utter 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 ID2668528340
PECOS Enrollment IDI20151109001057
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 5

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 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
128 services74 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.
37 services37 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
28 services28 patients
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.
25 services18 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.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55126 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.

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
2 suppliers21 claims21 services$15.08 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
2 suppliers41 claims41 services$61.83 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.

JOHN PAUL LUNDGREN MD
Family Medicine
4194 LEXINGTON AVE N
SHOREVIEW, MN 55126
Ramsey County (651) 483-5461
MRS. BARBARA ANN LEAFBLAD RN-CNM
Advanced Practice Midwife
4194 LEXINGTON AVE N, ARLINA MEDICAL CLINIC - SHOREVIEW
SHOREVIEW, MN 55126
Ramsey County (651) 483-5461
LIZABETH KAKU MD
Family Medicine
4194 LEXINGTON AVE N
SHOREVIEW, MN 55126
Ramsey County (651) 483-5461
NATHANAEL PAUL SHULL
Physician Assistant
4194 LEXINGTON AVE N
SHOREVIEW, MN 55126
Ramsey County (651) 483-5461
DR. KIMBERLY A FISCHER MD
Obstetrics & Gynecology
4194 LEXINGTON AVE N
SHOREVIEW, MN 55126
Ramsey County (651) 483-5461
JEFFREY NELSON M.D.
Family Medicine
4194 LEXINGTON AVE N
SHOREVIEW, MN 55126
Ramsey County (612) 804-2522
HILLARY CASEY
Social Worker (Clinical)
4194 LEXINGTON AVE N
SHOREVIEW, MN 55126
Ramsey County (651) 483-5461
DR. SETH A VOGEL M.D.
Family Medicine
4194 LEXINGTON AVE N
SHOREVIEW, MN 55126
Ramsey County (651) 483-5461

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 Brandy Utter's NPI number?

The NPI number for Brandy Utter is 1255468914. It was assigned to this individual provider in the NPPES registry on February 28, 2007.

Where is Brandy Utter located?

Brandy Utter practices at 4194 Lexington Ave N, Shoreview, MN 55126. The listed phone number is (651) 483-5461.

What is Brandy Utter's specialty?

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

Is Brandy Utter enrolled in Medicare?

Yes. Brandy Utter 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 Brandy Utter accept?

Health plans from Arkansas Blue Cross and Blue Shield, Health Advantage and Octave list Brandy Utter 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 Brandy Utter was last updated on December 5, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.