NORTHLAND PLASTIC SURGERY, PA
NPI 1275569477
Plastic Surgery in Duluth, MN

Q: What is Northland Plastic Surgery, PA's NPI number?

The NPI number for Northland Plastic Surgery, PA is 1275569477. It was assigned to this organization in the NPPES registry on June 23, 2006. The provider is also known as Northland Center for Plastic and Reconstructive Surgery.

Q: What is Northland Plastic Surgery, PA's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Active since June 23, 2006

4316 RICE LAKE RD STE 109, DULUTH, MN 55811(218) 724-7363(218) 724-6199 Get Directions Write a Review

NPPES record last updated: January 8, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 8, 2026, Nov 17, 2021, Oct 5, 2021 (3 updates tracked since 2021).

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About Northland Plastic Surgery, Pa NPPES

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

NORTHLAND PLASTIC SURGERY, PA (NPI 1275569477) is a healthcare organization registered as a plastic surgery in Duluth, Minnesota and active in the NPI registry since June 2006. The organization lists Dean Weber, President, as its authorized official.

NPPES Registry Identity

NPI1275569477

Entity TypeOrganization

Primary Taxonomy208200000X

Legal Business NameNORTHLAND PLASTIC SURGERY, PA

Location Address4316 RICE LAKE RD STE 109Duluth, MN 55811-2885

Mailing Address4316 Rice Lake Rd Ste 109Duluth, MN 55811-2885 · (218) 724-7363 · Fax (218) 724-6199

Phone(218) 724-7363

Fax(218) 724-6199

Organization SubpartNo

Authorized OfficialDean WeberPresident · (218) 724-7363

Enumeration DateJune 23, 2006

Last NPPES UpdateJanuary 8, 20263 updates tracked since enumeration

NPPES CertifiedJanuary 8, 2026

✔ NPI 1275569477 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208200000X

Definition

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

4316 RICE LAKE RD STE 109, Duluth, MN 55811

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Other Names 1

Other NameNorthland Center For Plastic And Reconstructive Surgery

Other Identifiers 1

Medicaid952024400MN

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Aspirus Health Plan, HealthPartners, Sanford Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Northland Plastic Surgery, Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 4 clinicians reassign Medicare billing to Northland Plastic Surgery, PA, which bills Medicare for the services they deliver. Of these, 4 practice at this address. They are listed nearest first.

Clinicians, nearest first (4)

Ameya Chumble, MD

Plastic and Reconstructive Surgery

NPI 1285126060

4316 RICE LAKE RD STE 109
Duluth, MN 55811

(218) 724-7363

✔ PECOS✔ Accepts MedicareSame address

Thomas Rishavy, MD

Plastic and Reconstructive Surgery

NPI 1295771798

4316 RICE LAKE RD STE 109
Duluth, MN 55811

(218) 724-7363

✔ PECOS✔ Accepts MedicareSame address

Michael Schroeder, MD

Plastic and Reconstructive Surgery

NPI 1952920985

4316 RICE LAKE RD STE 109
Duluth, MN 55811

(218) 724-7363

✔ PECOS✔ Accepts MedicareSame address

Dean Weber, MD

Plastic and Reconstructive Surgery

NPI 1922036540

4316 RICE LAKE RD STE 109
Duluth, MN 55811

(218) 724-7363

✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Northland Plastic Surgery, PA's NPI number?

The NPI number for Northland Plastic Surgery, PA is 1275569477. It was assigned to this organization in the NPPES registry on June 23, 2006. The provider is also known as Northland Center for Plastic and Reconstructive Surgery.

Where is Northland Plastic Surgery, PA located?

Northland Plastic Surgery, PA is located at 4316 Rice Lake Rd Ste 109, Duluth, MN 55811. The listed phone number is (218) 724-7363.

What is Northland Plastic Surgery, PA's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Is Northland Plastic Surgery, PA enrolled in Medicare?

Yes. Northland Plastic Surgery, PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Northland Plastic Surgery, PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Plastic and Reconstructive Surgery, reassign their Medicare billing to Northland Plastic Surgery, PA. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 4 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Northland Plastic Surgery, PA accept?

Health plans from Aspirus Health Plan, HealthPartners, Sanford Health Plan and Security Health Plan list Northland Plastic Surgery, PA 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 Northland Plastic Surgery, PA was last updated on January 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.