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DR. ETHAN TANNER O'CONNELL M.D.
NPI 1306097928
Emergency Medicine in Bemidji, MN

Active since October 01, 2008PECOS Enrolled
1233 34TH ST NW, BEMIDJI, MN 56601(218) 333-5596 Get Directions Write a Review

NPPES record last updated: September 27, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Ethan Tanner O'connell M.d. NPPES

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

DR. ETHAN TANNER O'CONNELL M.D. (NPI 1306097928) is an individual emergency medicine provider in Bemidji, Minnesota, licensed in Minnesota (106348) and active in the NPI registry since October 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1306097928
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. ETHAN TANNER O'CONNELLCredential: M.D.
Location Address1233 34TH ST NWBemidji, MN 56601-5112
Mailing Address1233 34th St NwBemidji, MN 56601-5112
Phone(218) 333-5596
Sole ProprietorNo
Enumeration DateOctober 1, 2008
Last NPPES UpdateSeptember 27, 2012
✔ NPI 1306097928 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in MN · 106348
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedFamily MedicineTaxonomy 207Q00000X · License TL1362 (WY)
Also ListedSurgeryTaxonomy 208600000X · License 4301092736 (MI)
1233 34TH ST NW, Bemidji, MN 56601
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Other Identifiers 1

Medicare PINW23631WY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Ethan Tanner O'connell M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 56601 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.

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.

DEBORAH STEINBAR PA-C
Physician Assistant (Medical)
1233 34TH ST NW
BEMIDJI, MN 56601
Beltrami County (218) 333-5000
WAI LUN CHAN MD
Hospitalist
1233 34TH ST NW
BEMIDJI, MN 56601
Beltrami County (218) 333-5280
STEVEN J QUAMME MD
Family Medicine
1233 34TH ST NW
BEMIDJI, MN 56601
Beltrami County (218) 333-5180
DR. BENJAMIN PATRICK ROY M.D.
Surgery
1233 34TH ST NW
BEMIDJI, MN 56601
Beltrami County (218) 333-5000
MISS KAYLA N KAISER FNP-BC
Nurse Practitioner (Family)
1233 34TH ST NW
BEMIDJI, MN 56601
Beltrami County (218) 333-5000
RODNEY D WILL MD
Internal Medicine
1233 34TH ST NW
BEMIDJI, MN 56601
Beltrami County (218) 333-5000
MATTHEW F SANFORD MD
Radiology (Diagnostic Radiology)
1233 34TH ST NW
BEMIDJI, MN 56601
Beltrami County (218) 333-5283
ANGELA JEAN SPLETTSTOESZER APRN
Nurse Practitioner
1233 34TH ST NW
BEMIDJI, MN 56601
Beltrami County (218) 333-5285

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 Ethan O'connell's NPI number?

The NPI number for Ethan O'connell is 1306097928. It was assigned to this individual provider in the NPPES registry on October 1, 2008.

Where is Ethan O'connell located?

Ethan O'connell practices at 1233 34th St NW, Bemidji, MN 56601. The listed phone number is (218) 333-5596.

What is Ethan O'connell's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Ethan O'connell enrolled in Medicare?

Yes. Ethan O'connell is registered in the Medicare PECOS enrollment system.

What insurance does Ethan O'connell accept?

Health plans from Medica list Ethan O'connell 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 Ethan O'connell was last updated on September 27, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.