RONALD W BRUMMER MD
NPI 1396842175
Family Medicine in Grand Forks, ND

NPI Status: Active since September 20, 2006

Contact Information

4440 S WASHINGTON ST
GRAND FORKS, ND
ZIP 58201
Phone: (701) 732-7000
Fax: (701) 732-7696

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  • Individual
  • Male
  • Family Medicine
  • PECOS Enrolled

About RONALD BRUMMER

This page provides the complete NPI Profile along with additional information for Ronald Brummer, a primary care provider established in Grand Forks, North Dakota with a medical specialization in Family Medicine. The healthcare provider is registered in the NPI registry with number 1396842175 assigned on September 2006. The practitioner's primary taxonomy code is 207Q00000X with license number 26204 (MN). The provider is registered as an individual and his NPI record was last updated 6 years ago.

NPI
1396842175
Provider Name
RONALD W BRUMMER MD
Gender
Male
Entity Type
Individual
Location Address
4440 S WASHINGTON ST GRAND FORKS, ND 58201
Location Phone
(701) 732-7000
Location Fax
(701) 732-7696
Mailing Address
PO BOX 6002 GRAND FORKS, ND 58206
Mailing Phone
(701) 780-5000
Is Sole Proprietor?
No
Enumeration Date
09-20-2006
Last Update Date
11-18-2020
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A primary care provider (PCP) like Ronald Brummer sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
License No.
26204
License State
MN
Taxonomy Description
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.

Medicare Participation & PECOS Enrollment Status

Ronald Brummer is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Provider Referred Orders for Durable Medical Equipment, Devices & Supplies

The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.

Durable Medical Equipment

  • DME-Oxygen and Supplies (DC002N)

    Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate (HCPCS:E1390)

    2 DME suppliers used 12 Medicare Claims 12 Services Paid

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito

Moderate sedation is a method where a physician uses medication to help you relax during a gastrointestinal endoscopy. An independent trained observer will be present to monitor your vital signs and ensure your safety throughout the procedure. It's a common and safe practice.

This service was performed 30 times for 30 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

This service was performed 11 times for 11 patients

Telehealth originating site facility fee

The Telehealth originating site facility fee is a charge for the location where you receive your telehealth service, such as a clinic or hospital. It covers costs like equipment use, technical support, and other resources needed to provide a secure, effective telehealth visit.

This service was performed 529 times for 210 patients

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 58201 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $85.71
  • Minimum New Patient Price $55.75
  • Maximum New Patient Price $168.12
  • Average New Patient Copayment $21.42
  • Minimum New Patient Copayment $13.93
  • Maximum New Patient Copayment $42.03

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $98.29
  • Minimum Established Patient Price $18.11
  • Maximum Established Patient Price $137.65
  • Average Established Patient Copayment $24.57
  • Minimum Established Patient Copayment $4.52
  • Maximum Established Patient Copayment $34.41

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1396842175, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
3
Unchanged
Pos 3
9
Doubled → 18 → 1 + 8
Pos 4
6
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
4
Unchanged
Pos 7
2
Doubled → 4
Pos 8
1
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
5
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 9 → 18 → 9 8 → 16 → 7 2 → 4 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 3 + 1 + 8 + 6 + 1 + 6 + 4 + 4 + 1 + 1 + 4 + 24 = 65

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 65 is 70. The difference is the calculated check digit.

70 - 65 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1396842175.

Other Providers at the Same Location


The following 16 providers are registered at the same or a nearby location.

Audiologist
4440 S WASHINGTON ST
GRAND FORKS, ND 58201
Urology
4440 S WASHINGTON ST
GRAND FORKS, ND 58201
Orthopaedic Surgery
4440 S WASHINGTON ST
GRAND FORKS, ND 58201
Physician Assistant
4440 S WASHINGTON ST
GRAND FORKS, ND 58201
Family Medicine
4440 S WASHINGTON ST
GRAND FORKS, ND 58201
Otolaryngology
4440 S WASHINGTON ST
GRAND FORKS, ND 58201
Family Medicine
4440 S WASHINGTON ST
GRAND FORKS, ND 58201
Anesthesiology (Pain Medicine)
4440 S WASHINGTON ST
GRAND FORKS, ND 58201
Physician Assistant
4440 S WASHINGTON ST
GRAND FORKS, ND 58201
Physician Assistant
4440 S WASHINGTON ST
GRAND FORKS, ND 58201
Orthopaedic Surgery (Hand Surgery)
4440 S WASHINGTON ST
GRAND FORKS, ND 58201
Nurse Practitioner (Family)
4440 S WASHINGTON ST
GRAND FORKS, ND 58201
Family Medicine
4440 S WASHINGTON ST
GRAND FORKS, ND 58201
Nurse Practitioner (Family)
4440 S WASHINGTON ST
GRAND FORKS, ND 58201
Specialist/Technologist (Athletic Trainer)
4440 S WASHINGTON ST
GRAND FORKS, ND 58201
Physician Assistant
4440 S WASHINGTON ST
GRAND FORKS, ND 58201

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1396842175, enumerated as an "individual" on September 20, 2006.

The provider is located at 4440 S WASHINGTON ST GRAND FORKS, ND 58201 and the phone number is (701) 732-7000.

Family Medicine with taxonomy code 207Q00000X.