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MATTHEW GRANT PENNING M.D.
NPI 1427285543
Family Medicine in Duluth, MN

Active since June 16, 2009PECOS EnrolledAccepts Medicare Assignment
4190 LOBERG AVE, DULUTH, MN 55811(218) 249-5700(218) 249-4666 Get Directions Write a Review

NPPES record last updated: December 4, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 4, 2020, Apr 9, 2018 (2 updates tracked since 2018).

About Matthew Grant Penning M.d. NPPES

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

MATTHEW GRANT PENNING M.D. (NPI 1427285543) is an individual family medicine provider in Duluth, Minnesota, licensed in Minnesota (53138) and active in the NPI registry since June 2009. He is enrolled in Medicare PECOS, is affiliated with St Lukes Hospital, and is a graduate of University Of Minnesota Medical School (2009).

NPPES Registry Identity

NPI1427285543
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMATTHEW GRANT PENNINGCredential: M.D.
Location Address4190 LOBERG AVEDuluth, MN 55811-2652
Mailing Address4190 Loberg AveDuluth, MN 55811-2652 · (218) 249-5700 · Fax (218) 249-4666
Phone(218) 249-5700
Fax(218) 249-4666
Sole ProprietorNo
Medical School CMSUniversity Of Minnesota Medical SchoolGraduated 2009
Enumeration DateJune 16, 2009
Last NPPES UpdateDecember 4, 20202 updates tracked since enumeration
NPPES CertifiedDecember 4, 2020
✔ NPI 1427285543 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 · 53138
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.
4190 LOBERG AVE, Duluth, MN 55811
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Other Identifiers 1

Medicaid1427285543MN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, HealthPartners, Medica and more.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

Matthew Grant Penning 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 ID8325163447
PECOS Enrollment IDI20100914000119, I20121112000503
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 4

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
200 services119 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
115 services76 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
112 services112 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
15 services14 patients

Hospital Affiliations CMS Care Compare

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

St Lukes Hospital

Acute Care Hospitals · Duluth, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240047
Location915 East 1st StreetDuluth, MN 55805 · St. Louis County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55811 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 6

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
6 suppliers121 claims241 services$5.82 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
5 suppliers33 claims35 services$0.87 avg. paid by Medicare
Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
2 suppliers15 claims900 services$0.30 avg. paid by Medicare
Sirolimus, oral, 1 mg J7520
Treatment-Treatment - Miscellaneous · category RX029N
1 supplier11 claims165 services$2.35 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
2 suppliers13 claims13 services$17.49 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
2 suppliers12 claims13 services$11.65 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 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LAUREN WALLACE MD
Family Medicine
4190 LOBERG AVE
DULUTH, MN 55811
St. Louis County (218) 249-4600
NICOLE COLLISON DPT
Physical Therapist
4190 LOBERG AVE
HERMANTOWN, MN 55811
St. Louis County (218) 249-6040
DR. ELIZABETH A LILJEBLAD MD
Family Medicine
4190 LOBERG AVE
HERMANTOWN, MN 55811
St. Louis County (218) 249-4600
DR. GERARD DAVID SPOELHOF M.D.
Family Medicine
4190 LOBERG AVE
DULUTH, MN 55811
St. Louis County (218) 249-5700
BENJAMIN H JOHNSON MD
Family Medicine
4190 LOBERG AVE
DULUTH, MN 55811
St. Louis County (218) 249-5700
DANIEL BRUCE CAMPBELL
Emergency Medicine
4190 LOBERG AVE
DULUTH, MN 55811
St. Louis County (218) 249-5700
CHARLES EARL AHRENS M.D.
Ophthalmology
4190 LOBERG AVE
DULUTH, MN 55811
St. Louis County (218) 249-4600
DR. JAMES Q. DONOVAN MD
Family Medicine
4190 LOBERG AVE
DULUTH, MN 55811
St. Louis County (218) 249-4600

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 Matthew Penning's NPI number?

The NPI number for Matthew Penning is 1427285543. It was assigned to this individual provider in the NPPES registry on June 16, 2009.

Where is Matthew Penning located?

Matthew Penning practices at 4190 Loberg Ave, Duluth, MN 55811. The listed phone number is (218) 249-5700.

What is Matthew Penning's specialty?

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

Is Matthew Penning enrolled in Medicare?

Yes. Matthew Penning 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 Matthew Penning accept?

Health plans from Anthem Blue Cross and Blue Shield, HealthPartners, Medica and Security Health Plan list Matthew Penning 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 Matthew Penning affiliated with any hospitals?

According to CMS data, Matthew Penning is affiliated with St Lukes Hospital.

When was this NPI record last updated?

The NPPES record for Matthew Penning was last updated on December 4, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.