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JOSEPH MICHAEL SCHWINGHAMER
NPI 1457458531
Family Medicine in Ely, MN

Active since September 20, 2006PECOS EnrolledAccepts Medicare Assignment

NPPES record last updated: April 4, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Joseph Michael Schwinghamer NPPES

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

JOSEPH MICHAEL SCHWINGHAMER (NPI 1457458531) is an individual family medicine provider in Ely, Minnesota, licensed in Minnesota (38064) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Essentia Health St Mary's Medical Center, and is a graduate of Michigan State University College Of Human Medicine (1994).

NPPES Registry Identity

NPI1457458531
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJOSEPH MICHAEL SCHWINGHAMER
Location Address300 W CONAN STEly, MN 55731-1145
Mailing Address300 W Conan Street, Essentia Health Ely ClinicEly, MN 55731-1145 · (218) 365-7900
Phone(218) 365-7900
Sole ProprietorNo
Medical School CMSMichigan State University College Of Human MedicineGraduated 1994
Enumeration DateSeptember 20, 2006
Last NPPES UpdateApril 4, 2017
✔ NPI 1457458531 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 · 38064
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.
300 W CONAN ST, Ely, MN 55731
Open in Google Maps ↗

Other Identifiers 3

Medicare PIN080009947MN
Medicaid558717400MN
Medicare UPING11190

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Joseph Michael Schwinghamer 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 ID4385622273
PECOS Enrollment IDI20040708000453
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Joseph Schwinghamer reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Essentia Health Virginia, LLC
0.4 mi
Rural Health
300 W CONAN ST
Ely, MN 55731
  • Reassigned Medicare billing, Minnesota enrollment
  • 171 clinicians in this Medicare group
NPI 1326598418 (218) 365-7900
The Duluth Clinic, Ltd
41 mi
Multi-Specialty
901 9TH ST N
Virginia, MN 55792
  • Reassigned Medicare billing, Minnesota enrollment
  • 1,460 clinicians in this Medicare group
NPI 1538506894 (218) 741-3340

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

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.

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.
30 services19 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
22 services14 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.
19 services14 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.
18 services15 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.
16 services15 patients

Hospital Affiliations CMS Care Compare 5

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

Essentia Health St Mary's Medical Center

Acute Care Hospitals · Duluth, MN
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240002
Location402 East Second StreetDuluth, MN 55805 · St. Louis County
Emergency services Birthing friendly

Essentia Health Virginia

Acute Care Hospitals · Virginia, MN
OwnershipGovernment - Local
CMS Certification Number240084
Location901 9th Street NorthVirginia, MN 55792 · St. Louis County
Birthing friendly

Ely Bloomenson Community Hospital

Critical Access Hospitals · Ely, MN
OwnershipVoluntary non-profit - Private
CMS Certification Number241318
Location328 West Conan StreetEly, MN 55731 · St. Louis County
Emergency services

Essentia Health Northern Pines Medical Center

Critical Access Hospitals · Aurora, MN
OwnershipVoluntary non-profit - Private
CMS Certification Number241340
Location5211 Highway 110Aurora, MN 55705 · St. Louis County
Emergency services

Essentia Health

Acute Care Hospitals · Fargo, ND
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number350070
Location3000 32nd Ave SouthFargo, ND 58104 · Cass County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55731 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 7

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
4 suppliers28 claims86 services$6.41 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
2 suppliers11 claims11 services$53.68 avg. paid by Medicare
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
1 supplier11 claims11 services$923.20 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
4 suppliers12 claims12 services$87.15 avg. paid by Medicare
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620
DME-Drugs Administered Through DME · category DG006N
3 suppliers43 claims3,960 services$0.09 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers13 claims13 services$168.71 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 13

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

MITCHELL DAVID MOE MD
Family Medicine
300 W CONAN ST
ELY, MN 55731
St. Louis County (218) 365-7900
WALTER BERTRAM LEINO
Family Medicine
300 W CONAN ST
ELY, MN 55731
St. Louis County (218) 365-7900
JOSEPH ANTHONY BIANCO
Family Medicine
300 W CONAN ST
ELY, MN 55731
St. Louis County (218) 365-7900
MARGARET EILEEN YORK-JESME
Nurse Practitioner (Family)
300 W CONAN ST
ELY, MN 55731
St. Louis County (218) 365-7900
MS. MOLLY SUE EDWARDS APRN, CNP
Nurse Practitioner
300 W CONAN ST
ELY, MN 55731
St. Louis County (218) 365-7975
ESSENTIA HEALTH VIRGINIA, LLC
Clinic/Center (Rural Health)
300 W CONAN ST
ELY, MN 55731
St. Louis County (218) 365-7900
MARY CATHERINE ULMANIEC BIANCO
Family Medicine
300 W CONAN ST
ELY, MN 55731
St. Louis County (218) 365-7900
EDWARD W CIRIACY MD
Family Medicine
300 W CONAN ST
ELY, MN 55731
St. Louis County (218) 365-7900

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 Joseph Schwinghamer's NPI number?

The NPI number for Joseph Schwinghamer is 1457458531. It was assigned to this individual provider in the NPPES registry on September 20, 2006.

Where is Joseph Schwinghamer located?

Joseph Schwinghamer practices at 300 W Conan St, Ely, MN 55731. The listed phone number is (218) 365-7900.

What is Joseph Schwinghamer's specialty?

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

Is Joseph Schwinghamer enrolled in Medicare?

Yes. Joseph Schwinghamer 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.

Which organizations bill Medicare for Joseph Schwinghamer's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Joseph Schwinghamer reassigns Medicare benefits to 2 organizations: Essentia Health Virginia, LLC (Ely, MN) and The Duluth Clinic, Ltd (Virginia, MN). Each 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 Joseph Schwinghamer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Joseph Schwinghamer accept?

Health plans from HealthPartners and Sanford Health Plan list Joseph Schwinghamer 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 Joseph Schwinghamer affiliated with any hospitals?

According to CMS data, Joseph Schwinghamer is affiliated with Essentia Health St Mary's Medical Center, Essentia Health Virginia, Ely Bloomenson Community Hospital, Essentia Health Northern Pines Medical Center and Essentia Health.

When was this NPI record last updated?

The NPPES record for Joseph Schwinghamer was last updated on April 4, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.