DR. ETHAN BURLINGAME DO
NPI 1457926842
Family Medicine in Duluth, MN

Q: What is Ethan Burlingame's NPI number?

The NPI number for Ethan Burlingame is 1457926842. It was assigned to this individual provider in the NPPES registry on May 26, 2021.

Q: What is Ethan Burlingame's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Ethan Burlingame was last updated on October 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since May 26, 2021PECOS EnrolledAccepts Medicare Assignment

330 N 8TH AVE E, DULUTH, MN 55805(218) 529-9122 Get Directions Write a Review

NPPES record last updated: October 10, 2022. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Oct 10, 2022, May 26, 2021 (2 updates tracked since 2021).

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About Dr. Ethan Burlingame Do NPPES

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

DR. ETHAN BURLINGAME DO (NPI 1457926842) is an individual family medicine provider in Duluth, Minnesota, licensed in Minnesota (72718) and active in the NPI registry since May 2021. He is enrolled in Medicare PECOS, is affiliated with St Lukes Hospital, and is a graduate of At Still University Of Health Sciences, College Of Osteo Med, Kirksville (2021).

NPPES Registry Identity

NPI1457926842

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. ETHAN BURLINGAMECredential: DO

Location Address330 N 8TH AVE EDuluth, MN 55805-2024

Mailing Address330 N 8th Ave EDuluth, MN 55805-2024 · (218) 529-9122

Phone(218) 529-9122

Sole ProprietorYes

Medical School CMSAt Still University Of Health Sciences, College Of Osteo Med, KirksvilleGraduated 2021

Enumeration DateMay 26, 2021

Last NPPES UpdateOctober 10, 20222 updates tracked since enumeration

NPPES CertifiedOctober 10, 2022

✔ NPI 1457926842 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 · 72718

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.

330 N 8TH AVE E, Duluth, MN 55805

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Accepted Insurance

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

Dr. Ethan Burlingame Do 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 ID8426451444

PECOS Enrollment IDI20221024000550

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.

Hospital Affiliations CMS Care Compare 2

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

Lake View Memorial Hospital

Critical Access Hospitals · Two Harbors, MN

OwnershipVoluntary non-profit - Private

CMS Certification Number241308

Location325 Eleventh AveTwo Harbors, MN 55616 · Lake County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55805 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.

DR. KYLIE ELIZABETH KRAFT MD

Family Medicine