DR. ETHAN BURLINGAME DO
NPI 1457926842
Family Medicine in Duluth, MN
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
Specialties & Licenses
Accepted 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
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.
Medicare Billing Reassignments
2Medicare enrollment records show Ethan Burlingame reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Duluth, MN 55805
- Reassigned Medicare billing, Minnesota enrollment
- 513 clinicians in this Medicare group
Two Harbors, MN 55616
- Reassigned Medicare billing, Minnesota enrollment
- 95 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, MNLake View Memorial Hospital
Critical Access Hospitals · Two Harbors, MNPhysician 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.
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.
DULUTH, MN 55805
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 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.
Where is Ethan Burlingame located?
Ethan Burlingame practices at 330 N 8th Ave E, Duluth, MN 55805. The listed phone number is (218) 529-9122.
What is Ethan Burlingame's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Ethan Burlingame enrolled in Medicare?
Yes. Ethan Burlingame 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 Ethan Burlingame's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ethan Burlingame reassigns Medicare benefits to 2 organizations: St. Luke's Hospital Of Duluth (Duluth, MN) and Lake View Memorial Hospital, Inc (Two Harbors, 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 Ethan Burlingame's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Ethan Burlingame accept?
Health plans from Aspirus Health Plan, HealthPartners and Security Health Plan list Ethan Burlingame 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 Ethan Burlingame affiliated with any hospitals?
According to CMS data, Ethan Burlingame is affiliated with St Lukes Hospital and Lake View Memorial Hospital.
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 4 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.
# Dr. Ethan Burlingame, DO · NPI 1457926842
Family Medicine physician in Duluth, Minnesota. Individual provider, active in the CMS NPPES registry since May 26, 2021.
## Identity
- **NPI:** 1457926842 (Entity type: Individual)
- **Enumerated:** May 26, 2021
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 72718 (Minnesota)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 330 N 8TH AVE E, Duluth, MN 55805-2024
- **Phone:** (218) 529-9122
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): St. Luke's Hospital Of Duluth (NPI 1184678880, Duluth, MN); Lake View Memorial Hospital, Inc (NPI 1023067642, Two Harbors, MN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** At Still University Of Health Sciences, College Of Osteo Med, Kirksville, class of 2021
## Record status
- **NPPES last updated:** October 10, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1457926842) · Data from the CMS NPPES public registry.