CLAIRE R CAMPBELL M.D.
NPI 1497109755
Family Medicine in Duluth, MN

Active since April 22, 2016PECOS EnrolledAccepts Medicare Assignment
4621 E SUPERIOR ST, DULUTH, MN 55804(218) 786-3550 Get Directions Write a Review

NPPES record last updated: September 13, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 13, 2022, Aug 18, 2021, Aug 22, 2019 (3 updates tracked since 2019).

About Claire R Campbell M.d. NPPES

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

CLAIRE R CAMPBELL M.D. (NPI 1497109755) is an individual family medicine provider in Duluth, Minnesota, licensed in Minnesota (69806) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS, is affiliated with Essentia Health St Mary's Medical Center, and maintains a secondary practice location in Brainerd.

NPPES Registry Identity

NPI1497109755
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameCLAIRE R CAMPBELLCredential: M.D.
Location Address4621 E SUPERIOR STDuluth, MN 55804-2338
Mailing Address1702 University Dr SFargo, ND 58103-4940
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateApril 22, 2016
Last NPPES UpdateSeptember 13, 20223 updates tracked since enumeration
NPPES CertifiedSeptember 13, 2022
NPI 1497109755 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in MN · 69806 Licensed in VT · 042.0014507
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.

4621 E SUPERIOR ST, Duluth, MN 55804

Secondary Practice Location 1

Location 12024 S 6th StBrainerd, MN 56401-4529 · Phone (218) 828-7101

Accepted 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

Claire R Campbell 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 ID7517256878
PECOS Enrollment IDI20210830002629
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 3

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.
71 services46 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.
52 services43 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.
16 services16 patients

Hospital Affiliations CMS Care Compare 2

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 Duluth

Acute Care Hospitals · Duluth, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240019
Location502 East Second StreetDuluth, MN 55805 · St. Louis County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55804 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.

Family Medicine
4621 E SUPERIOR ST
DULUTH, MN 55804
Physical Therapist
4621 E SUPERIOR ST
DULUTH, MN 55804
Physical Therapist
4621 E SUPERIOR ST
DULUTH, MN 55804
Physical Therapist
4621 E SUPERIOR ST
DULUTH, MN 55804
Family Medicine
4621 E SUPERIOR ST
DULUTH, MN 55804
Physical Therapist
4621 E SUPERIOR ST
DULUTH, MN 55804
Physical Therapist
4621 E SUPERIOR ST
DULUTH, MN 55804
Clinic/Center (Multi-Specialty)
4621 E SUPERIOR ST
DULUTH, MN 55804

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 Claire Campbell's NPI number?

The NPI number for Claire Campbell is 1497109755. It was assigned to this individual provider in the NPPES registry on April 22, 2016.

Where is Claire Campbell located?

Claire Campbell practices at 4621 E Superior St, Duluth, MN 55804. The listed phone number is (218) 786-3550.

What is Claire Campbell's specialty?

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

Is Claire Campbell enrolled in Medicare?

Yes. Claire Campbell 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 Claire Campbell accept?

Health plans from HealthPartners, Medica and Sanford Health Plan list Claire Campbell 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 Claire Campbell affiliated with any hospitals?

According to CMS data, Claire Campbell is affiliated with Essentia Health St Mary's Medical Center and Essentia Health Duluth.

When was this NPI record last updated?

The NPPES record for Claire Campbell was last updated on September 13, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.