MAX DUTKIN MD
NPI 1497166748
Family Medicine in Apple Valley, MN
About Max Dutkin Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MAX DUTKIN MD (NPI 1497166748) is an individual family medicine provider in Apple Valley, Minnesota, licensed in Minnesota (65682) and active in the NPI registry since May 2014. He is enrolled in Medicare PECOS and is a graduate of Other (2014).
NPPES Registry Identity
Specialties & Licenses
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
Max Dutkin Md 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 Reassignment
Medicare enrollment records show Max Dutkin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Apple Valley, MN 55124
- Reassigned Medicare billing, Minnesota enrollment
- 2,274 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.
Areas of Expertise CMS Part B claims 6
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55124 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.
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 Max Dutkin's NPI number?
The NPI number for Max Dutkin is 1497166748. It was assigned to this individual provider in the NPPES registry on May 8, 2014.
Where is Max Dutkin located?
Max Dutkin practices at 15290 Pennock Ln, Apple Valley, MN 55124. The listed phone number is (952) 853-8800.
What is Max Dutkin's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Max Dutkin enrolled in Medicare?
Yes. Max Dutkin 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 organization bills Medicare for Max Dutkin's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Max Dutkin reassigns Medicare benefits to Group Health, Inc. (Apple Valley, MN). The 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 Max Dutkin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Max Dutkin was last updated on May 3, 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.
# Max Dutkin, MD · NPI 1497166748
Family Medicine physician in Apple Valley, Minnesota. Individual provider, active in the CMS NPPES registry since May 8, 2014.
## Identity
- **NPI:** 1497166748 (Entity type: Individual)
- **Enumerated:** May 8, 2014
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 65682 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 15290 PENNOCK LN, Apple Valley, MN 55124-7163
- **Phone:** (952) 853-8800 · **Fax:** (952) 431-6966
## 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:** Group Health, Inc. (NPI 1073668877, Apple Valley, MN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2014
## Record status
- **NPPES last updated:** May 3, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1497166748) · Data from the CMS NPPES public registry.