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PAUL M KIETZMANN MD
NPI 1497880561
Family Medicine in Alexandria, MN

Active since February 22, 2007PECOS EnrolledAccepts Medicare Assignment
610 30TH AVE W, ALEXANDRIA, MN 56308(320) 763-5123(320) 763-5749 Get Directions Write a Review

NPPES record last updated: October 21, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Paul M Kietzmann Md NPPES

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

PAUL M KIETZMANN MD (NPI 1497880561) is an individual family medicine provider in Alexandria, Minnesota, licensed in Minnesota (49324) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS, is affiliated with Alomere Health, and is a graduate of University Of Minnesota Medical School (2005).

NPPES Registry Identity

NPI1497880561
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NamePAUL M KIETZMANNCredential: MD
Location Address610 30TH AVE WAlexandria, MN 56308-3426
Mailing Address610 30th Ave WAlexandria, MN 56308-3426 · (320) 763-5123 · Fax (320) 763-5749
Phone(320) 763-5123
Fax(320) 763-5749
Sole ProprietorNo
Medical School CMSUniversity Of Minnesota Medical SchoolGraduated 2005
Enumeration DateFebruary 22, 2007
Last NPPES UpdateOctober 21, 2024
NPPES CertifiedOctober 21, 2024
✔ NPI 1497880561 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 · 49324
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.
610 30TH AVE W, Alexandria, MN 56308
Open in Google Maps ↗

Other Identifiers 7

Other49324MN · State Medical License
OtherNA9121053818MN · Preferred One
Medicaid925198000MN
Other01-30293 149780561MN · Medica
OtherA086MN · Tri-care
Other1497880561Npi
OtherHP86106MN · Health Partners

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.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

Paul M Kietzmann 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.

PECOS PAC ID5294839916
PECOS Enrollment IDI20070404000619
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 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.
347 services139 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.
113 services113 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.
42 services30 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
37 services20 patients
Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment G0402
An Initial Preventive Physical Examination, also known as a "Welcome to Medicare" visit, is a one-time, face-to-face visit during your first 12 months of Medicare enrollment. It includes a review of your health, as well as education and counseling about preventive services and further screenings.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Alomere Health

Acute Care Hospitals · Alexandria, MN
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number240030
Location111 17th Avenue EastAlexandria, MN 56308 · Douglas County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 56308 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 10

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 suppliers18 claims25 services$5.81 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
7 suppliers20 claims20 services$39.19 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
6 suppliers12 claims12 services$92.94 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
5 suppliers11 claims28 services$35.36 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
4 suppliers12 claims12 services$64.90 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
7 suppliers13 claims13 services$22.75 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 20

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

JESSICA M BUTANIS DO
Internal Medicine
610 30TH AVE W
ALEXANDRIA, MN 56308
Douglas County (320) 763-5123
ANDREA M BOE MD
Internal Medicine
610 30TH AVE W
ALEXANDRIA, MN 56308
Douglas County (320) 759-2640
JUSTIN T CONLEY MD
Pediatrics
610 30TH AVE W
ALEXANDRIA, MN 56308
Douglas County (320) 763-5123
TIMOTHY F BUSIAN DO
Family Medicine
610 30TH AVE W
ALEXANDRIA, MN 56308
Douglas County (320) 763-5123
MICHAEL L BRISTOW DO
Family Medicine
610 30TH AVE W, ALEXANDRIA CLINIC
ALEXANDRIA, MN 56308
Douglas County (320) 763-5123
RACHEL LEE ARICKX FNP-C
Nurse Practitioner (Family)
610 30TH AVE W
ALEXANDRIA, MN 56308
Douglas County (320) 763-2540
ANDREW STORM BSN, RN
Registered Nurse (Addiction (Substance Use Disorder))
610 30TH AVE W
ALEXANDRIA, MN 56308
Douglas County (320) 763-2508
HEATHER RENEE LUCKEN SCHOLL FNP
Nurse Practitioner
610 30TH AVE W
ALEXANDRIA, MN 56308
Douglas County (320) 763-2540

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 Paul Kietzmann's NPI number?

The NPI number for Paul Kietzmann is 1497880561. It was assigned to this individual provider in the NPPES registry on February 22, 2007.

Where is Paul Kietzmann located?

Paul Kietzmann practices at 610 30th Ave W, Alexandria, MN 56308. The listed phone number is (320) 763-5123.

What is Paul Kietzmann's specialty?

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

Is Paul Kietzmann enrolled in Medicare?

Yes. Paul Kietzmann 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 Paul Kietzmann accept?

Health plans from Medica list Paul Kietzmann 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 Paul Kietzmann affiliated with any hospitals?

According to CMS data, Paul Kietzmann is affiliated with Alomere Health.

When was this NPI record last updated?

The NPPES record for Paul Kietzmann was last updated on October 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.