ETHAN LESTER CLINE DO
NPI 1619814951
Pediatrics in Rochester, MN

Active since May 04, 2026PECOS Enrolled
200 1ST ST SW, ROCHESTER, MN 55905(507) 284-2511 Get Directions Write a Review

NPPES record last updated: May 14, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 14, 2026, May 4, 2026 (2 updates tracked since 2026).

About Ethan Lester Cline Do NPPES

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

ETHAN LESTER CLINE DO (NPI 1619814951) is an individual pediatrics provider in Rochester, Minnesota, licensed in Minnesota (36376) and active in the NPI registry since May 2026. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619814951
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameETHAN LESTER CLINECredential: DO
Location Address200 1ST ST SWRochester, MN 55905-0001
Mailing AddressPo Box 860912Minneapolis, MN 55486-0912 · (507) 284-2511 · Fax (507) 284-0702
Sole ProprietorNo
Enumeration DateMay 4, 2026
Last NPPES UpdateMay 14, 20262 updates tracked since enumeration
NPPES CertifiedMay 14, 2026
NPI 1619814951 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License Licensed in MN · 36376
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
200 1ST ST SW, Rochester, MN 55905

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Ethan Lester Cline Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55905 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.

Internal Medicine
200 1ST ST SW
ROCHESTER, MN 55905
Pathology (Clinical Pathology/Laboratory Medicine)
200 1ST ST SW
ROCHESTER, MN 55905
Nurse Practitioner
200 1ST ST SW
ROCHESTER, MN 55905
Nurse Practitioner
200 1ST ST SW
ROCHESTER, MN 55905
Optometrist
200 1ST ST SW
ROCHESTER, MN 55905
Psychologist
200 1ST ST SW
ROCHESTER, MN 55905
Nurse Anesthetist, Certified Registered
200 1ST ST SW
ROCHESTER, MN 55905
Internal Medicine (Endocrinology, Diabetes & Metabolism)
200 1ST ST SW
ROCHESTER, MN 55905

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 Cline's NPI number?

The NPI number for Ethan Cline is 1619814951. It was assigned to this individual provider in the NPPES registry on May 4, 2026.

Where is Ethan Cline located?

Ethan Cline practices at 200 1st St SW, Rochester, MN 55905. The listed phone number is (507) 284-2511.

What is Ethan Cline's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Ethan Cline enrolled in Medicare?

Yes. Ethan Cline is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ethan Cline was last updated on May 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.