BRENT D. DUMERMUTH M.D.
NPI 1639136880
Obstetrics & Gynecology in Coon Rapids, MN

Active since April 28, 2006PECOS EnrolledAccepts Medicare Assignment
83.53/100
CMS Quality Rating
11850 BLACKFOOT ST NW, SUITE 300, COON RAPIDS, MN 55433(763) 236-9236 Get Directions Write a Review

NPPES record last updated: September 28, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 28, 2022, Dec 23, 2015, Dec 16, 2015 (3 updates tracked since 2015).

About Brent D. Dumermuth M.d. NPPES

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

BRENT D. DUMERMUTH M.D. (NPI 1639136880) is an individual obstetrics & gynecology provider in Coon Rapids, Minnesota, licensed in Minnesota (58926) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Mercy Hospital, and maintains a secondary practice location in Buffalo.

NPPES Registry Identity

NPI1639136880
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameBRENT D. DUMERMUTHCredential: M.D.
Location Address11850 BLACKFOOT ST NW, SUITE 300Coon Rapids, MN 55433-2578
Mailing Address2925 Chicago AveMinneapolis, MN 55407-1321 · (612) 262-2166
Sole ProprietorNo
Medical School CMSMedical College Of WisconsinGraduated 2005
Enumeration DateApril 28, 2006
Last NPPES UpdateSeptember 28, 20223 updates tracked since enumeration
NPPES CertifiedSeptember 28, 2022
NPI 1639136880 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License Licensed in MN · 58926
Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

11850 BLACKFOOT ST NW, Coon Rapids, MN 55433

Secondary Practice Location 1

Location 1303 Catlin StBuffalo, MN 55313-1947 · Phone (763) 786-6011 · Fax (763) 684-6165

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

Brent D. Dumermuth 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 ID2163570029
PECOS Enrollment IDI20150528000422
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.

Hospital Affiliations CMS Care Compare

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

Mercy Hospital

Acute Care Hospitals · Coon Rapids, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240115
Location4050 Coon Rapids BlvdCoon Rapids, MN 55433 · Anoka County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55433 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
$127.61 typical visit price
range $56.00 – $168.28
Typical copayment $31.90 (range $14.00 – $42.07)
Most-billed visit code 99204
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

83.53/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.79
Promoting Interoperability100
Improvement Activities40
Cost63.31

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.

Nurse Practitioner
11850 BLACKFOOT ST NW, SUITE 100
COON RAPIDS, MN 55433
Specialist
11850 BLACKFOOT ST NW, SUITE 490
COON RAPIDS, MN 55433
Neurological Surgery
11850 BLACKFOOT ST NW, SUITE 490
COON RAPIDS, MN 55433
Obstetrics & Gynecology (Gynecologic Oncology)
11850 BLACKFOOT ST NW, SUITE 100
COON RAPIDS, MN 55433
Internal Medicine (Medical Oncology)
11850 BLACKFOOT ST NW, SUITE 100
COON RAPIDS, MN 55433
Genetic Counselor, MS
11850 BLACKFOOT ST NW, SUITE 130
COON RAPIDS, MN 55433
Specialist/Technologist (Athletic Trainer)
11850 BLACKFOOT ST NW
MINNEAPOLIS, MN 55433
Internal Medicine (Hematology & Oncology)
11850 BLACKFOOT ST NW, SUITE 100
COON RAPIDS, MN 55433

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1639136880, enumerated as an "individual" on April 28, 2006.

The provider is located at 11850 BLACKFOOT ST NW SUITE 300 COON RAPIDS, MN 55433 and the phone number is (763) 236-9236.

Obstetrics & Gynecology with taxonomy code 207V00000X.

The provider might be accepting Accepts: HealthPartners and Medica. Please consult your insurance carrier or call the provider to verify.

Brent Dumermuth is affiliated with: MERCY HOSPITAL.