DR. PAUL B. SANFORD MD
NPI 1649221052
Internal Medicine in Duluth, MN

Active since May 12, 2006PECOS EnrolledAccepts Medicare Assignment
1001 E SUPERIOR ST, SUITE L401, DULUTH, MN 55802(218) 249-7960(218) 249-7997 Get Directions Write a Review

NPPES record last updated: January 31, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Paul B. Sanford Md NPPES

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

DR. PAUL B. SANFORD MD (NPI 1649221052) is an individual internal medicine provider in Duluth, Minnesota, licensed in Minnesota (34672) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with St Lukes Hospital, and is a graduate of University Of Minnesota Medical School (1988).

NPPES Registry Identity

NPI1649221052
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. PAUL B. SANFORDCredential: MD
Location Address1001 E SUPERIOR ST, SUITE L401Duluth, MN 55802-2207
Mailing Address1001 E Superior St, Suite L401Duluth, MN 55802-2207 · (218) 249-7960 · Fax (218) 249-7997
Fax(218) 249-7997
Sole ProprietorNo
Medical School CMSUniversity Of Minnesota Medical SchoolGraduated 1988
Enumeration DateMay 12, 2006
Last NPPES UpdateJanuary 31, 2017
NPI 1649221052 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in MN · 34672
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

1001 E SUPERIOR ST, Duluth, MN 55802

Other Identifiers 2

Medicare UPINE94357MN
Medicaid305565500MN

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

Dr. Paul B. Sanford 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 ID2860380474
PECOS Enrollment IDI20100330000873
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.
196 services143 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.
194 services117 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.
149 services149 patients

Hospital Affiliations CMS Care Compare 4

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

St Lukes Hospital

Acute Care Hospitals · Duluth, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240047
Location915 East 1st StreetDuluth, MN 55805 · St. Louis County
Emergency services Birthing friendly

Lake View Memorial Hospital

Critical Access Hospitals · Two Harbors, MN
OwnershipVoluntary non-profit - Private
CMS Certification Number241308
Location325 Eleventh AveTwo Harbors, MN 55616 · Lake County
Emergency services

Essentia Health Moose Lake

Critical Access Hospitals · Moose Lake, MN
OwnershipGovernment - Hospital District or Authority
CMS Certification Number241350
Location4572 County Road 61Moose Lake, MN 55767 · Carlton County
Emergency services Birthing friendly

Community Memorial Hospital

Critical Access Hospitals · Cloquet, MN
OwnershipVoluntary non-profit - Private
CMS Certification Number241364
Location512 Skyline BoulevardCloquet, MN 55720 · Carlton County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55802 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
$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 12

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
16 suppliers39 claims134 services$6.15 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
10 suppliers22 claims32 services$1.05 avg. paid by Medicare
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
3 suppliers14 claims1,500 services$1.75 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
6 suppliers11 claims11 services$59.31 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
8 suppliers14 claims14 services$18.37 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
7 suppliers18 claims100 services$1.95 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.

Physician Assistant
1001 E SUPERIOR ST, SUITE L201
DULUTH, MN 55802
Internal Medicine
1001 E SUPERIOR ST, SUITE L401
DULUTH, MN 55802
Hospitalist
1001 E SUPERIOR ST, SUITE L401
DULUTH, MN 55802
Internal Medicine (Hematology & Oncology)
1001 E SUPERIOR ST, STE. L101
DULUTH, MN 55802
Internal Medicine
1001 E SUPERIOR ST, STE L401
DULUTH, MN 55802
Nurse Practitioner
1001 E SUPERIOR ST, STE. 201
DULUTH, MN 55802
Nurse Practitioner (Family)
1001 E SUPERIOR ST, DULUTH
DULUTH, MN 55802
Nurse Practitioner
1001 E SUPERIOR ST, STE, L201
DULUTH, MN 55802

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 Sanford's NPI number?

The NPI number for Paul Sanford is 1649221052. It was assigned to this individual provider in the NPPES registry on May 12, 2006.

Where is Paul Sanford located?

Paul Sanford practices at 1001 E Superior St Suite L401, Duluth, MN 55802. The listed phone number is (218) 249-7960.

What is Paul Sanford's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Paul Sanford enrolled in Medicare?

Yes. Paul Sanford 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 Sanford accept?

Health plans from HealthPartners, Medica and Security Health Plan list Paul Sanford 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 Sanford affiliated with any hospitals?

According to CMS data, Paul Sanford is affiliated with St Lukes Hospital, Lake View Memorial Hospital, Essentia Health Moose Lake and Community Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Paul Sanford was last updated on January 31, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.