DUSTIN J. NOWOTNY D.O.
NPI 1669992384
Surgery in Fargo, ND

Active since June 23, 2017PECOS EnrolledAccepts Medicare Assignment
3000 32ND AVE S, FARGO, ND 58103(701) 364-8000 Get Directions Write a Review

NPPES record last updated: August 16, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 16, 2022, Aug 1, 2022, Jul 18, 2022 and 2 more (5 updates tracked since 2017).

About Dustin J. Nowotny D.o. NPPES

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

DUSTIN J. NOWOTNY D.O. (NPI 1669992384) is an individual surgery provider in Fargo, North Dakota, licensed in North Dakota (18674) and active in the NPI registry since June 2017. He is enrolled in Medicare PECOS, is affiliated with Essentia Health St Marys - Detroit Lakes, and is a graduate of Midwestern University College Of Dental Medicine, Downers Grove (2017).

NPPES Registry Identity

NPI1669992384
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDUSTIN J. NOWOTNYCredential: D.O.
Location Address3000 32ND AVE SFargo, ND 58103-6132
Mailing Address1702 University Dr SFargo, ND 58103-4940 · (701) 364-8000
Sole ProprietorNo
Medical School CMSMidwestern University College Of Dental Medicine, Downers GroveGraduated 2017
Enumeration DateJune 23, 2017
Last NPPES UpdateAugust 16, 20225 updates tracked since enumeration
NPPES CertifiedAugust 16, 2022
NPI 1669992384 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in ND · 18674
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
3000 32ND AVE S, Fargo, ND 58103

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

Dustin J. Nowotny D.o. 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 ID1355608621
PECOS Enrollment IDI20220721001481
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 7

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.
78 services70 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
62 services62 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
54 services51 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
53 services36 patients
Removal of gallbladder using an endoscope 47562
This procedure, known as endoscopic gallbladder removal, involves a surgeon using a special tool called an endoscope to remove your gallbladder through small incisions. It's typically done to treat gallstones and related complications. It's a less invasive method, often leading to quicker recovery.
18 services18 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.
15 services14 patients

Hospital Affiliations CMS Care Compare 2

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

Essentia Health St Marys - Detroit Lakes

Acute Care Hospitals · Detroit Lakes, MN
OwnershipVoluntary non-profit - Church
CMS Certification Number240101
Location1027 Washington AveDetroit Lakes, MN 56501 · Becker County
Birthing friendly

Essentia Health

Acute Care Hospitals · Fargo, ND
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number350070
Location3000 32nd Ave SouthFargo, ND 58104 · Cass County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 58103 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
$85.71 typical visit price
range $55.75 – $168.12
Typical copayment $21.42 (range $13.93 – $42.03)
Most-billed visit code 99203
Established Patient
$69.48 typical visit price
range $18.11 – $137.65
Typical copayment $17.37 (range $4.52 – $34.41)
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.

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.

Obstetrics & Gynecology
3000 32ND AVE S
FARGO, ND 58103
Radiology (Diagnostic Radiology)
3000 32ND AVE S
FARGO, ND 58103
Occupational Therapist
3000 32ND AVE S
FARGO, ND 58103
Internal Medicine (Cardiovascular Disease)
3000 32ND AVE S
FARGO, ND 58103
Pharmacist
3000 32ND AVE S
FARGO, ND 58103
Surgery
3000 32ND AVE S
FARGO, ND 58103
Nurse Practitioner (Adult Health)
3000 32ND AVE S
FARGO, ND 58103
Hospitalist
3000 32ND AVE S
FARGO, ND 58103

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 Dustin Nowotny's NPI number?

The NPI number for Dustin Nowotny is 1669992384. It was assigned to this individual provider in the NPPES registry on June 23, 2017.

Where is Dustin Nowotny located?

Dustin Nowotny practices at 3000 32nd Ave S, Fargo, ND 58103. The listed phone number is (701) 364-8000.

What is Dustin Nowotny's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Dustin Nowotny enrolled in Medicare?

Yes. Dustin Nowotny 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 Dustin Nowotny accept?

Health plans from Blue Cross Blue Shield of North Dakota, Medica and Sanford Health Plan list Dustin Nowotny 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 Dustin Nowotny affiliated with any hospitals?

According to CMS data, Dustin Nowotny is affiliated with Essentia Health St Marys - Detroit Lakes and Essentia Health.

When was this NPI record last updated?

The NPPES record for Dustin Nowotny was last updated on August 16, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.