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STEPHEN R HIETALA MD
NPI 1710905351
Family Medicine in Perham, MN

Active since July 18, 2006PECOS Enrolled
665 3RD ST SW, PERHAM, MN 56573(218) 347-1200(218) 346-4043 Get Directions Write a Review

NPPES record last updated: November 17, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Stephen R Hietala Md NPPES

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

STEPHEN R HIETALA MD (NPI 1710905351) is an individual family medicine provider in Perham, Minnesota, licensed in Minnesota (28147) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1710905351
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameSTEPHEN R HIETALACredential: MD
Location Address665 3RD ST SWPerham, MN 56573-1108
Mailing Address665 3rd St SwPerham, MN 56573-1108 · (218) 347-1200 · Fax (218) 346-4043
Phone(218) 347-1200
Fax(218) 346-4043
Sole ProprietorNo
Enumeration DateJuly 18, 2006
Last NPPES UpdateNovember 17, 2011
✔ NPI 1710905351 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 · 28147
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.

665 3RD ST SW, Perham, MN 56573
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Other Identifiers 2

Medicare UPIND48649
Medicare PIN080005898MN

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stephen R Hietala Md 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 56573 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 9

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

DR. RICHARD W MASUR MD
Emergency Medicine
665 3RD ST SW
PERHAM, MN 56573
Otter Tail County (218) 346-4500
COREY L NYHUS MD
Family Medicine
665 3RD ST SW
PERHAM, MN 56573
Otter Tail County (218) 347-1200
JEFFREY L BLICKENSTAFF MD
Family Medicine
665 3RD ST SW
PERHAM, MN 56573
Otter Tail County (218) 346-4040
MRS. RONICA MARIE WAHL NP
Nurse Practitioner (Family)
665 3RD ST SW
PERHAM, MN 56573
Otter Tail County (218) 844-5890
DUANE WALLACE RPH
Pharmacist
665 3RD ST SW
PERHAM, MN 56573
Otter Tail County (218) 346-1169
DR. AMY MARIE VOGT PHARM D.
Pharmacist
665 3RD ST SW, SUITE 100
PERHAM, MN 56573
Otter Tail County (218) 346-4550
MARISA LEA ZUTTER DNP
Nurse Practitioner (Family)
665 3RD ST SW
PERHAM, MN 56573
Otter Tail County (218) 371-6117
PERHAM HOSPITAL DISTRICT
Family Medicine
665 3RD ST SW
PERHAM, MN 56573
Otter Tail County (218) 347-1200

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 Stephen Hietala's NPI number?

The NPI number for Stephen Hietala is 1710905351. It was assigned to this individual provider in the NPPES registry on July 18, 2006.

Where is Stephen Hietala located?

Stephen Hietala practices at 665 3rd St SW, Perham, MN 56573. The listed phone number is (218) 347-1200.

What is Stephen Hietala's specialty?

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

Is Stephen Hietala enrolled in Medicare?

Yes. Stephen Hietala is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Stephen Hietala was last updated on November 17, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.