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CHARLES K DUNHAM MD
NPI 1720016264
Family Medicine in Shoreview, MN

Active since June 30, 2006PECOS Enrolled
83.53/100
CMS Quality Rating
4194 LEXINGTON AVE N, SHOREVIEW, MN 55126(651) 483-5461 Get Directions Write a Review

NPPES record last updated: January 23, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Charles K Dunham Md NPPES

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

CHARLES K DUNHAM MD (NPI 1720016264) is an individual family medicine provider in Shoreview, Minnesota, licensed in Minnesota (18149) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720016264
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameCHARLES K DUNHAMCredential: MD
Location Address4194 LEXINGTON AVE NShoreview, MN 55126-6106
Mailing Address2925 Chicago AveMinneapolis, MN 55407-1321 · (612) 262-5000
Phone(651) 483-5461
Sole ProprietorNo
Enumeration DateJune 30, 2006
Last NPPES UpdateJanuary 23, 2023
NPPES CertifiedJanuary 23, 2023
✔ NPI 1720016264 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 · 18149
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.
4194 LEXINGTON AVE N, Shoreview, MN 55126
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Other Identifiers 1

Medicaid023273400MN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Charles K Dunham 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.

Areas of Expertise CMS Part B claims 5

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 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.
79 services77 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
32 services31 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
24 services24 patients
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.
21 services20 patients
Blood test, basic group of blood chemicals (calcium, ionized) 80047
A basic group of blood chemicals test, including calcium and ionized, is a simple procedure where a small amount of blood is drawn from your arm. This test helps assess your body's overall health and detect potential disorders like kidney disease or bone disease.
16 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55126 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.

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.

JOHN PAUL LUNDGREN MD
Family Medicine
4194 LEXINGTON AVE N
SHOREVIEW, MN 55126
Ramsey County (651) 483-5461
MRS. BARBARA ANN LEAFBLAD RN-CNM
Advanced Practice Midwife
4194 LEXINGTON AVE N, ARLINA MEDICAL CLINIC - SHOREVIEW
SHOREVIEW, MN 55126
Ramsey County (651) 483-5461
LIZABETH KAKU MD
Family Medicine
4194 LEXINGTON AVE N
SHOREVIEW, MN 55126
Ramsey County (651) 483-5461
NATHANAEL PAUL SHULL
Physician Assistant
4194 LEXINGTON AVE N
SHOREVIEW, MN 55126
Ramsey County (651) 483-5461
DR. KIMBERLY A FISCHER MD
Obstetrics & Gynecology
4194 LEXINGTON AVE N
SHOREVIEW, MN 55126
Ramsey County (651) 483-5461
BRANDY LEE UTTER MD
Family Medicine
4194 LEXINGTON AVE N
SHOREVIEW, MN 55126
Ramsey County (651) 483-5461
JEFFREY NELSON M.D.
Family Medicine
4194 LEXINGTON AVE N
SHOREVIEW, MN 55126
Ramsey County (612) 804-2522
HILLARY CASEY
Social Worker (Clinical)
4194 LEXINGTON AVE N
SHOREVIEW, MN 55126
Ramsey County (651) 483-5461

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 Charles Dunham's NPI number?

The NPI number for Charles Dunham is 1720016264. It was assigned to this individual provider in the NPPES registry on June 30, 2006.

Where is Charles Dunham located?

Charles Dunham practices at 4194 Lexington Ave N, Shoreview, MN 55126. The listed phone number is (651) 483-5461.

What is Charles Dunham's specialty?

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

Is Charles Dunham enrolled in Medicare?

Yes. Charles Dunham is registered in the Medicare PECOS enrollment system.

What insurance does Charles Dunham accept?

Health plans from Medica list Charles Dunham 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.

When was this NPI record last updated?

The NPPES record for Charles Dunham was last updated on January 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.