DR. STACEY LYNN GUTMAN M.D.
NPI 1730447251
Surgery in Cloquet, MN

Q: What is Stacey Gutman's NPI number?

The NPI number for Stacey Gutman is 1730447251. It was assigned to this individual provider in the NPPES registry on May 3, 2012.

Q: What is Stacey Gutman's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Stacey Gutman was last updated on September 25, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 03, 2012PECOS EnrolledAccepts Medicare Assignment

98.06/100

CMS Quality Rating

512 SKYLINE BLVD STE 1, CLOQUET, MN 55720(218) 879-4641(218) 878-7081 Get Directions Write a Review

NPPES record last updated: September 25, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 25, 2024, Jul 21, 2022, Mar 17, 2018 and 1 more (4 updates tracked since 2017).

On this page

About Dr. Stacey Lynn Gutman M.d. NPPES

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

DR. STACEY LYNN GUTMAN M.D. (NPI 1730447251) is an individual surgery provider in Cloquet, Minnesota, licensed in Minnesota (77119) and active in the NPI registry since May 2012. She is enrolled in Medicare PECOS, is affiliated with Community Memorial Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1730447251

Entity TypeIndividualFemale

Primary Taxonomy208600000X

Provider Legal NameDR. STACEY LYNN GUTMANCredential: M.D.

Location Address512 SKYLINE BLVD STE 1Cloquet, MN 55720-1199

Mailing Address24 Miles Center WayDamariscotta, ME 04543-4067 · (207) 563-4252 · Fax (759) 323-6840

Phone(218) 879-4641

Fax(218) 878-7081

Sole ProprietorNo

Medical School CMSUniversity Of Kentucky College Of MedicineGraduated 2012

Enumeration DateMay 3, 2012

Last NPPES UpdateSeptember 25, 20244 updates tracked since enumeration

NPPES CertifiedSeptember 25, 2024

✔ NPI 1730447251 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

Licenses✔ Licensed in MN · 77119✔ Licensed in KY · R2933✔ Licensed in ME · MD21753

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.

512 SKYLINE BLVD STE 1, Cloquet, MN 55720

Open in Google Maps ↗

Secondary Practice Locations 3

Location 1181 Franklin Health CommonsFarmington, ME 04938 · Phone (207) 778-6579 · Fax (207) 778-6409

Location 2800 Rose StreetLexington, KY 40536 · Phone (859) 323-6762 · Fax (759) 323-6840

Location 324 Miles Center WayDamariscotta, ME 04543-4067 · Phone (207) 563-4252

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Security Health Plan.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. Stacey Lynn Gutman 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 ID9739498585

PECOS Enrollment IDI20240705001751

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.

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 55720 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

$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.

98.06/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

86.13

Promoting Interoperability

100

Improvement Activities

Leave this field empty

Other Providers at the Same Location NPPES 13

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

ALI REZA ARBABI MD

Family Medicine