DR. STACEY LYNN GUTMAN M.D.
NPI 1730447251
Surgery in Cloquet, MN
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 St Lukes Hospital, and maintains 3 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignment
Medicare enrollment records show Stacey Gutman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Cloquet, MN 55720
- Reassigned Medicare billing, Minnesota enrollment
- 93 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
St Lukes Hospital
Acute Care Hospitals · Duluth, MNCommunity Memorial Hospital
Critical Access Hospitals · Cloquet, MNPhysician 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.
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.
Other Providers at the Same Location NPPES 12
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CLOQUET, MN 55720
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 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.
Where is Stacey Gutman located?
Stacey Gutman practices at 512 Skyline Blvd Ste 1, Cloquet, MN 55720. The listed phone number is (218) 879-4641.
What is Stacey Gutman's specialty?
The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.
Is Stacey Gutman enrolled in Medicare?
Yes. Stacey Gutman 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.
Which organization bills Medicare for Stacey Gutman's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Stacey Gutman reassigns Medicare benefits to Community Memorial Hospital Association (Cloquet, MN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Stacey Gutman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Stacey Gutman accept?
Health plans from Security Health Plan list Stacey Gutman 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 Stacey Gutman affiliated with any hospitals?
According to CMS data, Stacey Gutman is affiliated with St Lukes Hospital and Community Memorial Hospital.
When was this NPI record last updated?
The NPPES record for Stacey Gutman was last updated on September 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Dr. Stacey Lynn Gutman, M.D. · NPI 1730447251
Surgery physician in Cloquet, Minnesota. Individual provider, active in the CMS NPPES registry since May 3, 2012.
## Identity
- **NPI:** 1730447251 (Entity type: Individual)
- **Enumerated:** May 3, 2012
- **Primary specialty:** Surgery · taxonomy 208600000X
- **State license:** 77119 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 512 SKYLINE BLVD STE 1, Cloquet, MN 55720-1199
- **Phone:** (218) 879-4641 · **Fax:** (218) 878-7081
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Community Memorial Hospital Association (NPI 1003869082, Cloquet, MN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Kentucky College Of Medicine, class of 2012
## Record status
- **NPPES last updated:** September 25, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1730447251) · Data from the CMS NPPES public registry.