DEBORAH S DITTBERNER M.D. - NPI 1801876776 - Family Medicine in Crystal, MN

Q: What is the provider's specialty?

The provider's specialty is Family Medicine with taxonomy code 207Q00000X.

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About Deborah S Dittberner M.d. NPPES

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

DEBORAH S DITTBERNER M.D. (NPI 1801876776) is an individual family medicine provider in Crystal, Minnesota, licensed in Minnesota (36264) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS, maintains a secondary practice location in Alexandria, and is a graduate of University Of Minnesota Medical School (1992).

NPPES Registry Identity

NPI1801876776

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameDEBORAH S DITTBERNERCredential: M.D.

Location Address5200 DOUGLAS DR NCrystal, MN 55429-3104

Mailing Address15021 Spring Lake Rd NwMiltona, MN 56354-8306 · (320) 491-8981

Phone(888) 290-1209

Fax(833) 973-3527

Sole ProprietorNo

Medical School CMSUniversity Of Minnesota Medical SchoolGraduated 1992

Enumeration DateJanuary 18, 2006

Last NPPES UpdateJuly 23, 20252 updates tracked since enumeration

NPPES CertifiedJuly 23, 2025

✔ NPI 1801876776 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 · 36264

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.

5200 DOUGLAS DR N, Crystal, MN 55429

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Secondary Practice Location 1

Location 1610 30th Ave W, Alexandria ClinicAlexandria, MN 56308-3426 · Phone (320) 763-5123 · Fax (320) 763-7883

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

Deborah S Dittberner 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 ID6002729860

PECOS Enrollment IDI20100105000304

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 55429 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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

3 suppliers12 claims31 services$5.53 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

2 suppliers12 claims52 services$2.38 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

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