MARY MOE TRITES MD
NPI 1912906017
Family Medicine in Spring Park, MN

Q: What is Mary Trites's NPI number?

The NPI number for Mary Trites is 1912906017. It was assigned to this individual provider in the NPPES registry on July 20, 2005.

Q: What is Mary Trites's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Mary Trites was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since July 20, 2005PECOS Enrolled

4695 SHORELINE DR, SPRING PARK, MN 55384(952) 442-7890(952) 442-7893 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Mary Moe Trites Md NPPES

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

MARY MOE TRITES MD (NPI 1912906017) is an individual family medicine provider in Spring Park, Minnesota, licensed in Minnesota (29003) and active in the NPI registry since July 2005. She is enrolled in Medicare PECOS, is affiliated with United Hospital District, and is a graduate of University Of Minnesota Medical School (1983).

NPPES Registry Identity

NPI1912906017

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameMARY MOE TRITESCredential: MD

Location Address4695 SHORELINE DRSpring Park, MN 55384-9715

Mailing Address4695 Shoreline DrSpring Park, MN 55384-9715 · (952) 442-7890 · Fax (952) 442-7893

Phone(952) 442-7890

Fax(952) 442-7893

Sole ProprietorNo

Medical School CMSUniversity Of Minnesota Medical SchoolGraduated 1983

Enumeration DateJuly 20, 2005

Last NPPES UpdateJuly 8, 2007

✔ NPI 1912906017 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 · 29003

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.

4695 SHORELINE DR, Spring Park, MN 55384

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Other Identifiers 2

Medicare UPINA96201MN

Medicaid113080300MN

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)

Mary Moe Trites Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9234127275

PECOS Enrollment IDI20040506000258

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.

United Hospital District

Critical Access Hospitals · Blue Earth, MN

OwnershipGovernment - Hospital District or Authority

CMS Certification Number241369

Location515 South Moore StreetBlue Earth, MN 56013 · Faribault County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55384 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 6

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

4 suppliers78 claims116 services$5.57 avg. paid by Medicare

Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each A4352

DME-Orthotic Devices · category DF008N

1 supplier12 claims1,080 services$5.10 avg. paid by Medicare

Lubricant, per ounce A4402

DME-Orthotic Devices · category DF010N

1 supplier12 claims72 services$1.54 avg. paid by Medicare

Walker, heavy duty, wheeled, rigid or folding, any type E0149

DME-Other DME · category DE000N

1 supplier11 claims11 services$11.64 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

3 suppliers16 claims16 services$116.35 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

2 suppliers16 claims16 services$22.72 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 14

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

DR. JULIE A DEJONG M.D.

Family Medicine