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DR. WALDO AVELLO M.D.
NPI 1922057322
Internal Medicine - Gastroenterology in Duluth, MN

Active since May 10, 2006PECOS EnrolledAccepts Medicare Assignment
1012 E 2ND ST, DULUTH, MN 55805(218) 249-7940(218) 249-7949 Get Directions Write a Review

NPPES record last updated: July 9, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 9, 2024, Jul 11, 2023, Feb 1, 2017 (3 updates tracked since 2017).

About Dr. Waldo Avello M.d. NPPES

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

DR. WALDO AVELLO M.D. (NPI 1922057322) is an individual gastroenterology provider in Duluth, Minnesota, licensed in Minnesota (45321) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Essentia Health St Mary's Medical Center, and maintains a secondary practice location in Kalamazoo.

NPPES Registry Identity

NPI1922057322
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDR. WALDO AVELLOCredential: M.D.
Location Address1012 E 2ND STDuluth, MN 55805-2200
Mailing Address1012 E 2nd StDuluth, MN 55805-2200 · (218) 249-7940 · Fax (218) 249-7949
Phone(218) 249-7940
Fax(218) 249-7949
Sole ProprietorNo
Medical School CMSOtherGraduated 1978
Enumeration DateMay 10, 2006
Last NPPES UpdateJuly 9, 20243 updates tracked since enumeration
NPPES CertifiedJuly 9, 2024
✔ NPI 1922057322 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
Licenses✔ Licensed in MN · 45321✔ Licensed in MT · 127832✔ Licensed in MI · EMC0005005
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
1012 E 2ND ST, Duluth, MN 55805
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Secondary Practice Location 1

Location 1601 John St Ste M-302Kalamazoo, MI 49007-5357 · Phone (269) 349-2266

Other Identifiers 2

Other100017212MN · Medicare Rr
Medicaid527402800MN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of North Dakota, CareSource (Common Ground Healthcare).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. Waldo Avello 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 ID6800939240
PECOS Enrollment IDI20100216000640, I20230606001397
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.

Medicare Billing Reassignments

6

Medicare enrollment records show Waldo Avello reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

St. Luke's Hospital Of Duluth
Same address
Emergency Medicine
1012 E 2ND ST
Duluth, MN 55805
  • Reassigned Medicare billing, Minnesota and Wisconsin enrollments
  • Also billed through NPI 1497904064 (Wisconsin)
  • 513 clinicians in this Medicare group
NPI 1023062791 (218) 249-5555
The Duluth Clinic, Ltd
0.5 mi
Multi-Specialty
1502 LONDON RD STE 102
Duluth, MN 55812
  • Reassigned Medicare billing, Minnesota enrollment
  • 1,460 clinicians in this Medicare group
NPI 1275839193 (218) 576-0100
Innovis Health, LLC.
219 mi
Family Medicine
275 11TH ST S
Wahpeton, ND 58075
  • Reassigned Medicare billing, North Dakota enrollment
  • 617 clinicians in this Medicare group
NPI 1790965440 (701) 642-2000
Aurora Medical Group, Inc.
298 mi
Clinic/Center
2414 KOHLER MEMORIAL DR
Sheboygan, WI 53081
  • Reassigned Medicare billing, Wisconsin enrollment
  • 4,609 clinicians in this Medicare group
NPI 1174670244 (920) 457-4461
Bronson Methodist Hospital
447 mi
Hospitalist
601 JOHN STREET
Kalamazoo, MI 49007
  • Reassigned Medicare billing, Michigan enrollment
  • 1,133 clinicians in this Medicare group
NPI 1417961137 (269) 341-7654
Benefis Hospitals, Inc.
903 mi
General Acute Care Hospital
1101 26TH ST S
Great Falls, MT 59405
  • Reassigned Medicare billing, Montana enrollment
  • 637 clinicians in this Medicare group
NPI 1881650737 (406) 455-5000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 8

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.

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
22 services22 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
20 services20 patients
Insertion of guide wire with dilation of esophagus using a flexible endoscope 43248
This is a procedure where a thin tube, called an endoscope, is gently passed through your mouth into your esophagus. A guide wire is then inserted to help widen any narrow areas. This helps improve swallowing and reduce discomfort.
16 services16 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
16 services15 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
14 services14 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
13 services13 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Essentia Health St Mary's Medical Center

Acute Care Hospitals · Duluth, MN
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240002
Location402 East Second StreetDuluth, MN 55805 · St. Louis County
Emergency services Birthing friendly

Essentia Health

Acute Care Hospitals · Fargo, ND
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number350070
Location3000 32nd Ave SouthFargo, ND 58104 · Cass County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55805 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
$127.61 typical visit price
range $56.00 – $168.28
Typical copayment $31.90 (range $14.00 – $42.07)
Most-billed visit code 99204
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.

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.

ST. LUKE'S HOSPITAL OF DULUTH
Emergency Medicine
1012 E 2ND ST
DULUTH, MN 55805
St. Louis County (218) 249-5555
JOSEPH BENERT MD
Orthopaedic Surgery (Sports Medicine)
1012 E 2ND ST
DULUTH, MN 55805
St. Louis County (218) 249-5555
KEVIN JOHN DALPIAZ PA-C
Physician Assistant
1012 E 2ND ST
DULUTH, MN 55805
St. Louis County (218) 249-6360
SARA LYNNE SIMONSON PA-C
Physician Assistant
1012 E 2ND ST
DULUTH, MN 55805
St. Louis County (218) 249-2450
CAMERON DAVID JOHNSON DO
Emergency Medicine
1012 E 2ND ST
DULUTH, MN 55805
St. Louis County (218) 249-5555
JORDAN BLESSING MD
Pediatrics
1012 E 2ND ST
DULUTH, MN 55805
St. Louis County (218) 249-7870
DANIEL DAVID FREEMAN MD
Emergency Medicine
1012 E 2ND ST
DULUTH, MN 55805
St. Louis County (218) 249-5616
LAURA GLAUS PA-C
Physician Assistant
1012 E 2ND ST
DULUTH, MN 55805
St. Louis County (218) 249-6360

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 Waldo Avello's NPI number?

The NPI number for Waldo Avello is 1922057322. It was assigned to this individual provider in the NPPES registry on May 10, 2006.

Where is Waldo Avello located?

Waldo Avello practices at 1012 E 2nd St, Duluth, MN 55805. The listed phone number is (218) 249-7940.

What is Waldo Avello's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Waldo Avello enrolled in Medicare?

Yes. Waldo Avello 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 organizations bill Medicare for Waldo Avello's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Waldo Avello reassigns Medicare benefits to 6 organizations: St. Luke's Hospital Of Duluth (Duluth, MN), The Duluth Clinic, Ltd (Duluth, MN), Innovis Health, LLC. (Wahpeton, ND), Aurora Medical Group, Inc. (Sheboygan, WI), Bronson Methodist Hospital (Kalamazoo, MI) and 1 more organization, listed in the Medicare section above. Each 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 Waldo Avello's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Waldo Avello accept?

Health plans from Blue Cross Blue Shield of North Dakota and CareSource (Common Ground Healthcare) list Waldo Avello 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 Waldo Avello affiliated with any hospitals?

According to CMS data, Waldo Avello is affiliated with Essentia Health St Mary's Medical Center and Essentia Health.

When was this NPI record last updated?

The NPPES record for Waldo Avello was last updated on July 9, 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.