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DR. LAURIE DUTKIEWICZ D.O
NPI 1952514143
Internal Medicine in Medford, OR

Active since May 07, 2007PECOS Enrolled
99.76/100
CMS Quality Rating
965 ELLENDALE DR, MEDFORD, OR 97504(541) 734-3430(541) 734-3638 Get Directions Write a Review

NPPES record last updated: September 24, 2020. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Sep 24, 2020, Mar 1, 2016, Feb 3, 2016 and 1 more (4 updates tracked since 2015).

About Dr. Laurie Dutkiewicz D.o NPPES

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

DR. LAURIE DUTKIEWICZ D.O (NPI 1952514143) is an individual internal medicine provider in Medford, Oregon, licensed in Oregon (DO153852) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1952514143
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. LAURIE DUTKIEWICZCredential: D.O
Location Address965 ELLENDALE DRMedford, OR 97504-8215
Mailing AddressPo Box 3158Portland, OR 97208-3158 · (541) 734-3430 · Fax (541) 734-3638
Phone(541) 734-3430
Fax(541) 734-3638
Sole ProprietorNo
Enumeration DateMay 7, 2007
Last NPPES UpdateSeptember 24, 20204 updates tracked since enumeration
NPPES CertifiedSeptember 24, 2020
✔ NPI 1952514143 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in OR · DO153852
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
965 ELLENDALE DR, Medford, OR 97504
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Other Identifiers 1

Medicaid500637941OR

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Laurie Dutkiewicz D.o is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Areas of Expertise CMS Part B claims 3

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
97 services94 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
72 services72 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
18 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97504 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
$126.25 typical visit price
range $54.96 – $166.64
Typical copayment $31.56 (range $13.74 – $41.66)
Most-billed visit code 99204
Established Patient
$97.16 typical visit price
range $17.68 – $136.19
Typical copayment $24.29 (range $4.42 – $34.04)
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.

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.

99.76/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality96.28
Promoting Interoperability100
Improvement Activities40

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.

DR. ALAN J. WEBB M.D.
Orthopaedic Surgery
965 ELLENDALE DR
MEDFORD, OR 97504
Jackson County (541) 734-3430
EVELYN L HENRY MD
Internal Medicine
965 ELLENDALE DR
MEDFORD, OR 97504
Jackson County (541) 732-6000
TERRACE R MUCHA M.D.
Family Medicine
965 ELLENDALE DR
MEDFORD, OR 97504
Jackson County (541) 734-3430
HEATHER C ROBINSON DPT
Physical Therapist
965 ELLENDALE DR
MEDFORD, OR 97504
Jackson County (541) 734-3450
DR. TODD A. WINTER MD
Internal Medicine
965 ELLENDALE DR
MEDFORD, OR 97504
Jackson County (541) 734-3430
SUBHECHCHHA SHAH MD
Family Medicine
965 ELLENDALE DR
MEDFORD, OR 97504
Jackson County (541) 732-6000
DR. JAYRUS FRANCIS SIMBULAN SOLIMAN M.D.
Internal Medicine
965 ELLENDALE DR
MEDFORD, OR 97504
Jackson County (541) 732-6000
DANIEL R BRANDENBURG MD
Internal Medicine
965 ELLENDALE DR
MEDFORD, OR 97504
Jackson County (541) 732-6000

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 Laurie Dutkiewicz's NPI number?

The NPI number for Laurie Dutkiewicz is 1952514143. It was assigned to this individual provider in the NPPES registry on May 7, 2007.

Where is Laurie Dutkiewicz located?

Laurie Dutkiewicz practices at 965 Ellendale Dr, Medford, OR 97504. The listed phone number is (541) 734-3430.

What is Laurie Dutkiewicz's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Laurie Dutkiewicz enrolled in Medicare?

Yes. Laurie Dutkiewicz is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Laurie Dutkiewicz was last updated on September 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.