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LEE KIEDROWSKI MD
NPI 1962997338
Family Medicine in Bismarck, ND

Active since June 27, 2018PECOS EnrolledAccepts Medicare Assignment
73.87/100
CMS Quality Rating
701 E ROSSER AVE, BISMARCK, ND 58501(701) 751-9500(701) 751-9508 Get Directions Write a Review

NPPES record last updated: June 27, 2018. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Lee Kiedrowski Md NPPES

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

LEE KIEDROWSKI MD (NPI 1962997338) is an individual family medicine provider in Bismarck, North Dakota, licensed in North Dakota (RL15208) and active in the NPI registry since June 2018. He is enrolled in Medicare PECOS, is affiliated with Mckenzie County Healthcare Systems Inc, and is a graduate of University Of North Dakota School Of Medicine (2018).

NPPES Registry Identity

NPI1962997338
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameLEE KIEDROWSKICredential: MD
Location Address701 E ROSSER AVEBismarck, ND 58501-4461
Mailing Address701 E Rosser AveBismarck, ND 58501-4461 · (701) 751-9500 · Fax (701) 751-9508
Phone(701) 751-9500
Fax(701) 751-9508
Sole ProprietorNo
Medical School CMSUniversity Of North Dakota School Of MedicineGraduated 2018
Enumeration DateJune 27, 2018
✔ NPI 1962997338 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in ND · RL15208
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.
701 E ROSSER AVE, Bismarck, ND 58501
Open in Google Maps ↗

Other Identifiers 1

Medicaid12083ND

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of North Dakota, Sanford Health Plan.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

Lee Kiedrowski Md 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 ID5890107429
PECOS Enrollment IDI20201223001300
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

4

Medicare enrollment records show Lee Kiedrowski reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

St. Alexius Medical Center
1.1 mi
Specialist
900 E BROADWAY AVE
Bismarck, ND 58501
  • Reassigned Medicare billing, North Dakota enrollment
  • 616 clinicians in this Medicare group
NPI 1205868429 (701) 530-7000
St. Joseph's Hospital And Health Center
94 mi
Surgery
45 8TH ST W
Dickinson, ND 58601
  • Reassigned Medicare billing, North Dakota enrollment
  • 401 clinicians in this Medicare group
NPI 1073745279 (701) 456-4000
Mckenzie County Healthcare Systems Inc
100 mi
Family Medicine
1002 18TH AVE SE STE C
Minot, ND 58701
  • Reassigned Medicare billing, North Dakota enrollment
  • Also billed through NPI 1518988948 (North Dakota)
  • 108 clinicians in this Medicare group
NPI 1053127548 (701) 857-6010
Mercy Hospital Of Devils Lake
127 mi
Clinic/Center
425 COLLEGE DR S STE 14
Devils Lake, ND 58301
  • Reassigned Medicare billing, North Dakota enrollment
  • 102 clinicians in this Medicare group
NPI 1184117293 (701) 662-8662

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.

Mckenzie County Healthcare Systems Inc

Critical Access Hospitals · Watford City, ND
OwnershipVoluntary non-profit - Private
CMS Certification Number351302
Location709 4th Ave NEWatford City, ND 58854 · Mckenzie County
Emergency services

Jacobson Memorial Hospital Care Center

Critical Access Hospitals · Elgin, ND
OwnershipVoluntary non-profit - Private
CMS Certification Number351314
Location601 East St NElgin, ND 58533 · Grant County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 58501 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
$85.71 typical visit price
range $55.75 – $168.12
Typical copayment $21.42 (range $13.93 – $42.03)
Most-billed visit code 99203
Established Patient
$98.29 typical visit price
range $18.11 – $137.65
Typical copayment $24.57 (range $4.52 – $34.41)
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.

73.87/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality55.05
Improvement Activities40
Cost95.3

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.

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 suppliers12 claims12 services$118.60 avg. paid by Medicare
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620
DME-Drugs Administered Through DME · category DG006N
2 suppliers12 claims870 services$0.10 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 20

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

MONIKA POTHAMSETTI MD
Family Medicine
701 E ROSSER AVE
BISMARCK, ND 58501
Burleigh County (701) 751-9500
GABRIELLE TACHENKO AU.D.
Audiologist
701 E ROSSER AVE
BISMARCK, ND 58501
Burleigh County (701) 323-8550
WILLIAM G FLECK MD
Family Medicine
701 E ROSSER AVE
BISMARCK, ND 58501
Burleigh County (701) 751-9500
DR. WAAD ANTWAN MATTI HADDAD MD
Family Medicine
701 E ROSSER AVE
BISMARCK, ND 58501
Burleigh County (701) 751-9506
HAJRA FAROOQ MD
Family Medicine
701 E ROSSER AVE
BISMARCK, ND 58501
Burleigh County (701) 751-9500
DR. KARL VIDDAL M.D.
Family Medicine
701 E ROSSER AVE
BISMARCK, ND 58501
Burleigh County (701) 751-9500
WAYLON DECOTEAU MD
Family Medicine
701 E ROSSER AVE
BISMARCK, ND 58501
Burleigh County (701) 751-9500
BAILEE LASS DUNGAN AUD
Audiologist
701 E ROSSER AVE
BISMARCK, ND 58501
Burleigh County (701) 323-8921

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 Lee Kiedrowski's NPI number?

The NPI number for Lee Kiedrowski is 1962997338. It was assigned to this individual provider in the NPPES registry on June 27, 2018.

Where is Lee Kiedrowski located?

Lee Kiedrowski practices at 701 E Rosser Ave, Bismarck, ND 58501. The listed phone number is (701) 751-9500.

What is Lee Kiedrowski's specialty?

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

Is Lee Kiedrowski enrolled in Medicare?

Yes. Lee Kiedrowski 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 Lee Kiedrowski's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lee Kiedrowski reassigns Medicare benefits to 4 organizations: St. Alexius Medical Center (Bismarck, ND), St. Joseph's Hospital And Health Center (Dickinson, ND), Mckenzie County Healthcare Systems Inc (Minot, ND) and Mercy Hospital Of Devils Lake (Devils Lake, ND). 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 Lee Kiedrowski's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lee Kiedrowski accept?

Health plans from Blue Cross Blue Shield of North Dakota and Sanford Health Plan list Lee Kiedrowski 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 Lee Kiedrowski affiliated with any hospitals?

According to CMS data, Lee Kiedrowski is affiliated with Mckenzie County Healthcare Systems Inc and Jacobson Memorial Hospital Care Center.

When was this NPI record last updated?

The NPPES record for Lee Kiedrowski was last updated on June 27, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.