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EMMANUEL ORTIZ ERESTAIN M.D.
NPI 1982055661
Internal Medicine in Woodbury, MN

Active since June 24, 2016PECOS EnrolledAccepts Medicare Assignment
88.26/100
CMS Quality Rating
8450 SEASONS PKWY, WOODBURY, MN 55125(651) 702-5300(651) 702-5305 Get Directions Write a Review

NPPES record last updated: January 17, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Aug 24, 2020, Jun 24, 2016 (2 updates tracked since 2016).

About Emmanuel Ortiz Erestain M.d. NPPES

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

EMMANUEL ORTIZ ERESTAIN M.D. (NPI 1982055661) is an individual internal medicine provider in Woodbury, Minnesota, licensed in Minnesota (66818) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS, is affiliated with Regions Hospital, and maintains a secondary practice location in Bemidji.

NPPES Registry Identity

NPI1982055661
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameEMMANUEL ORTIZ ERESTAINCredential: M.D.
Location Address8450 SEASONS PKWYWoodbury, MN 55125-4402
Mailing Address8170 33rd Ave S # Ms 21110qBloomington, MN 55425-4516
Phone(651) 702-5300
Fax(651) 702-5305
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateJune 24, 2016
Last NPPES UpdateJanuary 17, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 17, 2025
✔ NPI 1982055661 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MN · 66818
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.
8450 SEASONS PKWY, Woodbury, MN 55125
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Secondary Practice Location 1

Location 11233 34th St NWBemidji, MN 56601-5112 · Phone (218) 333-5000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, Medica, Security Health Plan.Insurance ›

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

Emmanuel Ortiz Erestain 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 ID2163715608
PECOS Enrollment IDI20200903003054
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.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
701 services255 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
84 services69 patients
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180
This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.
16 services15 patients

Hospital Affiliations CMS Care Compare

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

Regions Hospital

Acute Care Hospitals · Saint Paul, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240106
Location640 Jackson StreetSaint Paul, MN 55101 · Ramsey County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55125 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.

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.

88.26/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality100
Improvement Activities0
Cost99.21

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 suppliers19 claims43 services$6.27 avg. paid by Medicare
Humidifier, heated, used with positive airway pressure device E0562
DME-Other DME · category DE001N
1 supplier12 claims12 services$18.81 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
1 supplier12 claims12 services$50.45 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
1 supplier15 claims15 services$119.39 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 suppliers18 claims1,440 services$0.10 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
4 suppliers21 claims21 services$24.84 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.

DR. BRIDGETTE MARIE SURI MD
Pediatrics
8450 SEASONS PKWY
WOODBURY, MN 55125
Washington County (651) 702-5300
ALICIA MARIE OSTERMAN KEMP M.D.
Pediatrics
8450 SEASONS PKWY
WOODBURY, MN 55125
Washington County (651) 702-5300
DALE J MEYER MD
Internal Medicine
8450 SEASONS PKWY, MAIL STOP 32900A
WOODBURY, MN 55125
Washington County (651) 702-5300
CHELSEY PRALL DO
Pediatrics
8450 SEASONS PKWY
WOODBURY, MN 55125
Washington County (651) 702-5300
KATELYN ELIZABETH KLIMSTRA M.D.
Obstetrics & Gynecology
8450 SEASONS PKWY
WOODBURY, MN 55125
Washington County (651) 702-5300
ROBIN SHULTZ PA-C
Physician Assistant
8450 SEASONS PKWY
WOODBURY, MN 55125
Washington County (952) 853-8800
RUBY LEIGH RUSSELL
Obstetrics & Gynecology
8450 SEASONS PKWY
WOODBURY, MN 55125
Washington County (651) 702-5300
MARLEN MIDTHUNE
Family Medicine
8450 SEASONS PKWY
WOODBURY, MN 55125
Washington County (952) 967-7975

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 Emmanuel Erestain's NPI number?

The NPI number for Emmanuel Erestain is 1982055661. It was assigned to this individual provider in the NPPES registry on June 24, 2016.

Where is Emmanuel Erestain located?

Emmanuel Erestain practices at 8450 Seasons Pkwy, Woodbury, MN 55125. The listed phone number is (651) 702-5300.

What is Emmanuel Erestain's specialty?

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

Is Emmanuel Erestain enrolled in Medicare?

Yes. Emmanuel Erestain 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.

What insurance does Emmanuel Erestain accept?

Health plans from HealthPartners, Medica and Security Health Plan list Emmanuel Erestain 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 Emmanuel Erestain affiliated with any hospitals?

According to CMS data, Emmanuel Erestain is affiliated with Regions Hospital.

When was this NPI record last updated?

The NPPES record for Emmanuel Erestain was last updated on January 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.