Dustin J Nowotny, DO - Medicare General Surgery in Fargo, ND

Dustin J Nowotny, DO is a medicare enrolled "Surgery" physician in Fargo, North Dakota. He went to Midwestern University, Chicago College Of Osteopathic Med and graduated in 2017 and has 7 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice St Marys Regional Health Center, Innovis Health Llc and his current practice location is 3000 32nd Ave S, Fargo, North Dakota. You can reach out to his office (for appointments etc.) via phone at (701) 364-8000.

Dustin J Nowotny is licensed to practice in North Dakota (license number 18674) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1669992384.

Contact Information

Dustin J Nowotny, DO
3000 32nd Ave S,
Fargo, ND 58103-6132
(701) 364-8000
Not Available

Map and Direction




Physician's Profile

Full NameDustin J Nowotny
GenderMale
SpecialityGeneral Surgery
Experience7 Years
Location3000 32nd Ave S, Fargo, North Dakota
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dustin J Nowotny attended and graduated from Midwestern University, Chicago College Of Osteopathic Med in 2017
  NPI Data:
  • NPI Number: 1669992384
  • Provider Enumeration Date: 06/23/2017
  • Last Update Date: 08/16/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 1355608621
  • Enrollment ID: I20220721001481

Medical Identifiers

Medical identifiers for Dustin J Nowotny such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1669992384NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery 18674 (North Dakota)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Essentia HealthFargo, NDHospital
Essentia Health St Marys - Detroit LakesDetroit lakes, MNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
St Marys Regional Health Center2062326820159
Innovis Health Llc9931298155478

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dustin J Nowotny allows following entities to bill medicare on his behalf.
Entity NameAltru Health System
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043309552
PECOS PAC ID: 1355251604
Enrollment ID: O20031111000714
Entity NameInnovis Health Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1215125463
PECOS PAC ID: 9931298155
Enrollment ID: O20071211000158

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dustin J Nowotny is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dustin J Nowotny, DO
1702 University Dr S,
Fargo, ND 58103-4940

Ph: (701) 364-8000
Dustin J Nowotny, DO
3000 32nd Ave S,
Fargo, ND 58103-6132

Ph: (701) 364-8000

Reviews and Comments


Surgery Doctors in Fargo, ND

Dre Steinwehr,
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Roxanne V Newman, MD
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Steven E Briggs, MD
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Johanna R Askegard, M.D.
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Practice Location: 801 Broadway N, Fargo, ND 58102
Phone: 701-234-3467    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.