NPPES file of Aug 9, 2026

Luke David Widstrom, D.O.

Sports Medicine (Family Medicine) Physician · Duluth, MN

Luke David Widstrom, D.O. is a sports medicine (family medicine) physician with a practice address in Duluth, Minnesota, and NPI 1366886053, issued on Apr 24, 2013. Check the license (Minnesota 58494, as entered in NPPES) on the Minnesota Board of Medical Practice; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1366886053
Name
Luke David Widstrom
Credential
D.O.
Primary taxonomy
Sports Medicine (Family Medicine) Physician 207QS0010X
License numbers
58494 MN
TL.0006261 CO
Self-reported in NPPES; status is on the state search
Practice location
400 East Third Street, Duluth, MN 55805
Phone
(218) 786-8364
Enumerated
Apr 24, 2013
Record last updated
May 3, 2018 (not updated in 8 years: call before relying on the address or phone)
Medicare enrollment
Enrolled (PECOS I20141003000768); accepts Medicare assignment
Telehealth
Offers telehealth (CMS)
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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8 nearest sports medicine (family medicine) physician records → All 100 in Minnesota → Look up another NPI →

Also registered at 400 East Third Street

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Maria Beaver, MDAnatomic Pathology & Clinical Pathology Physician1215256409
  2. Barbara Boehm, PSY.D, LPPsychologist1902052103
  3. Timothy Borden, D.O.Hospice and Palliative Medicine (Emergency Medicine) Physician1043416209
  4. Sarah Daggett, CPNPPediatric Nurse Practitioner1336304971
  5. Michele Davis, APRN, CNPAdult Health Nurse Practitioner1104250257
  6. Wilson GineteInterventional Cardiology Physician1922055607

Verify Luke David Widstrom in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersMinnesota Board of Medical Practice
    Search for license 58494    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the Minnesota license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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92% fewer Medicare Part D claims than the average sports medicine (family medicine) physician in 2024

69 Medicare Part D claims for 44 beneficiaries, against an average of 855 among the 2,237 providers of this specialty who prescribed in Part D. 15 claims were for opioids.

  1. Luke Widstrom69
  2. Specialty average855

Most prescribed

  1. Meloxicam18 claims
  2. Oxycodone Hcl14 claims
  3. Prednisone11 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

Bills Medicare through 2 group practices

  1. Polinsky Medical Rehabilitation CenterDuluth, MN
  2. The Duluth Clinic LtdVirginia, MN

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Luke David Widstrom among 100 sports medicine (family medicine) physician records in Minnesota

Luke David Widstrom, D.O. is one of 100 sports medicine (family medicine) physician records with a practice address in Minnesota. 93% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2013, is newer than 63% of them.

  • NPI issued2013 · 63% of these records are older, 35% newer
  • In a Medicare fileYes · 93% of these records are
  • In the CMS Doctors and Clinicians fileYes · 92% of these records are
  • Graduated2013 · median 2009 among the 92 with a school on file
  • Record last updated2018 · 58% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207QS0010X and a Minnesota practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Sports Medicine (Family Medicine) Physician providers in Minnesota

There are 100 sports medicine (family medicine) physician records in Minnesota.

All 100 in Minnesota → Every provider in Duluth → Sports Medicine (Family Medicine) Physician nationwide →

The 8 sports medicine (family medicine) physician records with the nearest ZIP codes

  1. Janus ButcherDuluth, MN 558051588610992
  2. Daniel Diaz, DODuluth, MN 558051770997884
  3. Heather Grothe, MDDuluth, MN 558051245598275
  4. Stephen HarringtonDuluth, MN 558051154498848
  5. Douglas HoffmanDuluth, MN 558051841228301
  6. Lee Kenyon, DODuluth, MN 558051942688833
  7. Wade LillegardDuluth, MN 558051497790547
  8. Daniel MarkDuluth, MN 558051972539955

Common questions

What is Luke David Widstrom, D.O.'s NPI number?

Luke David Widstrom, D.O.'s National Provider Identifier (NPI) is 1366886053, issued on Apr 24, 2013. An NPI identifies a provider in billing; it is not a license.

Where is Luke David Widstrom, D.O. located?

The NPPES record lists a practice address at 400 East Third Street, Duluth, MN, 55805. Phone: (218) 786-8364. Providers update this record themselves, so call before visiting.

How can I verify Luke David Widstrom, D.O.'s license?

NPPES lists Minnesota license number 58494, as entered by the provider. Search the Minnesota Board of Medical Practice at https://mn.gov/boards/medical-practice/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Luke David Widstrom, D.O. prescribe under Medicare Part D?

In 2024, Luke David Widstrom, D.O. had 69 Medicare Part D claims for 44 beneficiaries; the average among sports medicine (family medicine) physician prescribers was 855. Part D covers Medicare prescriptions only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Written with AI tools from the named public files; every figure is computed from those files (how it is made).

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.