Mark Kenneth Widstrom
Obstetrics & Gynecology Physician · Duluth, MN
Mark Kenneth Widstrom is an obstetrics & gynecology physician with a practice address in Duluth, Minnesota, and NPI 1689692758, issued on Jul 17, 2006. Check the license (Minnesota 45497, as entered in NPPES) on the Minnesota Board of Medical Practice; the Medicare figures below come from public CMS files.
- Name
- Mark Kenneth Widstrom
- Primary taxonomy
- Obstetrics & Gynecology Physician 207V00000X
- License number
- 45497 MN
Self-reported in NPPES; status is on the state search - Practice location
- 400 E 3RD St, Duluth, MN 55805
- Phone
- (218) 786-8364
- Enumerated
- Jul 17, 2006
- Record last updated
- May 9, 2011 (not updated in 15 years: call before relying on the address or phone)
- Medicaid IDs
- 34348400 WI
542440200 MN - Medicare enrollment
- Enrolled (PECOS I20040210000684); accepts Medicare assignment
- Medical or professional school
- University Of Minnesota Medical School, 1993
- Entity
- Type 1 · individual
8 nearest obstetrics & gynecology physician records → All 878 in Minnesota → Look up another NPI →
Also registered at 400 E 3RD St
A shared address usually means a shared clinic or building; it does not show who employs whom.
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Verify Mark Kenneth Widstrom in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersMinnesota Board of Medical Practice
Search for license 45497Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
30% more Medicare Part D claims than the average obstetrics & gynecology physician in 2024
214 Medicare Part D claims for 82 beneficiaries, against an average of 165 among the 28,733 providers of this specialty who prescribed in Part D. 25 claims were for opioids.
Most prescribed
- Estradiol62 claims
- Oxycodone Hcl20 claims
- Myrbetriq12 claims
- Ibuprofen11 claims
- Norethindrone Acetate11 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
- Polinsky Medical Rehabilitation CenterDuluth, MN
- The Duluth Clinic LtdDuluth, MN
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Mark Kenneth Widstrom among 878 obstetrics & gynecology physician records in Minnesota
Mark Kenneth Widstrom is one of 878 obstetrics & gynecology physician records with a practice address in Minnesota. 73% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 12% of them.
- NPI issued2006 · 12% of these records are older, 49% newer
- In a Medicare fileYes · 73% of these records are
- In the CMS Doctors and Clinicians fileYes · 65% of these records are
- Graduated1993 · median 2007 among the 569 with a school on file
- Record last updated2011 · 60% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207V00000X and a Minnesota practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Obstetrics & Gynecology Physician providers in Minnesota
There are 878 obstetrics & gynecology physician records in Minnesota.
All 878 in Minnesota → Every provider in Duluth → Obstetrics & Gynecology Physician nationwide →
The 8 obstetrics & gynecology physician records with the nearest ZIP codes
- Stephen BloomDuluth, MN 558051245269695
- Jennifer Boyle, MDDuluth, MN 558051073582375
- Irene CarrDuluth, MN 558051437194735
- Susan Goltz, MDDuluth, MN 558051811966500
- Scott JohnsonDuluth, MN 558051063445922
- James KobersteinDuluth, MN 558051396785986
- Michael Laberge, M.D.Duluth, MN 558051902844715
- Melissa Miller, MDDuluth, MN 558051235108366
Common questions
What is Mark Kenneth Widstrom's NPI number?
Mark Kenneth Widstrom's National Provider Identifier (NPI) is 1689692758, issued on Jul 17, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Mark Kenneth Widstrom located?
The NPPES record lists a practice address at 400 E 3RD St, Duluth, MN, 55805. Phone: (218) 786-8364. Providers update this record themselves, so call before visiting.
How can I verify Mark Kenneth Widstrom's license?
NPPES lists Minnesota license number 45497, 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 Mark Kenneth Widstrom prescribe under Medicare Part D?
In 2024, Mark Kenneth Widstrom had 214 Medicare Part D claims for 82 beneficiaries; the average among obstetrics & gynecology physician prescribers was 165. 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.
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.