Kelsey Lee Hultman, M.D.
NPI 1760774574ActiveIndividual· Family Medicine· Forest Lake, MN
Family Medicine (M.D.) in Forest Lake, Minnesota, trained at University of Minnesota Medical School (class of 2011). Their prescriptions cost Medicare Part D more than their services did: $89,826 for 1,826 claims, against $14,583 paid for services in 2024.
Overview
| NPI | 1760774574 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | Yes |
| NPI issued | May 11, 2011 |
| Last updated in NPPES | Nov 10, 2020 |
| Certified by provider | Nov 10, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | 55319 | MN |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Family Practice (MN); Practitioner - Family Practice (WI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 39 |
|---|---|
| Services billed | 305 across 44 procedure codes |
| Paid by Medicare | $14,583 |
Part D prescriptions in 2024
| Prescriptions (claims) | 1,826 · 3,302 30-day fills |
|---|---|
| Patients | 134 |
| Total drug cost | $89,826 |
| Generic share | 92% of claims |
Education and affiliations
| Medical school | University of Minnesota Medical School |
|---|---|
| Graduation year | 2011 |
| Medicare specialty | Family Practice |
| Telehealth | Offers telehealth |
Medical group
- St. Croix Regional Medical CenterLindstrom, MN · 131 clinicians
Hospital affiliation
- St Croix Regional Medical CenterSaint Croix Falls, WI
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 18 family medicine physicians in Forest Lake · All family medicine physicians in Minnesota