Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Dr. Luke David Widstrom, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1366886053

Dr. Luke David Widstrom, DO practises Sports Medicine in Duluth, Minnesota. Qualified in 2013, 13 years ago. Practices with The Duluth Clinic Ltd, a 1,127-clinician group and accepts Medicare assignment. Licensed in Colorado and Minnesota.

Years since qualifying
13
Licensed in
CO, MN
In the registry since
2013
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Duluth, MN

No coordinates on file. Search this address in Google Maps

Specialties & licences

Sports Medicine (Family Medicine) Physician (primary) Taxonomy 207QS0010X · Licence 58494 (MN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence TL.0006261 (CO)

Record details

NPI number1366886053
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 24, 2013
Last updated in NPPESMay 3, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtySPORTS MEDICINE
Also practisesFAMILY PRACTICE
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice The Duluth Clinic Ltd — 1127 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients277
Services billed 1,052 a service is one billed item, such as a visit, a test or a procedure
Average patient age70

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician. Those with a page here are linked.

Colleagues at The Duluth Clinic Ltd

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 1127 clinicians in the practice; 12 are shown here.

Other providers in Duluth