GLEN H RUDOLPH M.D.
NPI 1124258223
Orthopaedic Surgery in Duluth, MN

Q: What is Glen Rudolph's NPI number?

The NPI number for Glen Rudolph is 1124258223. It was assigned to this individual provider in the NPPES registry on July 23, 2009.

Q: What is Glen Rudolph's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Q: When was this NPI record last updated?

The NPPES record for Glen Rudolph was last updated on March 12, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 23, 2009PECOS EnrolledAccepts Medicare Assignment

1000 E 1ST ST STE 404, DULUTH, MN 55805(218) 722-5513(218) 722-6515 Get Directions Write a Review

NPPES record last updated: March 12, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 12, 2019, Feb 19, 2019 (2 updates tracked since 2019).

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About Glen H Rudolph M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GLEN H RUDOLPH M.D. (NPI 1124258223) is an individual orthopaedic surgery provider in Duluth, Minnesota, licensed in Minnesota (50713) and active in the NPI registry since July 2009. He is enrolled in Medicare PECOS, is affiliated with University Medical Center-mesabi/ Mesaba Clinics, and is a graduate of University Of Minnesota Medical School (2006).

NPPES Registry Identity

NPI1124258223

Entity TypeIndividualMale

Primary Taxonomy207X00000X

Provider Legal NameGLEN H RUDOLPHCredential: M.D.

Location Address1000 E 1ST ST STE 404Duluth, MN 55805-2297

Mailing Address1000 E 1st St Ste 404Duluth, MN 55805-2297 · (218) 722-5513 · Fax (218) 722-6515

Phone(218) 722-5513

Fax(218) 722-6515

Sole ProprietorNo

Medical School CMSUniversity Of Minnesota Medical SchoolGraduated 2006

Enumeration DateJuly 23, 2009

Last NPPES UpdateMarch 12, 20192 updates tracked since enumeration

✔ NPI 1124258223 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207X00000X

Licenses✔ Licensed in MN · 50713✔ Licensed in WI · 55776

Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

1000 E 1ST ST STE 404, Duluth, MN 55805

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, Medica, Sanford Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Glen H Rudolph M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5092964445

PECOS Enrollment IDI20190207000534

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 11

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

202 services35 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

48 services35 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

42 services35 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

34 services34 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

30 services24 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

26 services22 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

University Medical Center-Mesabi/ Mesaba Clinics

Acute Care Hospitals · Hibbing, MN

OwnershipVoluntary non-profit - Other

CMS Certification Number240040

Location750 East 34th StHibbing, MN 55746 · St. Louis County

Birthing friendly

St Lukes Hospital

Acute Care Hospitals · Duluth, MN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number240047

Location915 East 1st StreetDuluth, MN 55805 · St. Louis County

Emergency services Birthing friendly

Grand Itasca Clinic And Hospital

Acute Care Hospitals · Grand Rapids, MN

OwnershipVoluntary non-profit - Private

CMS Certification Number240064

Location1601 Golf Course RoadGrand Rapids, MN 55744 · Itasca County

Emergency services Birthing friendly

Rainy Lake Medical Center

Critical Access Hospitals · International Falls, MN

OwnershipVoluntary non-profit - Private

CMS Certification Number241322

Location1400 Highway 71International Falls, MN 56649 · Koochiching County

Emergency services

Community Memorial Hospital

Critical Access Hospitals · Cloquet, MN

OwnershipVoluntary non-profit - Private

CMS Certification Number241364

Location512 Skyline BoulevardCloquet, MN 55720 · Carlton County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55805 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$85.82 typical visit price

range $56.00 – $168.28

Typical copayment $21.45 (range $14.00 – $42.07)

Most-billed visit code 99203

Established Patient

$69.74 typical visit price

range $18.32 – $138.04

Typical copayment $17.43 (range $4.58 – $34.51)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HAKAN BINEK PA-C

Physician Assistant (Surgical)