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SUSAN HOYUM M.D.
NPI 1134572092
Family Medicine in Hibbing, MN

Active since July 15, 2016PECOS EnrolledAccepts Medicare Assignment
95/100
CMS Quality Rating
3605 MAYFAIR AVE, HIBBING, MN 55746(218) 262-3441 Get Directions Write a Review

NPPES record last updated: September 17, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 17, 2019, Jul 15, 2016 (2 updates tracked since 2016).

About Susan Hoyum M.d. NPPES

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

SUSAN HOYUM M.D. (NPI 1134572092) is an individual family medicine provider in Hibbing, Minnesota, licensed in Minnesota (63324) and active in the NPI registry since July 2016. She is enrolled in Medicare PECOS, is affiliated with University Medical Center-mesabi/ Mesaba Clinics, and is a graduate of University Of Minnesota Medical School (2016).

NPPES Registry Identity

NPI1134572092
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameSUSAN HOYUMCredential: M.D.
Location Address3605 MAYFAIR AVEHibbing, MN 55746-2935
Mailing Address3605 Mayfair AveHibbing, MN 55746-2935 · (218) 262-3441
Phone(218) 262-3441
Sole ProprietorNo
Medical School CMSUniversity Of Minnesota Medical SchoolGraduated 2016
Enumeration DateJuly 15, 2016
Last NPPES UpdateSeptember 17, 20192 updates tracked since enumeration
✔ NPI 1134572092 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in MN · 63324✔ Licensed in ND · RL14217
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
3605 MAYFAIR AVE, Hibbing, MN 55746
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Other Identifiers 1

Medicaid12083ND

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.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

Susan Hoyum 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 ID2163763277
PECOS Enrollment IDI20190805002126
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 5

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.

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.
272 services88 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.
99 services66 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
53 services53 patients
Counseling visit to discuss need for lung cancer screening using low dose ct scan (ldct) (service is for eligibility determination and shared decision making) G0296
This visit involves discussing the necessity of a lung cancer screening using a low dose CT scan. It's a chance to determine if you're eligible for the test and to make an informed decision about proceeding. The scan can potentially detect lung cancer early, improving treatment outcomes.
13 services13 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
12 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55746 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
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

95/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality91.67
Promoting Interoperability100
Improvement Activities40
Cost75

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
7 suppliers50 claims103 services$6.46 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
5 suppliers11 claims18 services$1.13 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier13 claims13 services$6.10 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers17 claims17 services$101.51 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
2 suppliers15 claims15 services$36.30 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

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

DR. SHIH-AN JOHN HSIEH M.D.
Internal Medicine
3605 MAYFAIR AVE
HIBBING, MN 55746
St. Louis County (218) 262-3441
DR. LAUREN ELISABETH TOMLINSON MD
Pediatrics
3605 MAYFAIR AVE
HIBBING, MN 55746
St. Louis County (218) 362-6937
JANEAN MARIE MCCUE CNP
Nurse Practitioner (Adult Health)
3605 MAYFAIR AVE, FAIRVIEW MESABA CLINIC
HIBBING, MN 55746
St. Louis County (218) 262-3441
DR. MMILIAKU NWOYE
Obstetrics & Gynecology
3605 MAYFAIR AVE, MESABA CLINICS
HIBBING, MN 55746
St. Louis County (218) 262-3441
RANGE REGIONAL HEALTH SERVICES
Pharmacy (Community/Retail Pharmacy)
3605 MAYFAIR AVE
HIBBING, MN 55746
St. Louis County (218) 362-6937
DR. RICHARD JON RUDBERG M.D.
Family Medicine
3605 MAYFAIR AVE
HIBBING, MN 55746
St. Louis County (218) 262-3441
ANNE MARIE FLAIM NP
Nurse Practitioner
3605 MAYFAIR AVE
HIBBING, MN 55746
St. Louis County (218) 262-3441
KIMBERLY M. BIGELOW M.D.
Family Medicine
3605 MAYFAIR AVE
HIBBING, MN 55746
St. Louis County (218) 262-3441

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Susan Hoyum's NPI number?

The NPI number for Susan Hoyum is 1134572092. It was assigned to this individual provider in the NPPES registry on July 15, 2016.

Where is Susan Hoyum located?

Susan Hoyum practices at 3605 Mayfair Ave, Hibbing, MN 55746. The listed phone number is (218) 262-3441.

What is Susan Hoyum's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Susan Hoyum enrolled in Medicare?

Yes. Susan Hoyum is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Susan Hoyum accept?

Health plans from Medica list Susan Hoyum as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Susan Hoyum affiliated with any hospitals?

According to CMS data, Susan Hoyum is affiliated with University Medical Center-Mesabi/ Mesaba Clinics and St Lukes Hospital.

When was this NPI record last updated?

The NPPES record for Susan Hoyum was last updated on September 17, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.