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DR. DOUGLAS MARK SODERBERG M.D.
NPI 1215997952
Obstetrics & Gynecology in Minneapolis, MN

Active since March 25, 2006PECOS EnrolledAccepts Medicare Assignment
5415 QUEEN AVE S, MINNEAPOLIS, MN 55410(612) 963-1367(612) 677-3324 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Douglas Mark Soderberg M.d. NPPES

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

DR. DOUGLAS MARK SODERBERG M.D. (NPI 1215997952) is an individual obstetrics & gynecology provider in Minneapolis, Minnesota, licensed in Minnesota (26672) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Minnesota Medical School (1980).

NPPES Registry Identity

NPI1215997952
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameDR. DOUGLAS MARK SODERBERGCredential: M.D.
Location Address5415 QUEEN AVE SMinneapolis, MN 55410-2530
Mailing Address5415 Queen Ave SMinneapolis, MN 55410-2530 · (612) 963-1367 · Fax (612) 677-3324
Phone(612) 963-1367
Fax(612) 677-3324
Sole ProprietorNo
Medical School CMSUniversity Of Minnesota Medical SchoolGraduated 1980
Enumeration DateMarch 25, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1215997952 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in MN · 26672
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
5415 QUEEN AVE S, Minneapolis, MN 55410
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Other Names 1

Professional Name (2)Dr. Douglas Mark Soderberg M.d.

Other Identifiers 1

Medicare UPINA95532MN

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Douglas Mark Soderberg 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 ID1557358066
PECOS Enrollment IDI20040427001347
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.

Medicare Billing Reassignments

5

Medicare enrollment records show Douglas Soderberg reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Fairview Health Services
1.5 mi
General Acute Care Hospital
6401 FRANCE AVE S
Edina, MN 55435
  • Reassigned Medicare billing, Minnesota enrollment
  • 4,038 clinicians in this Medicare group
NPI 1699752915 (952) 924-5000
County Of Meeker
51 mi
Rural Health
740 PARKER AVE W
Dassel, MN 55325
  • Reassigned Medicare billing, Minnesota enrollment
  • 125 clinicians in this Medicare group
NPI 1952555146 (320) 275-4330
Centracare Clinic Southwest LLC
86 mi
Multi-Specialty
101 WILLMAR AVE SW
Willmar, MN 56201
  • Reassigned Medicare billing, Minnesota enrollment
  • 236 clinicians in this Medicare group
NPI 1174106264 (320) 231-5000
Carris Health LLC
86 mi
Emergency Medicine
301 BECKER AVE SW
Willmar, MN 56201
  • Reassigned Medicare billing, Minnesota enrollment
  • 179 clinicians in this Medicare group
NPI 1134632680 (320) 235-4543
Astera Health
127 mi
Rural Health
210 1ST ST NW
Bertha, MN 56437
  • Reassigned Medicare billing, Minnesota enrollment
  • Also billed through NPI 1477545333 (Minnesota)
  • 187 clinicians in this Medicare group
NPI 1134115942 (218) 924-2250

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55410 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
$127.61 typical visit price
range $56.00 – $168.28
Typical copayment $31.90 (range $14.00 – $42.07)
Most-billed visit code 99204
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.

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 Douglas Soderberg's NPI number?

The NPI number for Douglas Soderberg is 1215997952. It was assigned to this individual provider in the NPPES registry on March 25, 2006. The provider is also known as Dr. Douglas Mark Soderberg M.D..

Where is Douglas Soderberg located?

Douglas Soderberg practices at 5415 Queen Ave S, Minneapolis, MN 55410. The listed phone number is (612) 963-1367.

What is Douglas Soderberg's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Douglas Soderberg enrolled in Medicare?

Yes. Douglas Soderberg 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.

Which organizations bill Medicare for Douglas Soderberg's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Douglas Soderberg reassigns Medicare benefits to 5 organizations: Fairview Health Services (Edina, MN), County Of Meeker (Dassel, MN), Centracare Clinic Southwest LLC (Willmar, MN), Carris Health LLC (Willmar, MN) and Astera Health (Bertha, MN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Douglas Soderberg's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Douglas Soderberg accept?

Health plans from HealthPartners and Sanford Health Plan list Douglas Soderberg 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.

When was this NPI record last updated?

The NPPES record for Douglas Soderberg was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.