DAVID PETERSON TETZLAFF MD
NPI 1245290329
Pediatrics in Minneapolis, MN

Active since March 24, 2006PECOS EnrolledAccepts Medicare Assignment
83.53/100
CMS Quality Rating
920 E 28TH ST, SUITE190, MINNEAPOLIS, MN 55407(612) 863-1893 Get Directions Write a Review

NPPES record last updated: October 13, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About David Peterson Tetzlaff Md NPPES

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

DAVID PETERSON TETZLAFF MD (NPI 1245290329) is an individual pediatrics provider in Minneapolis, Minnesota, licensed in Minnesota (42365) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Abbott Northwestern Hospital, and is a graduate of University Of Minnesota Medical School (1998).

NPPES Registry Identity

NPI1245290329
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDAVID PETERSON TETZLAFFCredential: MD
Location Address920 E 28TH ST, SUITE190Minneapolis, MN 55407-1139
Mailing AddressPo Box 43, Mr 10809Minneapolis, MN 55440-0043 · (612) 262-4813 · Fax (612) 262-4194
Sole ProprietorNo
Medical School CMSUniversity Of Minnesota Medical SchoolGraduated 1998
Enumeration DateMarch 24, 2006
Last NPPES UpdateOctober 13, 2025
NPPES CertifiedOctober 13, 2025
NPI 1245290329 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License Licensed in MN · 42365
Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

920 E 28TH ST, Minneapolis, MN 55407

Other Identifiers 1

Medicaid617637200MN

Accepted 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

David Peterson Tetzlaff Md 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 ID1658307442
PECOS Enrollment IDI20050713000290
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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
90 services47 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
68 services32 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
32 services32 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
20 services20 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
20 services19 patients

Hospital Affiliations CMS Care Compare

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

Abbott Northwestern Hospital

Acute Care Hospitals · Minneapolis, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240057
Location800 East 28th StreetMinneapolis, MN 55407 · Hennepin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55407 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.

83.53/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.79
Promoting Interoperability100
Improvement Activities40
Cost63.31

Referred Medical Equipment & Supplies CMS DME claims

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

Iv pole E0776
DME-Other DME · category DE000N
1 supplier11 claims11 services$4.13 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.

Internal Medicine (Pulmonary Disease)
920 E 28TH ST, SUITE 700
MINNEAPOLIS, MN 55407
Physician Assistant
920 E 28TH ST, STE. 400
MINNEAPOLIS, MN 55407
Internal Medicine
920 E 28TH ST, SUITE 190
MINNEAPOLIS, MN 55407
Internal Medicine
920 E 28TH ST, SUITE 190
MINNEAPOLIS, MN 55407
Surgery
920 E 28TH ST, SUITE 300
MINNEAPOLIS, MN 55407
Internal Medicine (Pulmonary Disease)
920 E 28TH ST, SUITE 700
MINNEAPOLIS, MN 55407
Surgery (Vascular Surgery)
920 E 28TH ST, SUITE 300
MINNEAPOLIS, MN 55407
Surgery (Vascular Surgery)
920 E 28TH ST
MINNEAPOLIS, MN 55407

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 David Tetzlaff's NPI number?

The NPI number for David Tetzlaff is 1245290329. It was assigned to this individual provider in the NPPES registry on March 24, 2006.

Where is David Tetzlaff located?

David Tetzlaff practices at 920 E 28th St Suite190, Minneapolis, MN 55407. The listed phone number is (612) 863-1893.

What is David Tetzlaff's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is David Tetzlaff enrolled in Medicare?

Yes. David Tetzlaff 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 David Tetzlaff accept?

Health plans from Medica list David Tetzlaff 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 David Tetzlaff affiliated with any hospitals?

According to CMS data, David Tetzlaff is affiliated with Abbott Northwestern Hospital.

When was this NPI record last updated?

The NPPES record for David Tetzlaff was last updated on October 13, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.