DAVID PETERSON TETZLAFF MD
NPI 1245290329
Pediatrics in Minneapolis, MN
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
Specialties & Licenses
Other Identifiers 1
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
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.
Medicare Billing Reassignments
3Medicare enrollment records show David Tetzlaff reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Minneapolis, MN 55407
- Reassigned Medicare billing, Minnesota enrollment
- 3,733 clinicians in this Medicare group
Minneapolis, MN 55404
- Reassigned Medicare billing, Minnesota enrollment
- Medicare enrollment name: Children's Health Care
- 551 clinicians in this Medicare group
St. Paul, MN 55101
- Reassigned Medicare billing, Minnesota enrollment
- Medicare enrollment name: Gillette Childrens Specialty Healthcare
- 304 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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, MNPhysician 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.
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.
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.
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.
MINNEAPOLIS, MN 55407
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.
Which organizations bill Medicare for David Tetzlaff's services?
According to the CMS Revalidation Reassignment List (October 2026 release), David Tetzlaff reassigns Medicare benefits to 3 organizations: Allina Health System (Minneapolis, MN), Childrens Health Care (Minneapolis, MN) and Gillette Children's Specialty Healthcare (St. Paul, 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 David Tetzlaff's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.
# David Peterson Tetzlaff, MD · NPI 1245290329
Pediatrics physician in Minneapolis, Minnesota. Individual provider, active in the CMS NPPES registry since March 24, 2006.
## Identity
- **NPI:** 1245290329 (Entity type: Individual)
- **Enumerated:** March 24, 2006
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** 42365 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 920 E 28TH ST, SUITE190, Minneapolis, MN 55407-1139
- **Phone:** (612) 863-1893
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Allina Health System (NPI 1154684835, Minneapolis, MN); Childrens Health Care (NPI 1053410928, Minneapolis, MN); Gillette Children's Specialty Healthcare (NPI 1225119175, St. Paul, MN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Minnesota Medical School, class of 1998
## Record status
- **NPPES last updated:** October 13, 2025
- **Other identifiers:** Medicaid 617637200 (MN)
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Source: [NPI Profile](https://npiprofile.com/npi/1245290329) · Data from the CMS NPPES public registry.