ADAM SUDBECK PA-C
NPI 1265859011
Physician Assistant in Saint Paul, MN

Active since March 18, 2014PECOS EnrolledAccepts Medicare Assignment
295 PHALEN BLVD, SAINT PAUL, MN 55130(651) 495-6200(651) 495-6201 Get Directions Write a Review

NPPES record last updated: March 10, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 10, 2020, Mar 17, 2018, Sep 1, 2017 (3 updates tracked since 2017).

About Adam Sudbeck Pa-c NPPES

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

ADAM SUDBECK PA-C (NPI 1265859011) is an individual physician assistant in Saint Paul, Minnesota, licensed in Minnesota (12491) and active in the NPI registry since March 2014. He is enrolled in Medicare PECOS, is affiliated with Park Nicollet Methodist Hospital, and maintains a secondary practice location in St Louis Park.

NPPES Registry Identity

NPI1265859011
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameADAM SUDBECKCredential: PA-C
Location Address295 PHALEN BLVDSaint Paul, MN 55130-2400
Mailing Address8170 33rd Ave S, Ms 21110qBloomington, MN 55425-4516 · (651) 495-6200 · Fax (651) 495-6201
Fax(651) 495-6201
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateMarch 18, 2014
Last NPPES UpdateMarch 10, 20203 updates tracked since enumeration
NPPES CertifiedMarch 10, 2020
NPI 1265859011 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in MN · 12491
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X · License PA4951 (MA)
295 PHALEN BLVD, Saint Paul, MN 55130

Secondary Practice Location 1

Location 13931 Louisiana Ave SSt Louis Park, MN 55426-5000 · Phone (952) 993-3230

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

Adam Sudbeck Pa-c 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 ID9931323581
PECOS Enrollment IDI20170921002673
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.

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.
37 services37 patients
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.
24 services19 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.
22 services21 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
20 services14 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.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Park Nicollet Methodist Hospital

Acute Care Hospitals · Saint Louis Park, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240053
Location6500 Excelsior BlvdSaint Louis Park, MN 55426 · Hennepin County
Emergency services Birthing friendly

Hutchinson Health

Acute Care Hospitals · Hutchinson, MN
OwnershipVoluntary non-profit - Private
CMS Certification Number240187
Location1095 Highway 15 SouthHutchinson, MN 55350 · Mc Leod County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55130 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 20

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

Nurse Practitioner
295 PHALEN BLVD
SAINT PAUL, MN 55130
Physical Therapy Assistant
295 PHALEN BLVD
SAINT PAUL, MN 55130
Nurse Practitioner (Family)
295 PHALEN BLVD
SAINT PAUL, MN 55130
Physical Medicine & Rehabilitation
295 PHALEN BLVD
SAINT PAUL, MN 55130
Physical Therapist
295 PHALEN BLVD
SAINT PAUL, MN 55130
Physical Medicine & Rehabilitation
295 PHALEN BLVD
SAINT PAUL, MN 55130
Durable Medical Equipment & Medical Supplies
295 PHALEN BLVD
SAINT PAUL, MN 55130
Physical Medicine & Rehabilitation (Pain Medicine)
295 PHALEN BLVD
SAINT PAUL, MN 55130

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 Adam Sudbeck's NPI number?

The NPI number for Adam Sudbeck is 1265859011. It was assigned to this individual provider in the NPPES registry on March 18, 2014.

Where is Adam Sudbeck located?

Adam Sudbeck practices at 295 Phalen Blvd, Saint Paul, MN 55130. The listed phone number is (651) 495-6200.

What is Adam Sudbeck's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Adam Sudbeck enrolled in Medicare?

Yes. Adam Sudbeck 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 Adam Sudbeck accept?

Health plans from HealthPartners and Medica list Adam Sudbeck 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 Adam Sudbeck affiliated with any hospitals?

According to CMS data, Adam Sudbeck is affiliated with Park Nicollet Methodist Hospital and Hutchinson Health.

When was this NPI record last updated?

The NPPES record for Adam Sudbeck was last updated on March 10, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.