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DR. MICHAEL J WESTERHAUS M.A., M.D.
NPI 1396882759
Internal Medicine in St. Paul, MN

Active since February 01, 2007PECOS EnrolledAccepts Medicare Assignment
451 NORTH DUNLAP STREET, MAIL STOP 32700A HEALTHPARTNERS MIDWAY CLINIC-CENTER FO, ST. PAUL, MN 55104(651) 647-2100(651) 647-2201 Get Directions Write a Review

NPPES record last updated: May 7, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Michael J Westerhaus M.a., M.d. NPPES

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

DR. MICHAEL J WESTERHAUS M.A., M.D. (NPI 1396882759) is an individual internal medicine provider in St. Paul, Minnesota, licensed in Minnesota (54640) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS, is affiliated with Regions Hospital, and is a graduate of Harvard Medical School (2006).

NPPES Registry Identity

NPI1396882759
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. MICHAEL J WESTERHAUSCredential: M.A., M.D.
Location Address451 NORTH DUNLAP STREET, MAIL STOP 32700A HEALTHPARTNERS MIDWAY CLINIC-CENTER FOSt. Paul, MN 55104-2595
Mailing Address8170 33rd Ave S, Ms21110qMinneapolis, MN 55425-4516
Phone(651) 647-2100
Fax(651) 647-2201
Sole ProprietorNo
Medical School CMSHarvard Medical SchoolGraduated 2006
Enumeration DateFebruary 1, 2007
Last NPPES UpdateMay 7, 2020
NPPES CertifiedMay 7, 2020
✔ NPI 1396882759 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MN · 54640
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
451 NORTH DUNLAP STREET, St. Paul, MN 55104
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Accepted Insurance

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

Dr. Michael J Westerhaus M.a., 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 ID1850586009
PECOS Enrollment IDI20111104000084
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 10

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.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
98 services51 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.
59 services35 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.
51 services33 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.
33 services33 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.
31 services29 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
26 services23 patients

Hospital Affiliations CMS Care Compare

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

Regions Hospital

Acute Care Hospitals · Saint Paul, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240106
Location640 Jackson StreetSaint Paul, MN 55101 · Ramsey County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55104 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
$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.

Referred Medical Equipment & Supplies CMS DME claims 3

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
9 suppliers21 claims68 services$4.85 avg. paid by Medicare
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) E0630
DME-Other DME · category DE000N
1 supplier11 claims11 services$31.14 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers14 claims14 services$185.00 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 3

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

KIMBERLY K RATHMANN MD
Pediatrics
451 NORTH DUNLAP STREET, MAIL STOP 32700A
ST PAUL, MN 55104
Ramsey County (651) 999-4700
TIPARPA CHITASOMBAT CNS
Clinical Nurse Specialist
451 NORTH DUNLAP STREET, MAIL STOP 32700A
ST PAUL, MN 55104
Ramsey County (651) 999-4700
JENNIFER GUEST HINES MD
Internal Medicine
451 NORTH DUNLAP STREET, MAIL STOP 32700A
ST PAUL, MN 55104
Ramsey County (651) 999-4700

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 Michael Westerhaus's NPI number?

The NPI number for Michael Westerhaus is 1396882759. It was assigned to this individual provider in the NPPES registry on February 1, 2007.

Where is Michael Westerhaus located?

Michael Westerhaus practices at 451 North Dunlap Street Mail Stop 32700A Healthpartners Midway Clinic-Center Fo, St. Paul, MN 55104. The listed phone number is (651) 647-2100.

What is Michael Westerhaus's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Michael Westerhaus enrolled in Medicare?

Yes. Michael Westerhaus 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 Michael Westerhaus accept?

Health plans from HealthPartners and Medica list Michael Westerhaus 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 Michael Westerhaus affiliated with any hospitals?

According to CMS data, Michael Westerhaus is affiliated with Regions Hospital.

When was this NPI record last updated?

The NPPES record for Michael Westerhaus was last updated on May 7, 2020. 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.