JOSHUA JON ROTHER M.D.
NPI 1417900358
Orthopaedic Surgery in Duluth, MN

Q: What is Joshua Rother's NPI number?

The NPI number for Joshua Rother is 1417900358. It was assigned to this individual provider in the NPPES registry on May 19, 2006.

Q: What is Joshua Rother's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Q: When was this NPI record last updated?

The NPPES record for Joshua Rother was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since May 19, 2006PECOS EnrolledAccepts Medicare Assignment

1000 E 1ST ST, SUITE 400, DULUTH, MN 55805(218) 722-1321 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Joshua Jon Rother M.d. NPPES

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

JOSHUA JON ROTHER M.D. (NPI 1417900358) is an individual orthopaedic surgery provider in Duluth, Minnesota, licensed in Minnesota (PENDING) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with University Medical Center-mesabi/ Mesaba Clinics, and is a graduate of University Of Minnesota Medical School (2001).

NPPES Registry Identity

NPI1417900358

Entity TypeIndividualMale

Primary Taxonomy207X00000X

Provider Legal NameJOSHUA JON ROTHERCredential: M.D.

Location Address1000 E 1ST ST, SUITE 400Duluth, MN 55805-2297

Mailing Address1000 E 1st St, Suite 400Duluth, MN 55805-2297 · (218) 722-1321

Phone(218) 722-1321

Sole ProprietorNo

Medical School CMSUniversity Of Minnesota Medical SchoolGraduated 2001

Enumeration DateMay 19, 2006

Last NPPES UpdateJuly 13, 2026

✔ NPI 1417900358 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207X00000X

License✔ Licensed in MN · PENDING

Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

1000 E 1ST ST, Duluth, MN 55805

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, HealthPartners and more.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

Joshua Jon Rother 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 ID446258214

PECOS Enrollment IDI20061110000358, I20070131000588

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

Medicare enrollment records show Joshua Rother reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Orthopedic Associates Of Duluth, P.A.

Same address

Specialist

1000 E 1ST ST, STE 404
Duluth, MN 55805

Reassigned Medicare billing, Minnesota and Wisconsin enrollments
Medicare enrollment name: Orthopedic Associates Of Duluth PA
27 clinicians in this Medicare group

NPI 1225033715 (218) 722-9753

Range Regional Health Services

58 mi

General Acute Care Hospital

750 E 34TH ST
Hibbing, MN 55746

Reassigned Medicare billing, Minnesota enrollment
707 clinicians in this Medicare group

NPI 1356321699 (218) 262-4881

Grand Itasca Clinic And Hospital

75 mi

General Acute Care Hospital

1601 GOLF COURSE RD
Grand Rapids, MN 55744

Reassigned Medicare billing, Minnesota enrollment
555 clinicians in this Medicare group

NPI 1669426631 (218) 326-3401

International Falls Memorial Hospital Association

139 mi

Critical Access

1400 HIGHWAY 71
International Falls, MN 56649

Reassigned Medicare billing, Minnesota enrollment
58 clinicians in this Medicare group

NPI 1528041183 (218) 283-4481

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 16

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

324 services42 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

66 services41 patients

Aspiration and/or injection of fluid from large joint 20610

63 services46 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.

55 services47 patients

X-ray of knee, 3 views 73562

An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.

47 services36 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

45 services39 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

34 services34 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

34 services33 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.

27 services27 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

26 services26 patients

Replacement of knee joint, both sides of knee 27447

A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.

22 services21 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

19 services18 patients

X-ray of hip, 1 view 73501

An X-ray of the hip, 1 view, is a quick, painless test where a small amount of radiation is used to produce images of the hip joint. This helps in diagnosing conditions like arthritis or fractures. You'll be positioned so that the X-ray machine can capture the best image of your hip.

18 services17 patients

Replacement of thigh bone and hip joint with prosthesis 27130

This procedure, known as hip arthroplasty, involves replacing your damaged thigh bone and hip joint with artificial parts, called a prosthesis. It helps relieve pain, improve mobility, and enhance your quality of life.

16 services14 patients

X-ray of shoulder, minimum of 2 views 73030

An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.

16 services14 patients

Release and/or relocation of hand nerve 64721

This procedure involves adjusting or moving a nerve in your hand to alleviate discomfort or improve function. The nerve may be compressed, causing pain or numbness. By releasing or relocating the nerve, these symptoms can be reduced, enhancing hand usage.

13 services12 patients

Hospital Affiliations CMS Care Compare 5

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

University Medical Center-Mesabi/ Mesaba Clinics

Acute Care Hospitals · Hibbing, MN

OwnershipVoluntary non-profit - Other

CMS Certification Number240040

Location750 East 34th StHibbing, MN 55746 · St. Louis County

Birthing friendly

St Lukes Hospital

Acute Care Hospitals · Duluth, MN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number240047

Location915 East 1st StreetDuluth, MN 55805 · St. Louis County

Emergency services Birthing friendly

Grand Itasca Clinic And Hospital

Acute Care Hospitals · Grand Rapids, MN

OwnershipVoluntary non-profit - Private

CMS Certification Number240064

Location1601 Golf Course RoadGrand Rapids, MN 55744 · Itasca County

Emergency services Birthing friendly

Lake View Memorial Hospital

Critical Access Hospitals · Two Harbors, MN

OwnershipVoluntary non-profit - Private

CMS Certification Number241308

Location325 Eleventh AveTwo Harbors, MN 55616 · Lake County

Emergency services

North Shore Health

Critical Access Hospitals · Grand Marais, MN

OwnershipGovernment - Hospital District or Authority

CMS Certification Number241317

Location515 5th Ave WestGrand Marais, MN 55604 · Cook County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55805 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.

JAMES ALBERT SEBASTIAN MD

Specialist

1000 E 1ST ST, SUITE LL
DULUTH, MN 55805

St. Louis County (218) 249-4700

JUDITH L JOHNSON MD

Specialist

1000 E 1ST ST, SUITE LL
DULUTH, MN 55805

St. Louis County (218) 722-5629

NORTHLAND OB-GYN ASSOCIATES

Clinic/Center (Medical Specialty)

1000 E 1ST ST, STE LL
DULUTH, MN 55805

St. Louis County (218) 722-5629

DR. JOEL A ZAMZOW M.D.

Orthopaedic Surgery

1000 E 1ST ST, STE 400
DULUTH, MN 55805

St. Louis County (218) 722-5513

JEANETTE L DOHNANSKY-FRANK WHCNP

Nurse Practitioner (Obstetrics & Gynecology)

1000 E 1ST ST, STE LL
DULUTH, MN 55805

St. Louis County (218) 249-4700

JENNIFER RENAUD BOYLE MD

Obstetrics & Gynecology

1000 E 1ST ST, STE LL
DULUTH, MN 55805

St. Louis County (218) 722-5629

AIMEE NELSON VAN STRAATEN MD

Obstetrics & Gynecology

1000 E 1ST ST, LOWER LEVEL
DULUTH, MN 55805

St. Louis County (218) 722-5148

VERONICA MESQUIDA M.D.

Internal Medicine (Rheumatology)

1000 E 1ST ST, STE. 203
DULUTH, MN 55805

St. Louis County (218) 249-6960

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 Joshua Rother's NPI number?

The NPI number for Joshua Rother is 1417900358. It was assigned to this individual provider in the NPPES registry on May 19, 2006.

Where is Joshua Rother located?

Joshua Rother practices at 1000 E 1st St Suite 400, Duluth, MN 55805. The listed phone number is (218) 722-1321.

What is Joshua Rother's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Joshua Rother enrolled in Medicare?

Yes. Joshua Rother 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 Joshua Rother's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Joshua Rother reassigns Medicare benefits to 4 organizations: Orthopedic Associates Of Duluth, P.A. (Duluth, MN), Range Regional Health Services (Hibbing, MN), Grand Itasca Clinic And Hospital (Grand Rapids, MN) and International Falls Memorial Hospital Association (International Falls, 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 Joshua Rother's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Joshua Rother accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, HealthPartners, Sanford Health Plan and Security Health Plan list Joshua Rother 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 Joshua Rother affiliated with any hospitals?

According to CMS data, Joshua Rother is affiliated with University Medical Center-Mesabi/ Mesaba Clinics, St Lukes Hospital, Grand Itasca Clinic And Hospital, Lake View Memorial Hospital and North Shore Health.

When was this NPI record last updated?

The NPPES record for Joshua Rother was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.