DR. RACHEL MARIE UPPGAARD D.D.S.
NPI 1447517941
Dentist - Oral and Maxillofacial Surgery in Minneapolis, MN

NPI Status: Active since April 20, 2012

Contact Information

515 DELAWARE ST SE
7-174 MOOS TOWERS
MINNEAPOLIS, MN
ZIP 55455
Phone: (612) 625-2495

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  • Individual
  • Female
  • Years of Experience 13
  • Dentist
  • Oral and Maxillofacial Surgery
  • PECOS Enrolled
  • Accepts Medicare Approved Payment

About RACHEL UPPGAARD

Rachel Uppgaard is a provider established in Minneapolis, Minnesota and her medical specialization is Dentist with a focus in oral and maxillofacial surgery with more than 13 years of experience. She graduated from University Of Minnesota School Of Dentistry in 2012. The healthcare provider is registered in the NPI registry with number 1447517941 assigned on April 2012. The practitioner's primary taxonomy code is 1223S0112X with license number D13060 (MN). The provider is registered as an individual and her NPI record was last updated 4 years ago.

NPI
1447517941
Provider Name
DR. RACHEL MARIE UPPGAARD D.D.S.
Gender
Female
Entity Type
Individual
Location Address
515 DELAWARE ST SE 7-174 MOOS TOWERS MINNEAPOLIS, MN 55455
Location Phone
(612) 625-2495
Mailing Address
515 DELAWARE STREET SE 7-174 MOOS TOWER MINNEAPOLIS, MN 55455
Mailing Phone
(612) 301-2233
Mailing Fax
Medical School Name
UNIVERSITY OF MINNESOTA SCHOOL OF DENTISTRY
Graduation Year
2012
Is Sole Proprietor?
No
Enumeration Date
04-20-2012
Last Update Date
12-28-2020
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A dentist like Rachel Uppgaard is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

Rachel Uppgaard is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

The typical physician office visit costs for Medicare beneficiaries in this area are: $22.21 for a new patient copayment and $18.15 for an established patient copayment.

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dentist Oral and Maxillofacial Surgery

Taxonomy Code
1223S0112X
Type
Dental Providers
License No.
D13060
License State
MN
Taxonomy Description
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Anthem Blue Cross and Blue Shield

    • Anthem Bronze Blue Priority/Lean 0 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
    • Anthem Bronze Blue Priority/Lean 0% for HSA - HMO
    • Anthem Bronze Blue Priority/Lean 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - HMO
    • Anthem Bronze Blue Priority/Lean 7500/50% Standard - HMO
    • Anthem Bronze Blue Priority/Lean 9450 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
    • Anthem Bronze Pathway 20% for HSA - EPO
    • Anthem Bronze Pathway 4500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
    • Anthem Bronze Pathway 6500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
    • Anthem Bronze Pathway 7500/50% Standard - EPO
    • Anthem Bronze Pathway 9450 ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
  • BEST Life

    • BEST Dental Advantage - Gold - PPO
    • BEST Dental Plus - Gold - PPO
    • BESTne Advantage Gold - Indemnity
    • BESTOne Advantage Gold - Indemnity
    • BESTOne Advantage Gold - PPO
    • BESTOne Advantage High - PPO
    • BESTOne Base Low - PPO
    • BESTOne Base Silver - Indemnity
    • BESTOne Base Silver - PPO
    • BESTOne Basic - PPO
  • Florida Combined Life

    • BlueDental Copayment Q - PPO
    • BlueDental Copayment QF - PPO
  • Paramount

    • Paramount Dental Essential Plus Plan - EPO
    • Paramount Dental Essential Plus Plan - PPO
    • Paramount Dental Preventive Family Plan - EPO
    • Paramount Dental Preventive Family Plan - PPO
    • Paramount Dental Total Care Plan - EPO
    • Paramount Dental Total Care Plan - PPO
  • Paramount Dental

    • Paramount Dental Essential Plus Plan - HMO
    • Paramount Dental Preventive Family Plan - HMO
    • Paramount Dental Total Care Plan - HMO
  • Renaissance Dental

    • Alabama Preferred Plan - PPO
    • Alabama Preferred Plan (Pediatric Only) - PPO
    • Alabama Preferred Plus Plan - PPO
    • Alabama Preferred Plus Plan (Pediatric Only) - PPO
    • Alabama Wellness Essentials Plan - PPO
    • Florida Preferred Plan - PPO
    • Florida Preferred Plan (Pediatric Only) - PPO
    • Florida Preferred Plus Plan - PPO
    • Florida Preferred Plus Plan (Pediatric Only) - PPO
    • Florida Wellness Essentials Plan - PPO
  • UnitedHealthcare

    • Smile Now Arizona - No Waiting Period PPO - PPO
    • Smile Now Illinois - No Waiting Period PPO - PPO
    • Smile Now Michigan - No Waiting Period PPO - PPO
    • Smile Now Ohio - No Waiting Period PPO - PPO
    • Smile Now Texas- No Waiting Period PPO - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

PECOS Enrollment and Medicare Participation Status

Rachel Uppgaard is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 8628365558

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20180109000791

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 55455 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $88.84
  • Minimum New Patient Price $57.95
  • Maximum New Patient Price $174.84
  • Average New Patient Copayment $22.21
  • Minimum New Patient Copayment $14.48
  • Maximum New Patient Copayment $43.71

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $72.62
  • Minimum Established Patient Price $18.41
  • Maximum Established Patient Price $143.56
  • Average Established Patient Copayment $18.15
  • Minimum Established Patient Copayment $4.6
  • Maximum Established Patient Copayment $35.89

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Hospital Affiliations

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Rachel Uppgaard is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
M HEALTH FAIRVIEW UNIVERSITY OF MN2450 RIVERSIDE AVENUE
MINNEAPOLIS, MN 55454
(612) 672-6455Acute Care Hospitals

Reviews for DR. RACHEL MARIE UPPGAARD D.D.S.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1447517941
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
24871011498
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 8 + 7 + 1 + 0 + 1 + 1 + 4 + 9 + 8 + 24 = 69
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 69 = 11

The NPI number 1447517941 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1104898626 DAVID L BASI DMD PHD
Individual
Oral & Maxillofacial Surgery515 DELAWARE ST SE 7-174 MOOS TOWER
MINNEAPOLIS, MN 55455
(612) 624-4435
1134156524DR. CLENNAN C ANDERSON DDS
Individual
Dentist (Oral and Maxillofacial Surgery)515 DELAWARE ST SE 7TH FLOOR MMHST
MINNEAPOLIS, MN 55455
(612) 624-9959
1861429250DR. PAUL H KWON DDS
Individual
Dentist (Oral and Maxillofacial Surgery)515 DELAWARE ST SE 7TH FLOOR MMHST
MINNEAPOLIS, MN 55455
(612) 624-7133
1407884554DR. RICHARD PATRICK MADDEN DDS
Individual
Dentist (General Practice)515 DELAWARE ST SE ROOM 16-116
MINNEAPOLIS, MN 55455
(612) 624-3130
1003848086DR. MICHAEL W. LEHNERT DDS
Individual
Dentist (Oral and Maxillofacial Surgery)515 DELAWARE ST SE 7TH FLOOR, MMHST
MINNEAPOLIS, MN 55455
(612) 624-7133
1730105180DR. MARYANN C SABINO D.D.S
Individual
Dentist (Oral and Maxillofacial Surgery)515 DELAWARE ST SE 7-174 MOOS TOWER
MINNEAPOLIS, MN 55455
(612) 624-4435
1134230022 RAJARAM GOPALAKRISHNAN DDS
Individual
Dentist (Oral and Maxillofacial Pathology)515 DELAWARE ST SE 16-116 MOOS TOWER
MINNEAPOLIS, MN 55455
(612) 626-5844
1447361332 IOANNIS KOUTLAS DDS
Individual
Dentist (Oral and Maxillofacial Pathology)515 DELAWARE ST SE 16-116 MOOS TOWER
MINNEAPOLIS, MN 55455
(612) 626-5844
1427169317 MICHAEL DAVID ROHRER DDS
Individual
Dentist (Oral and Maxillofacial Pathology)515 DELAWARE ST SE 16-116 MOOS TOWER
MINNEAPOLIS, MN 55455
(612) 626-5844
1417058603 KEVIN NEIL NAKAGAKI DDS
Individual
Dentist515 DELAWARE ST SE HOSPITAL DENTAL CLINIC
MINNEAPOLIS, MN 55455
(612) 626-6529
1700987989 ROBERT F HIRSCH DDS
Individual
Dentist515 DELAWARE ST SE CLINICAL SYSTEMS
MINNEAPOLIS, MN 55455
(612) 626-6529
1134220478 ANNA KRISTIN THURMES SLP
Individual
Speech-Language Pathologist515 DELAWARE ST SE CLEFT PALATE CLINIC
MINNEAPOLIS, MN 55455
(612) 626-6529
1982705141 KAREN L DECKER PT
Individual
Physical Therapist515 DELAWARE ST SE TMD CLINIC
MINNEAPOLIS, MN 55455
(612) 626-0140
1336240522 RAMESH KUMAR KUBA DDS
Individual
Dentist (Oral and Maxillofacial Radiology)515 DELAWARE ST SE ORAL AND MAXILLOFACIAL RADIOLOGY
MINNEAPOLIS, MN 55455
(612) 626-6529
1689775835 BRENT EVANS LARSON DDS
Individual
Dentist (Orthodontics and Dentofacial Orthopedics)515 DELAWARE ST SE ORTHODONTICS CLINIC
MINNEAPOLIS, MN 55455
(612) 626-6529
1124129382 GARY MICHAEL GOLDETSKY
Individual
Psychologist (Rehabilitation)515 DELAWARE ST SE TMD CLINIC
MINNEAPOLIS, MN 55455
(612) 626-6529
1962503136 KARLIND THEODORE MOLLER SLP
Individual
Speech-Language Pathologist515 DELAWARE ST SE CLEFT PALATE CLINIC
MINNEAPOLIS, MN 55455
(612) 626-6529
1043311210 HEATHER JOAN CONRAD DDS
Individual
Dentist (Prosthodontics)515 DELAWARE ST SE SCHOOL OF DENTISTRY
MINNEAPOLIS, MN 55455
(612) 625-2495
1184725368 PAUL D. SCHULZ DDS
Individual
Dentist515 DELAWARE ST SE PRIMARY CARE-OUTREACH 9TH FLOOR MOOS TOWER
MINNEAPOLIS, MN 55455
(612) 626-6529
1376634139 CRAIG GUY SELDEN DDS
Individual
Dentist515 DELAWARE ST SE 7-530 MOOS TOWER
MINNEAPOLIS, MN 55455
(612) 626-6529

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1447517941, enumerated in the NPI registry as an "individual" on April 20, 2012

The provider is located at 515 Delaware St Se 7-174 Moos Towers Minneapolis, Mn 55455 and the phone number is (612) 625-2495

The provider's speciality is Dentist with taxonomy code 1223S0112X with a focus in Oral and Maxillofacial Surgery

The provider has more than 13 years of experience. She graduated from University Of Minnesota School Of Dentistry in 2012.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, BEST Life,. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of July 16, 2024 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Medicare beneficiaries should expect a typical cost of $88.84 with an average copayment of $22.21 for new patient appointments. Established patients should expect a typical charge of $72.62 and an average copayment of 18.15. Please review your insurance plan or contact the provider directly to determine your specific costs.

The practitioner is affiliated to the following hospital(s): M HEALTH FAIRVIEW UNIVERSITY OF MN. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

This NPI record was last updated on April 20, 2012. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.