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PAUL HOOGERVORST MD
NPI 1568925600
Orthopaedic Surgery in Minneapolis, MN

Active since April 06, 2019PECOS EnrolledAccepts Medicare Assignment
82.34/100
CMS Quality Rating
2450 RIVERSIDE AVE # R200, MINNEAPOLIS, MN 55454(612) 273-7951 Get Directions Write a Review

NPPES record last updated: May 26, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 26, 2020, Apr 6, 2019 (2 updates tracked since 2019).

About Paul Hoogervorst Md NPPES

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

PAUL HOOGERVORST MD (NPI 1568925600) is an individual orthopaedic surgery provider in Minneapolis, Minnesota, licensed in Minnesota (67388) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS, is affiliated with Abbott Northwestern Hospital, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1568925600
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NamePAUL HOOGERVORSTCredential: MD
Location Address2450 RIVERSIDE AVE # R200Minneapolis, MN 55454-1450
Mailing Address2450 Riverside Ave # R200Minneapolis, MN 55454-1450
Phone(612) 273-7951
Sole ProprietorYes
Medical School CMSOtherGraduated 2006
Enumeration DateApril 6, 2019
Last NPPES UpdateMay 26, 20202 updates tracked since enumeration
NPPES CertifiedMay 26, 2020
✔ NPI 1568925600 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 · 67388
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.
2450 RIVERSIDE AVE # R200, Minneapolis, MN 55454
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Sanford Health Plan.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

Paul Hoogervorst 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.

PECOS PAC ID547597833
PECOS Enrollment IDI20200622000247
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 11

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.
92 services21 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.
81 services72 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.
55 services41 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.
39 services38 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
33 services33 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.
29 services29 patients

Hospital Affiliations CMS Care Compare 4

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

Abbott Northwestern Hospital

Acute Care Hospitals · Minneapolis, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240057
Location800 East 28th StreetMinneapolis, MN 55407 · Hennepin County
Emergency services Birthing friendly

M Health Fairview University Of Mn

Acute Care Hospitals · Minneapolis, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240080
Location2450 Riverside AvenueMinneapolis, MN 55454 · Hennepin County
Emergency services Birthing friendly

M Health Fairview Ridges Hospital

Acute Care Hospitals · Burnsville, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number240207
Location201 East Nicollet BoulevardBurnsville, MN 55337 · Dakota County
Emergency services Birthing friendly

M Health Fairview St John's Hospital

Acute Care Hospitals · Maplewood, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240210
Location1575 Beam AvenueMaplewood, MN 55109 · Ramsey County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55454 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.

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.

82.34/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.54
Promoting Interoperability100
Improvement Activities40
Cost38.17

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.

ANDREW FORREST ORMSETH MD
Student in an Organized Health Care Education/Training Program
2450 RIVERSIDE AVE # R200
MINNEAPOLIS, MN 55454
Hennepin County (612) 273-8043
THOMAS CAHIR
Student in an Organized Health Care Education/Training Program
2450 RIVERSIDE AVE # R200
MINNEAPOLIS, MN 55454
Hennepin County (612) 625-4544
CANDICE SHANA-KAY LEGISTER MD
Student in an Organized Health Care Education/Training Program
2450 RIVERSIDE AVE # R200
MINNEAPOLIS, MN 55454
Hennepin County (612) 625-4544
DR. DEVIN EDWARD WILHELM MD
Student in an Organized Health Care Education/Training Program
2450 RIVERSIDE AVE # R200
MINNEAPOLIS, MN 55454
Hennepin County (612) 625-4544
CLAIRE KNOWLAN
Student in an Organized Health Care Education/Training Program
2450 RIVERSIDE AVE # R200
MINNEAPOLIS, MN 55454
Hennepin County (612) 625-4544
GEORGE MATHEW THOMAS
Student in an Organized Health Care Education/Training Program
2450 RIVERSIDE AVE # R200
MINNEAPOLIS, MN 55454
Hennepin County (612) 625-4544
DR. JOHN COLE MD
Orthopaedic Surgery (Hand Surgery)
2450 RIVERSIDE AVE # R200
MINNEAPOLIS, MN 55454
Hennepin County (612) 273-9400
VASIL VALERIEV KUKUSHLIEV
Student in an Organized Health Care Education/Training Program
2450 RIVERSIDE AVE # R200
MINNEAPOLIS, MN 55454
Hennepin County (616) 652-4544

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 Paul Hoogervorst's NPI number?

The NPI number for Paul Hoogervorst is 1568925600. It was assigned to this individual provider in the NPPES registry on April 6, 2019.

Where is Paul Hoogervorst located?

Paul Hoogervorst practices at 2450 Riverside Ave # R200, Minneapolis, MN 55454. The listed phone number is (612) 273-7951.

What is Paul Hoogervorst's specialty?

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

Is Paul Hoogervorst enrolled in Medicare?

Yes. Paul Hoogervorst 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 Paul Hoogervorst accept?

Health plans from Medica and Sanford Health Plan list Paul Hoogervorst 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 Paul Hoogervorst affiliated with any hospitals?

According to CMS data, Paul Hoogervorst is affiliated with Abbott Northwestern Hospital, M Health Fairview University Of Mn, M Health Fairview Ridges Hospital and M Health Fairview St John's Hospital.

When was this NPI record last updated?

The NPPES record for Paul Hoogervorst was last updated on May 26, 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.