ANDREW STEVEN HOUGHTON MD
NPI 1578821997
Family Medicine - Sports Medicine in Plymouth, MN

Active since April 24, 2012PECOS EnrolledAccepts Medicare Assignment
83.53/100
CMS Quality Rating
2805 CAMPUS DR, PLYMOUTH, MN 55441(763) 577-7615(763) 577-7610 Get Directions Write a Review

NPPES record last updated: March 11, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 11, 2021, Mar 2, 2021, Mar 17, 2018 and 3 more (6 updates tracked since 2017).

About Andrew Steven Houghton Md NPPES

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

ANDREW STEVEN HOUGHTON MD (NPI 1578821997) is an individual sports medicine provider in Plymouth, Minnesota, licensed in Minnesota (56577) and active in the NPI registry since April 2012. He is enrolled in Medicare PECOS, is affiliated with Allina United Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1578821997
Entity TypeIndividualMale
Primary Taxonomy207QS0010X
Provider Legal NameANDREW STEVEN HOUGHTONCredential: MD
Location Address2805 CAMPUS DRPlymouth, MN 55441-2676
Mailing Address8100 W 78th St Ste 230Edina, MN 55439-2570 · (952) 946-9777 · Fax (952) 946-9888
Fax(763) 577-7610
Sole ProprietorNo
Medical School CMSUniversity Of Minnesota Medical SchoolGraduated 2012
Enumeration DateApril 24, 2012
Last NPPES UpdateMarch 11, 20216 updates tracked since enumeration
NPPES CertifiedMarch 11, 2021
NPI 1578821997 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QS0010X
License Licensed in MN · 56577
Definition
A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.
Also ListedFamily MedicineTaxonomy 207Q00000X · License 56577 (MN)
2805 CAMPUS DR, Plymouth, MN 55441

Secondary Practice Locations 2

Location 11601 Saint Francis AveShakopee, MN 55379-3383 · Phone (952) 946-9777 · Fax (952) 946-9888
Location 214000 Nicollet Ave Ste 100Burnsville, MN 55337-5793 · Phone (952) 946-9777 · Fax (952) 946-9888

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

Andrew Steven Houghton 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 ID9739321829
PECOS Enrollment IDI20130820000989
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 12

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.
783 services159 patients
Aspiration and/or injection of fluid large joint using ultrasound guidance 20611
This procedure involves using ultrasound technology to accurately locate a large joint, usually the knee or shoulder. A needle is then inserted to either extract fluid (aspiration) or inject medication. The ultrasound helps ensure precision and safety.
125 services98 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.
115 services97 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.
66 services58 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.
56 services56 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.
48 services41 patients

Hospital Affiliations CMS Care Compare 2

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

Allina United Hospital

Acute Care Hospitals · Saint Paul, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240038
Location333 North Smith AvenueSaint Paul, MN 55102 · Ramsey County
Emergency services Birthing friendly

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55441 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
$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.

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.

83.53/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.79
Promoting Interoperability100
Improvement Activities40
Cost63.31

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.

Physical Therapist (Orthopedic)
2805 CAMPUS DR
PLYMOUTH, MN 55441
Internal Medicine (Cardiovascular Disease)
2805 CAMPUS DR, SUITE 305
PLYMOUTH, MN 55441
Internal Medicine
2805 CAMPUS DR, STE 345
PLYMOUTH, MN 55441
Specialist
2805 CAMPUS DR, SUITE 485
PLYMOUTH, MN 55441
Physical Therapist
2805 CAMPUS DR
PLYMOUTH, MN 55441
Surgery
2805 CAMPUS DR, SUITE 405
PLYMOUTH, MN 55441
Orthopaedic Surgery
2805 CAMPUS DR, STE 425
PLYMOUTH, MN 55441
Physical Therapist
2805 CAMPUS DR, #115
PLYMOUTH, MN 55441

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 Andrew Houghton's NPI number?

The NPI number for Andrew Houghton is 1578821997. It was assigned to this individual provider in the NPPES registry on April 24, 2012.

Where is Andrew Houghton located?

Andrew Houghton practices at 2805 Campus Dr, Plymouth, MN 55441. The listed phone number is (763) 577-7615.

What is Andrew Houghton's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Is Andrew Houghton enrolled in Medicare?

Yes. Andrew Houghton 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 Andrew Houghton accept?

Health plans from HealthPartners and Medica list Andrew Houghton 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 Andrew Houghton affiliated with any hospitals?

According to CMS data, Andrew Houghton is affiliated with Allina United Hospital and Abbott Northwestern Hospital.

When was this NPI record last updated?

The NPPES record for Andrew Houghton was last updated on March 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.