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

Q: 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.

Q: What is Andrew Houghton's specialty?

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

Q: 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.

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: November 01, 2026.

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

On this page

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

Phone(763) 577-7615

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

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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

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

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.

Medicare Billing Reassignments

Medicare enrollment records show Andrew Houghton reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Allina Health System

Same address

Otolaryngology

2805 CAMPUS DR STE 205
Plymouth, MN 55441

Reassigned Medicare billing, Minnesota enrollment
Also billed through NPI 1326463845 (Minnesota)
2,609 clinicians in this Medicare group

NPI 1114700317 (763) 577-7200

Park Nicollet Clinic

7.5 mi

Family Medicine

3800 PARK NICOLLET BLVD
St Louis Park, MN 55416

Reassigned Medicare billing, Minnesota enrollment
2,527 clinicians in this Medicare group

NPI 1063897593 (952) 993-3123

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 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

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

Aspiration and/or injection of fluid from medium joint using ultrasound guidance 20606

This is a procedure where a needle is guided by ultrasound into a medium-sized joint, like a knee or shoulder. The needle can be used to remove fluid, which can relieve pressure and pain, or to inject medication to help with inflammation and discomfort.

24 services17 patients

Injection into tendon or ligament 20550

An injection into a tendon or ligament involves placing medication directly into these areas to help reduce inflammation and pain. It's often used for conditions like arthritis or tendonitis. The procedure is quick and usually involves a local anesthetic.

22 services20 patients

Hyaluronan or derivative, monovisc, for intra-articular injection, per dose J7327

Monovisc is a treatment involving an injection of hyaluronan or its derivative into a joint, often the knee. This substance, found naturally in joint fluid, helps lubricate and cushion the joint. The injection can help ease pain, improve mobility, and reduce inflammation caused by arthritis.

20 services13 patients

Ultrasonic guidance for needle placement 76942

Ultrasonic guidance for needle placement is a technique where sound waves create images that help accurately position the needle during procedures. This method ensures precision, minimizes discomfort, and increases safety.

18 services16 patients

Aspiration and/or injection of fluid from small joint using ultrasound guidance 20604

This procedure involves using ultrasound to accurately locate a small joint. A needle is then carefully inserted to remove fluid (aspiration) or inject medication. This can help diagnose or treat joint issues. It's generally safe and minimally invasive.

12 services12 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

Quality

81.79

Promoting Interoperability

100

Improvement Activities

Cost

63.31

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.

MS. JAYNE ELLEN LONG PT

Physical Therapist (Orthopedic)

2805 CAMPUS DR
PLYMOUTH, MN 55441

Hennepin County (763) 236-5555

MARK HOUGHLAND MD

Internal Medicine (Cardiovascular Disease)

2805 CAMPUS DR, SUITE 305
PLYMOUTH, MN 55441

Hennepin County (763) 577-7615

MICHAEL A GROUWS M.D.

Internal Medicine

2805 CAMPUS DR, STE 345
PLYMOUTH, MN 55441

Hennepin County (763) 520-2980

NESS PLASTIC SURGERY, LLC

Specialist

2805 CAMPUS DR, SUITE 485
PLYMOUTH, MN 55441

Hennepin County (763) 559-4500

TIMOTHY JAMES MENDEN PT, DPT, OCS

Physical Therapist

2805 CAMPUS DR
PLYMOUTH, MN 55441

Hennepin County (763) 236-5555

MADELINE GARTNER SURGERY PLLC

Surgery

2805 CAMPUS DR, SUITE 405
PLYMOUTH, MN 55441

Hennepin County (763) 473-1480

WAYZATA ORTHOPEDIC'S P.A.

Orthopaedic Surgery

2805 CAMPUS DR, STE 425
PLYMOUTH, MN 55441

Hennepin County (763) 383-0770

SANDRA ANN WILLSON PT

Physical Therapist

2805 CAMPUS DR, #115
PLYMOUTH, MN 55441

Hennepin County (763) 551-9511

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.

Which organizations bill Medicare for Andrew Houghton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andrew Houghton reassigns Medicare benefits to 2 organizations: Allina Health System (Plymouth, MN) and Park Nicollet Clinic (St Louis Park, 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 Andrew Houghton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Andrew Houghton accept?

Health plans from HealthPartners 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.