Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. TONIA L TSCHETTER MD
NPI 1619988508
Family Medicine in Saint Paul, MN

Active since August 10, 2006PECOS EnrolledAccepts Medicare Assignment
83.98/100
CMS Quality Rating
205 WABASHA ST S, SAINT PAUL, MN 55107(952) 853-8800 Get Directions Write a Review

NPPES record last updated: June 12, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Tonia L Tschetter Md NPPES

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

DR. TONIA L TSCHETTER MD (NPI 1619988508) is an individual family medicine provider in Saint Paul, Minnesota, licensed in Minnesota (74039) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, is affiliated with Regions Hospital, and maintains 7 additional practice locations.

NPPES Registry Identity

NPI1619988508
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. TONIA L TSCHETTERCredential: MD
Location Address205 WABASHA ST SSaint Paul, MN 55107-1805
Mailing Address205 Wabasha St SSaint Paul, MN 55107-1805 · (651) 293-8275
Sole ProprietorNo
Medical School CMSUniversity Of North Dakota School Of MedicineGraduated 1997
Enumeration DateAugust 10, 2006
Last NPPES UpdateJune 12, 2026
NPPES CertifiedJune 12, 2026
NPI 1619988508 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in MN · 74039 Licensed in ND · 7986
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
205 WABASHA ST S, Saint Paul, MN 55107

Secondary Practice Locations 7

Location 11500 Curve Crest Blvd WStillwater, MN 55082-6040 · Phone (952) 853-8800
Location 2801 21st Ave NEMinot, ND 58701-6064 · Phone (701) 838-3150
Location 3300 2nd Ave NEJamestown, ND 58401-3373 · Phone (701) 251-6000
Location 43930 Northwoods DrArden Hills, MN 55112-6963 · Phone (952) 853-8800
Location 52500 Como AveSaint Paul, MN 55108-1460 · Phone (952) 853-8800
Location 68450 Seasons PkwyWoodbury, MN 55125-4402 · Phone (952) 853-8800
Location 715290 Pennock LnApple Valley, MN 55124-7163 · Phone (952) 853-8800

Other Identifiers 1

Medicaid10611ND

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

Dr. Tonia L Tschetter 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 ID3577460898
PECOS Enrollment IDI20240213002374
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 8

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.

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.
106 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.
51 services50 patients
Manual urinalysis test with examination using microscope, automated 81001
A manual urinalysis test with automated microscopic examination is a lab process that checks your urine for health indicators. It involves a machine scanning your sample to identify any abnormal elements, which can assist in diagnosing various conditions.
36 services29 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
29 services25 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
27 services24 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.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

Regions Hospital

Acute Care Hospitals · Saint Paul, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240106
Location640 Jackson StreetSaint Paul, MN 55101 · Ramsey County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55107 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.

83.98/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.28
Promoting Interoperability99
Improvement Activities40
Cost68.15

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.

Nurse Practitioner (Family)
205 WABASHA ST S
SAINT PAUL, MN 55107
Family Medicine
205 WABASHA ST S
SAINT PAUL, MN 55107
Family Medicine
205 WABASHA ST S
SAINT PAUL, MN 55107
Advanced Practice Midwife
205 WABASHA ST S
SAINT PAUL, MN 55107
Nurse Practitioner
205 WABASHA ST S
ST PAUL, MN 55107
Physician Assistant
205 WABASHA ST S
SAINT PAUL, MN 55107
Emergency Medicine
205 WABASHA ST S
SAINT PAUL, MN 55107
Orthopaedic Surgery
205 WABASHA ST S
SAINT PAUL, MN 55107

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 Tonia Tschetter's NPI number?

The NPI number for Tonia Tschetter is 1619988508. It was assigned to this individual provider in the NPPES registry on August 10, 2006.

Where is Tonia Tschetter located?

Tonia Tschetter practices at 205 Wabasha St S, Saint Paul, MN 55107. The listed phone number is (952) 853-8800.

What is Tonia Tschetter's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Tonia Tschetter enrolled in Medicare?

Yes. Tonia Tschetter 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 Tonia Tschetter accept?

Health plans from Medica and Security Health Plan list Tonia Tschetter 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 Tonia Tschetter affiliated with any hospitals?

According to CMS data, Tonia Tschetter is affiliated with Regions Hospital.

When was this NPI record last updated?

The NPPES record for Tonia Tschetter was last updated on June 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 58 days 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.