SUSAN ELISE WHEATON MD
NPI 1669465720
Pathology - Anatomic Pathology & Clinical Pathology in Minneapolis, MN

Active since August 24, 2005PECOS EnrolledAccepts Medicare Assignment
79.35/100
CMS Quality Rating
2800 10TH AVE S STE 2200, HOSPITAL PATHOLOGY ASSOC, MINNEAPOLIS, MN 55407(612) 767-8370(612) 767-8376 Get Directions Write a Review

NPPES record last updated: August 26, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 26, 2020, Sep 27, 2016 (2 updates tracked since 2016).

About Susan Elise Wheaton Md NPPES

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

SUSAN ELISE WHEATON MD (NPI 1669465720) is an individual anatomic pathology & clinical pathology provider in Minneapolis, Minnesota, licensed in Minnesota (40199) and active in the NPI registry since August 2005. She is enrolled in Medicare PECOS, is affiliated with M Health Fairview University Of Mn, and is a graduate of Rush Medical College Of Rush University (1991).

NPPES Registry Identity

NPI1669465720
Entity TypeIndividualFemale
Primary Taxonomy207ZP0102X
Provider Legal NameSUSAN ELISE WHEATONCredential: MD
Location Address2800 10TH AVE S STE 2200, HOSPITAL PATHOLOGY ASSOCMinneapolis, MN 55407-1311
Mailing Address2800 10th Ave S Ste 2200, Hospital Pathology AssocMinneapolis, MN 55407-1311 · (612) 767-8370 · Fax (612) 767-8376
Fax(612) 767-8376
Sole ProprietorNo
Medical School CMSRush Medical College Of Rush UniversityGraduated 1991
Enumeration DateAugust 24, 2005
Last NPPES UpdateAugust 26, 20202 updates tracked since enumeration
NPPES CertifiedAugust 26, 2020
NPI 1669465720 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
License Licensed in MN · 40199
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
2800 10TH AVE S STE 2200, Minneapolis, MN 55407

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

Susan Elise Wheaton 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 ID6103092259
PECOS Enrollment IDI20111220000776
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.

Special stained specimen slides to examine tissue, each additional procedure 88341
Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.
183 services40 patients
Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
95 services56 patients
Special stained specimen slides to examine tissue including interpretation and report 88313
Special stained specimen slides are used to examine tissue samples. This involves applying special dyes to the tissue, which helps to highlight certain features under a microscope. The findings are then interpreted and a report is provided. This can aid in diagnosing various health conditions.
94 services27 patients
Preparation of tissue for examination by removing any calcium present 88311
This procedure involves treating tissue samples to remove any calcium, which can interfere with the examination. The tissue is soaked in a special solution that safely dissolves the calcium, leaving the tissue intact for accurate analysis. This helps in making precise diagnoses.
51 services46 patients
Blood smear interpretation by physician with written report 85060
Blood smear interpretation is a lab test where your doctor examines a sample of your blood under a microscope. They look for abnormalities in your blood cells which can help diagnose various conditions. You'll receive a written report of the findings.
50 services50 patients
Special stained specimen slides to examine tissue, initial procedure 88342
This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.
45 services42 patients

Hospital Affiliations CMS Care Compare

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

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55407 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
$127.61 typical visit price
range $56.00 – $168.28
Typical copayment $31.90 (range $14.00 – $42.07)
Most-billed visit code 99204
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.

79.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality75.71
Improvement Activities40

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.

Pathology (Anatomic Pathology & Clinical Pathology)
2800 10TH AVE S STE 2200
MINNEAPOLIS, MN 55407
Pathology (Anatomic Pathology & Clinical Pathology)
2800 10TH AVE S STE 2200
MINNEAPOLIS, MN 55407
Pathology (Anatomic Pathology & Clinical Pathology)
2800 10TH AVE S STE 2200, HOSPITAL PATHOLOGY ASSOC
MINNEAPOLIS, MN 55407
Pathology (Anatomic Pathology & Clinical Pathology)
2800 10TH AVE S STE 2200, HOSPITAL PATHOLOGY ASSOC
MINNEAPOLIS, MN 55407
Pathology (Anatomic Pathology & Clinical Pathology)
2800 10TH AVE S STE 2200, HOSPITAL PATHOLOGY ASSOC
MINNEAPOLIS, MN 55407
Pathology (Anatomic Pathology & Clinical Pathology)
2800 10TH AVE S STE 2200, HOSPITAL PATHOLOGY ASSOC
MINNEAPOLIS, MN 55407
Pathology (Anatomic Pathology & Clinical Pathology)
2800 10TH AVE S STE 2200, HOSPITAL PATHOLOGY ASSOC
MINNEAPOLIS, MN 55407
Pathology (Anatomic Pathology & Clinical Pathology)
2800 10TH AVE S STE 2200, HOSPITAL PATHOLOGY ASSOC
MINNEAPOLIS, MN 55407

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 Susan Wheaton's NPI number?

The NPI number for Susan Wheaton is 1669465720. It was assigned to this individual provider in the NPPES registry on August 24, 2005.

Where is Susan Wheaton located?

Susan Wheaton practices at 2800 10th Ave S Ste 2200 Hospital Pathology Assoc, Minneapolis, MN 55407. The listed phone number is (612) 767-8370.

What is Susan Wheaton's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is Susan Wheaton enrolled in Medicare?

Yes. Susan Wheaton 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 Susan Wheaton accept?

Health plans from Medica list Susan Wheaton 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 Susan Wheaton affiliated with any hospitals?

According to CMS data, Susan Wheaton is affiliated with M Health Fairview University Of Mn.

When was this NPI record last updated?

The NPPES record for Susan Wheaton was last updated on August 26, 2020. 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.