THOMAS OPHEIM M.D.
NPI 1740452812
Hospitalist in Duluth, MN

Q: What is Thomas Opheim's NPI number?

The NPI number for Thomas Opheim is 1740452812. It was assigned to this individual provider in the NPPES registry on March 29, 2008.

Q: What is Thomas Opheim's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Q: When was this NPI record last updated?

The NPPES record for Thomas Opheim was last updated on December 4, 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.

Active since March 29, 2008PECOS EnrolledAccepts Medicare Assignment

1001 E SUPERIOR ST STE L401, DULUTH, MN 55802(218) 249-7960(218) 249-7997 Get Directions Write a Review

NPPES record last updated: December 4, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 4, 2020, Mar 30, 2020, Nov 29, 2018 (3 updates tracked since 2018).

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About Thomas Opheim M.d. NPPES

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

THOMAS OPHEIM M.D. (NPI 1740452812) is an individual hospitalist provider in Duluth, Minnesota, licensed in Minnesota (51767) and active in the NPI registry since March 2008. He is enrolled in Medicare PECOS, is affiliated with Aspirus Ironwood Hospital, and is a graduate of University Of Minnesota, Duluth School Of Medicine (2005).

NPPES Registry Identity

NPI1740452812

Entity TypeIndividualMale

Primary Taxonomy208M00000X

Provider Legal NameTHOMAS OPHEIMCredential: M.D.

Location Address1001 E SUPERIOR ST STE L401Duluth, MN 55802-2207

Mailing Address915 E 1st StDuluth, MN 55805-2107 · (218) 249-5555 · Fax (218) 249-7997

Phone(218) 249-7960

Fax(218) 249-7997

Sole ProprietorNo

Medical School CMSUniversity Of Minnesota, Duluth School Of MedicineGraduated 2005

Enumeration DateMarch 29, 2008

Last NPPES UpdateDecember 4, 20203 updates tracked since enumeration

NPPES CertifiedDecember 4, 2020

✔ NPI 1740452812 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians

Taxonomy Code208M00000X

License✔ Licensed in MN · 51767

Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Also ListedInternal MedicineTaxonomy 207R00000X · License 51767 (MN)

Also ListedGeneral PracticeTaxonomy 208D00000X · License 11012848A (IN)

1001 E SUPERIOR ST STE L401, Duluth, MN 55802

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Accepted Insurance

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

Thomas Opheim M.d. 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 ID1759435126

PECOS Enrollment IDI20090819000543

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 2

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

61 services61 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

49 services46 patients

Hospital Affiliations CMS Care Compare 5

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

Aspirus Ironwood Hospital

Critical Access Hospitals · Ironwood, MI

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number231333

LocationN10561 Grand View LaneIronwood, MI 49938 · Gogebic County

Emergency services Birthing friendly

University Medical Center-Mesabi/ Mesaba Clinics

Acute Care Hospitals · Hibbing, MN

OwnershipVoluntary non-profit - Other

CMS Certification Number240040

Location750 East 34th StHibbing, MN 55746 · St. Louis County

Birthing friendly

St Lukes Hospital

Acute Care Hospitals · Duluth, MN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number240047

Location915 East 1st StreetDuluth, MN 55805 · St. Louis County

Emergency services Birthing friendly

Lake View Memorial Hospital

Critical Access Hospitals · Two Harbors, MN

OwnershipVoluntary non-profit - Private

CMS Certification Number241308

Location325 Eleventh AveTwo Harbors, MN 55616 · Lake County

Emergency services

Tamarack Health Hayward Medical Center

Critical Access Hospitals · Hayward, WI

OwnershipVoluntary non-profit - Private

CMS Certification Number521336

Location11040 N State Rd 77Hayward, WI 54843 · Sawyer County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55802 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.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHRISTINE BLOBE REDMANN D.O.

Family Medicine