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

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: July 26, 2026.

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

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 University Medical Center-mesabi/ Mesaba Clinics, and maintains 2 additional practice locations.

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
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

Secondary Practice Locations 2

Location 17512 Choate CtIndianapolis, IN 46254-9674 · Phone (317) 902-0049
Location 2915 E 1st StDuluth, MN 55805-2107 · Phone (218) 249-5555 · Fax (218) 249-7997

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

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 4

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

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 8

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

Family Medicine
1001 E SUPERIOR ST STE L401
DULUTH, MN 55802
Hospitalist
1001 E SUPERIOR ST STE L401
DULUTH, MN 55802
Pharmacist
1001 E SUPERIOR ST STE L401
DULUTH, MN 55802
Nurse Practitioner
1001 E SUPERIOR ST STE L401
DULUTH, MN 55802
Nurse Practitioner (Family)
1001 E SUPERIOR ST STE L401
DULUTH, MN 55802
Hospitalist
1001 E SUPERIOR ST STE L401
DULUTH, MN 55802
Nurse Practitioner (Family)
1001 E SUPERIOR ST STE L401
DULUTH, MN 55802
Internal Medicine
1001 E SUPERIOR ST STE L401
DULUTH, MN 55802

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 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.

Where is Thomas Opheim located?

Thomas Opheim practices at 1001 E Superior St Ste L401, Duluth, MN 55802. The listed phone number is (218) 249-7960.

What is Thomas Opheim's specialty?

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

Is Thomas Opheim enrolled in Medicare?

Yes. Thomas Opheim 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 Thomas Opheim accept?

Health plans from Medica list Thomas Opheim 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 Thomas Opheim affiliated with any hospitals?

According to CMS data, Thomas Opheim is affiliated with University Medical Center-Mesabi/ Mesaba Clinics, St Lukes Hospital, Lake View Memorial Hospital and Tamarack Health Hayward Medical Center.

When was this NPI record last updated?

The NPPES record for Thomas Opheim was last updated on December 4, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.