DR. TORE DETLIE M.D.
NPI 1841240686
Radiology - Diagnostic Radiology in Maplewood, MN

Active since May 11, 2006PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
918 DEMONT AVE E, MAPLEWOOD, MN 55109(952) 595-1100(612) 294-4903 Get Directions Write a Review

NPPES record last updated: July 19, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Tore Detlie M.d. NPPES

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

DR. TORE DETLIE M.D. (NPI 1841240686) is an individual diagnostic radiology provider in Maplewood, Minnesota, licensed in Minnesota (29546) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Minnesota Medical School (1984).

NPPES Registry Identity

NPI1841240686
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameDR. TORE DETLIECredential: M.D.
Location Address918 DEMONT AVE EMaplewood, MN 55109-1953
Mailing Address11995 Singletree Ln, Suite 500Eden Prairie, MN 55344-5347 · (952) 595-1301 · Fax (612) 294-4903
Fax(612) 294-4903
Sole ProprietorNo
Medical School CMSUniversity Of Minnesota Medical SchoolGraduated 1984
Enumeration DateMay 11, 2006
Last NPPES UpdateJuly 19, 2012
NPI 1841240686 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Licenses Licensed in MN · 29546 Licensed in NH · 15435
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
918 DEMONT AVE E, Maplewood, MN 55109

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. Tore Detlie 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 ID9032014766
PECOS Enrollment IDI20100728000070, I20101004000188, I20190610000624
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 20

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.

Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml Q9966
Low osmolar contrast material with 200-299 mg/ml iodine concentration is a type of dye used in certain medical tests like CT scans or X-rays. It helps to highlight specific areas in your body, making them easier to see and examine. It's safe and commonly used.
2,800 services54 patients
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml Q9967
Low osmolar contrast material with 300-399 mg/ml iodine concentration is a diagnostic tool used in imaging procedures. It helps to enhance the visibility of specific areas in the body, aiding in accurate diagnosis. It's safe and generally well-tolerated by patients.
2,110 services21 patients
Injection, gadoterate meglumine, 0.1 ml A9575
Gadoterate meglumine is a contrast agent used in MRI scans to help visualize certain areas of your body more clearly. It's injected into your bloodstream, typically through a vein in your arm, and helps doctors get more detailed images.
1,915 services13 patients
Screening 3d breast mammography 77063
Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.
267 services267 patients
Screening mammography 77067
Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.
267 services267 patients
Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
141 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55109 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
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
Most-billed visit code 99213
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored

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 Tore Detlie's NPI number?

The NPI number for Tore Detlie is 1841240686. It was assigned to this individual provider in the NPPES registry on May 11, 2006.

Where is Tore Detlie located?

Tore Detlie practices at 918 Demont Ave E, Maplewood, MN 55109. The listed phone number is (952) 595-1100.

What is Tore Detlie's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Tore Detlie enrolled in Medicare?

Yes. Tore Detlie 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.

When was this NPI record last updated?

The NPPES record for Tore Detlie was last updated on July 19, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.