AUTUMN SUE TIES MD
NPI 1871177501
Emergency Medicine in Apple Valley, MN

Q: What is Autumn Ties's NPI number?

The NPI number for Autumn Ties is 1871177501. It was assigned to this individual provider in the NPPES registry on May 9, 2021. The provider is also known as Autumn Sue Pace MD.

Q: What is Autumn Ties's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Autumn Ties was last updated on October 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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 May 09, 2021PECOS EnrolledAccepts Medicare Assignment

15350 ENGLISH AVE, APPLE VALLEY, MN 55124(952) 853-8800 Get Directions Write a Review

NPPES record last updated: October 8, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 8, 2024, Dec 14, 2023, Nov 14, 2023 and 1 more (4 updates tracked since 2021).

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About Autumn Sue Ties Md NPPES

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

AUTUMN SUE TIES MD (NPI 1871177501) is an individual emergency medicine provider in Apple Valley, Minnesota, licensed in Minnesota (74346) and active in the NPI registry since May 2021. She is enrolled in Medicare PECOS, is affiliated with Ridgeview Medical Center, and is a graduate of University Of Minnesota Medical School (2021).

NPPES Registry Identity

NPI1871177501

Entity TypeIndividualFemale

Primary Taxonomy207P00000X

Provider Legal NameAUTUMN SUE TIESCredential: MD

Location Address15350 ENGLISH AVEApple Valley, MN 55124-6252

Mailing Address640 Jackson StSaint Paul, MN 55101-2502 · (651) 254-3456

Phone(952) 853-8800

Sole ProprietorNo

Medical School CMSUniversity Of Minnesota Medical SchoolGraduated 2021

Enumeration DateMay 9, 2021

Last NPPES UpdateOctober 8, 20244 updates tracked since enumeration

NPPES CertifiedOctober 8, 2024

✔ NPI 1871177501 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

License✔ Licensed in MN · 74346

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

15350 ENGLISH AVE, Apple Valley, MN 55124

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Other Names 1

Former Name (1)Autumn Sue Pace Md

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

Autumn Sue Ties 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 ID4789079492

PECOS Enrollment IDI20231127001517

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.

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

42 services41 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

21 services21 patients

Hospital Affiliations CMS Care Compare

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

Ridgeview Medical Center

Acute Care Hospitals · Waconia, MN

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number240056

Location500 South Maple StreetWaconia, MN 55387 · Carver County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55124 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.

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.

ALYSSA KONG DNP, APRN, FNP-C

Nurse Practitioner