GREGORY ALLEN RATHMANN MD
NPI 1891990404
Radiology - Diagnostic Radiology in Roseville, MN

Q: What is Gregory Rathmann's NPI number?

The NPI number for Gregory Rathmann is 1891990404. It was assigned to this individual provider in the NPPES registry on June 15, 2007.

Q: Where is Gregory Rathmann located?

Gregory Rathmann practices at 2355 Highway 36 W Ste 100, Roseville, MN 55113. The listed phone number is (651) 292-2000.

Q: What is Gregory Rathmann's specialty?

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

Q: Is Gregory Rathmann enrolled in Medicare?

Yes. Gregory Rathmann 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.

Q: Which organizations bill Medicare for Gregory Rathmann's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gregory Rathmann reassigns Medicare benefits to 25 organizations: Midwest Radiology, PA (Roseville, MN), Suburban Imaging, LLC (Roseville, MN), Fairview Clinics (Minneapolis, MN), Fairview Express Care (Minneapolis, MN), University Of Minnesota Physicians (Minneapolis, MN) and 20 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Gregory Rathmann's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Q: What insurance does Gregory Rathmann accept?

Health plans from Blue Cross Blue Shield of North Dakota and Sanford Health Plan list Gregory Rathmann 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.

Q: Is Gregory Rathmann affiliated with any hospitals?

According to CMS data, Gregory Rathmann is affiliated with Lakeview Memorial Hospital, Regions Hospital, Amery Hospital & Clinic, Hudson Hospital and Westfields Hospital And Clinic.

Q: When was this NPI record last updated?

The NPPES record for Gregory Rathmann was last updated on February 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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 June 15, 2007PECOS EnrolledAccepts Medicare Assignment

98.25/100

CMS Quality Rating

2355 HIGHWAY 36 W STE 100, ROSEVILLE, MN 55113(651) 292-2000 Get Directions Write a Review

NPPES record last updated: February 20, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 20, 2025, Jul 21, 2021 (2 updates tracked since 2021).

On this page

About Gregory Allen Rathmann Md NPPES

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

GREGORY ALLEN RATHMANN MD (NPI 1891990404) is an individual diagnostic radiology provider in Roseville, Minnesota, licensed in Minnesota (50112) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS, is affiliated with Lakeview Memorial Hospital, and is a graduate of University Of Minnesota Medical School (2003).

NPPES Registry Identity

NPI1891990404

Entity TypeIndividualMale

Primary Taxonomy2085R0202X

Provider Legal NameGREGORY ALLEN RATHMANNCredential: MD

Location Address2355 HIGHWAY 36 W STE 100Roseville, MN 55113-3905

Mailing Address2355 Highway 36 W Ste 100Roseville, MN 55113-3905 · (651) 292-2000

Phone(651) 292-2000

Sole ProprietorNo

Medical School CMSUniversity Of Minnesota Medical SchoolGraduated 2003

Enumeration DateJune 15, 2007

Last NPPES UpdateFebruary 20, 20252 updates tracked since enumeration

NPPES CertifiedFebruary 20, 2025

✔ NPI 1891990404 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0202X

License✔ Licensed in MN · 50112

Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

2355 HIGHWAY 36 W STE 100, Roseville, MN 55113

Open in Google Maps ↗

Other Identifiers 12

Other300004210MN · Medicare

Other300004211MN · Medicare

Other6G394RAMN · Blue Cross Blue Shield

Medicaid170453000MN

Medicaid1891990404MN

Other960371004676MN · Preferred One

Other16-04895MN · Medica

Medicaid34911200WI

OtherHP78435MN · Health Partners

OtherP00406914MN · Railroad Medicare

Other134436MN · Ucare

Other1891990404MN · America's Ppo

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of North Dakota, Sanford Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Gregory Allen Rathmann 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 ID9739270182

PECOS Enrollment IDI20070814000512, I20100122000693, I20100208000635

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.

Medicare Billing Reassignments

Medicare enrollment records show Gregory Rathmann reassigns Medicare billing to 25 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Midwest Radiology, PA

Same address

Diagnostic Radiology

2355 HWY 36 W., STE. 100
Roseville, MN 55113

Reassigned Medicare billing, Minnesota and Wisconsin enrollments
218 clinicians in this Medicare group

NPI 1952307175 (651) 292-2000

Suburban Imaging, LLC

Same address

Radiology

2355 HWY 36 W., STE. 100
Roseville, MN 55113

Reassigned Medicare billing, Minnesota enrollment
219 clinicians in this Medicare group

NPI 1427008937 (651) 292-2000

Fairview Clinics

1.9 mi

Family Medicine

400 STINSON BLVD, PROVIDER ENROLLMENT
Minneapolis, MN 55413

Reassigned Medicare billing, Minnesota enrollment
2,302 clinicians in this Medicare group

NPI 1548718588 (612) 672-2258

Fairview Express Care

2.2 mi

Physical Therapy

2600 39TH AVE NE, STE 220
Minneapolis, MN 55421

Reassigned Medicare billing, Minnesota enrollment
3,633 clinicians in this Medicare group

NPI 1407834302 (612) 789-0417

University Of Minnesota Physicians

3.0 mi

Multi-Specialty

720 WASHINGTON AVE SE STE 200
Minneapolis, MN 55414

Reassigned Medicare billing, Minnesota enrollment
1,453 clinicians in this Medicare group

NPI 1477598118 (612) 672-7422

University Of Minnesota Health Clinics And Surgery Center Inc

3.1 mi

Anesthesiology

909 FULTON ST SE
Minneapolis, MN 55455

Reassigned Medicare billing, Minnesota enrollment
1,662 clinicians in this Medicare group

NPI 1003485004 (612) 273-8383

Allina Health System

3.6 mi

Sleep Disorder Diagnostic

1010 BANDANA BLVD W, STE 236
St Paul, MN 55108

Reassigned Medicare billing, Minnesota and Wisconsin enrollments
Also billed through NPI 1023314804 (Minnesota), NPI 1205069325 (Wisconsin), NPI 1407395247 (Wisconsin)
2,609 clinicians in this Medicare group

NPI 1265278097 (651) 641-7100

Fairview Health Services

3.7 mi

General Acute Care Hospital

2450 RIVERSIDE AVE
Minneapolis, MN 55454

Reassigned Medicare billing, Minnesota enrollment
4,038 clinicians in this Medicare group

NPI 1013994359 (612) 672-6000

Fairview Specialty Services

3.7 mi

Physical Therapy

2450 RIVERSIDE AVE
Minneapolis, MN 55454

Reassigned Medicare billing, Minnesota enrollment
2,373 clinicians in this Medicare group

NPI 1043199334 (855) 324-7843

Midwest Radiology Outpatient Imaging, LLC

6.5 mi

Diagnostic Radiology

250 THOMPSON ST
Saint Paul, MN 55102

Reassigned Medicare billing, Minnesota enrollment
218 clinicians in this Medicare group

NPI 1720059264 (651) 292-2000

Ridgeview Medical Center

20 mi

Urgent Care

7907 POWERS BLVD
Chanhassen, MN 55317

Reassigned Medicare billing, Minnesota enrollment
581 clinicians in this Medicare group

NPI 1558142869 (952) 934-0570

St. Croix Regional Medical Center

39 mi

Critical Access

235 STATE ST
Saint Croix Falls, WI 54024

Reassigned Medicare billing, Minnesota and Wisconsin enrollments
241 clinicians in this Medicare group

NPI 1043240922 (715) 483-3221

The Duluth Clinic Ltd

122 mi

Multi-Specialty

1413 HIGHWAY 33 S
Cloquet, MN 55720

Reassigned Medicare billing, Minnesota enrollment
1,460 clinicians in this Medicare group

NPI 1902563638 (218) 337-4000

Lac Qui Parle Clinic Of Madison Inc

146 mi

Rural Health

820 3RD AVE
Madison, MN 56256

Reassigned Medicare billing, Minnesota enrollment
185 clinicians in this Medicare group

NPI 1144266156 (320) 598-7551

Madison Healthcare Services

146 mi

Critical Access

820 3RD AVE
Madison, MN 56256

Reassigned Medicare billing, Minnesota enrollment
177 clinicians in this Medicare group

NPI 1942246848 (320) 598-7536

Marshfield Clinic Inc

150 mi

Clinic/Center

1000 N OAK AVE
Marshfield, WI 54449

Reassigned Medicare billing, Minnesota enrollment
143 clinicians in this Medicare group

NPI 1952347981 (715) 387-5511

Grand Itasca Clinic And Hospital

154 mi

General Acute Care Hospital

1601 GOLF COURSE RD
Grand Rapids, MN 55744

Reassigned Medicare billing, Minnesota enrollment
555 clinicians in this Medicare group

NPI 1669426631 (218) 326-3401

Range Regional Health Services

166 mi

General Acute Care Hospital

750 E 34TH ST
Hibbing, MN 55746

Reassigned Medicare billing, Minnesota enrollment
707 clinicians in this Medicare group

NPI 1356321699 (218) 262-4881

William Noyes, MD PC

270 mi

Hematology & Oncology

1451 44TH AVE S, UNIT E
Grand Forks, ND 58201

Reassigned Medicare billing, Minnesota enrollment
82 clinicians in this Medicare group

NPI 1245332311 (701) 787-5800

Altru Health System

272 mi

Clinic/Center

1300 S COLUMBIA RD
Grand Forks, ND 58201

Reassigned Medicare billing, Minnesota enrollment
228 clinicians in this Medicare group

NPI 1043309552 (701) 780-5000

Lutheran Charity Association

297 mi

Diagnostic Radiology

2422 20TH ST SW
Jamestown, ND 58401

Reassigned Medicare billing, Minnesota enrollment
153 clinicians in this Medicare group

NPI 1700038981 (701) 252-1050

P R Health Corporation

318 mi

Critical Access

115 VIVIAN ST.
Park River, ND 58270

Reassigned Medicare billing, North Dakota enrollment
232 clinicians in this Medicare group

NPI 1679669741 (701) 284-7500

Pembina County Memorial Hospital Association

335 mi

Rural Health

301 MOUNTAIN ST E
Cavalier, ND 58220

Reassigned Medicare billing, Minnesota enrollment
217 clinicians in this Medicare group

NPI 1417093949 (701) 265-6307

Towner County Medical Center Inc

373 mi

Rural Health

228 1ST AVE
Cando, ND 58324

Reassigned Medicare billing, Minnesota enrollment
214 clinicians in this Medicare group

NPI 1124041389 (701) 698-2541

St. Joseph's Hospital And Health Center

479 mi

Surgery

45 8TH ST W
Dickinson, ND 58601

Reassigned Medicare billing, North Dakota enrollment
Also billed through NPI 1992947956 (North Dakota)
401 clinicians in this Medicare group

NPI 1073745279 (701) 456-4000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 36

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.

X-ray of chest, 2 views 71046

A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.

363 services356 patients

X-ray of chest, 1 view 71045

A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.

344 services308 patients

Ct scan of abdomen and pelvis with contrast 74177

A CT scan of the abdomen and pelvis with contrast is an imaging procedure. A special dye, called contrast, is used to make certain areas more visible. This can help identify issues such as infections, tumors, or other abnormalities. The procedure is painless and usually takes about 30 minutes.

280 services273 patients

Ct scan of chest with contrast 71260

A CT scan of the chest with contrast is an imaging procedure. A special dye (contrast) is used to highlight specific areas in your body, providing clearer pictures of your chest. This helps in diagnosing conditions related to your lungs, heart, and other chest structures.

130 services125 patients

Ct scan of blood vessels of chest with contrast 71275

A CT scan of the chest with contrast is a non-invasive imaging test. It uses X-rays and a special dye to get detailed images of your blood vessels in the chest. This helps in diagnosing conditions related to heart and lungs.

95 services95 patients

X-ray of abdomen, 1 view 74018

An X-ray of the abdomen, 1 view, is a quick and painless imaging test. It uses a small amount of radiation to produce images of the structures in your abdomen, such as the stomach, liver, and intestines. This can help identify issues like blockages, infections, or injuries.

91 services83 patients

Ct scan of chest without contrast 71250

A CT scan of the chest without contrast is a non-invasive imaging procedure. It uses special X-ray equipment to produce detailed images of your chest area, including your lungs and heart. It can help diagnose conditions such as lung diseases or heart disorders. It doesn't involve any dyes or contrast agents.

88 services87 patients

Ct scan of abdomen and pelvis without contrast 74176

A CT scan of the abdomen and pelvis is a non-invasive medical test. It uses special X-ray equipment to create detailed images of your abdominal and pelvic areas. This helps doctors examine organs, tissues, and vessels. No contrast dye is used in this procedure.

70 services70 patients

Ultrasound study of one arm or leg veins with compression and maneuvers 93971

This is a non-invasive procedure using sound waves to visualize veins in an arm or leg. It involves applying gentle pressure and performing certain movements. It helps identify any abnormal blood flow or clots, ensuring vascular health.

68 services67 patients

Low dose ct scan of chest for lung cancer screening 71271

A low-dose CT scan of the chest is a quick, painless procedure that uses a small amount of radiation to create detailed images of your lungs. It's a key tool for early detection of lung cancer, especially for those at high risk.

56 services56 patients

Mri scan of abdomen before and after contrast 74183

An MRI scan of the abdomen before and after contrast provides detailed images of your abdominal organs. Initially, images are taken without a contrast agent. Then, a safe dye is administered, usually via an IV, to highlight certain areas, giving a clearer picture to help diagnose various conditions.

55 services55 patients

Complete ultrasound scan behind abdominal cavity 76770

A complete ultrasound scan behind the abdominal cavity is a non-invasive imaging procedure. It uses sound waves to create pictures of the structures and organs located at the back of your abdomen. It helps in diagnosing health conditions and monitoring ongoing treatments.

52 services52 patients

X-ray of hip, 2-3 views 73502

An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.

50 services49 patients

Ct scan of abdomen and pelvis before and after contrast 74178

A CT scan of your abdomen and pelvis with and without contrast helps visualize your internal organs better. Contrast is a special dye that improves the clarity of the images. It's taken orally or injected into your veins before the scan. The process is painless and quick.

44 services44 patients

Limited ultrasound scan of abdomen 76705

A limited ultrasound scan of the abdomen is a non-invasive imaging test. It uses sound waves to produce images of the abdominal organs such as the liver, gallbladder, spleen, pancreas, and kidneys. This helps to identify any abnormalities or issues.

41 services41 patients

Ultrasound scan of head and neck soft tissue 76536

An ultrasound scan of the head and neck soft tissue is a non-invasive procedure that uses sound waves to create images of the soft tissues in these areas. It helps identify any abnormalities or issues, such as tumors, cysts, or infections. It's painless and doesn't involve radiation.

39 services39 patients

Mri scan of pelvis before and after contrast 72197

An MRI scan of the pelvis before and after contrast is a non-invasive imaging technique. It uses magnetic fields and radio waves to capture detailed images of your lower abdomen. Contrast dye, safe for the body, improves image clarity. This helps detect abnormalities more accurately.

38 services38 patients

Ct scan of blood vessels of abdomen and pelvis with contrast 74174

A CT scan of the abdomen and pelvis with contrast is a medical imaging procedure. A special dye, called contrast, is used to make blood vessels more visible. The scan produces detailed images of your abdomen and pelvis, helping doctors to diagnose conditions or plan treatments.

37 services37 patients

Ultrasound study of arm or leg veins with compression and maneuvers 93970

An ultrasound study of arm or leg veins with compression and maneuvers is a non-invasive procedure that uses sound waves to create images of your veins. This helps identify blood clots or other vein problems. During the procedure, pressure is applied to the veins and certain movements are performed to assess blood flow.

32 services32 patients

X-ray of chest, 2 views 71046

31 services28 patients

X-ray of shoulder, minimum of 2 views 73030

An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.

26 services26 patients

X-ray of knee, 3 views 73562

An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.

26 services26 patients

X-ray of foot, minimum of 3 views 73630

An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.

25 services22 patients

X-ray of thigh bone, minimum 2 views 73552

An X-ray of the thigh bone is a non-invasive imaging test. It involves passing a small amount of radiation through the thigh to produce images of the bone structure. At least two different angles are captured for a comprehensive view. This helps detect fractures, infections, or other abnormalities.

23 services21 patients

Complete ultrasound scan of abdomen 76700

A complete ultrasound scan of the abdomen is a non-invasive imaging procedure. It uses sound waves to produce images of the organs in your abdomen, such as the liver, gallbladder, spleen, pancreas, and kidneys. It helps in diagnosing, monitoring, and planning treatments.

21 services21 patients

X-ray of knee, 1-2 views 73560

An X-ray of the knee with 1-2 views is a quick, painless test that produces images of the knee bones. It helps identify fractures, infections, or changes in the knee joint. During the procedure, you'll be asked to stay still while the X-ray machine captures the images.

18 services18 patients

X-ray of ankle, minimum of 3 views 73610

An ankle X-ray is a quick, painless imaging test. It involves capturing at least three different images or 'views' of your ankle using small amounts of radiation. These images help identify any abnormalities or injuries, such as fractures or arthritis.

17 services16 patients

X-ray of wrist, minimum of 3 views 73110

An X-ray of the wrist, minimum of 3 views, is a diagnostic procedure that uses radiation to create images of your wrist from different angles. This helps detect fractures, infections, or other abnormalities for accurate diagnosis and treatment planning.

15 services14 patients

Double contrast x-ray of esophagus 74221

A double contrast x-ray of the esophagus is a diagnostic procedure that uses a special type of x-ray and a contrast material to capture detailed images of your esophagus. This helps in identifying any abnormalities or issues.

15 services14 patients

3d radiographic procedure 76376

A 3D radiographic procedure is a non-invasive imaging test that helps doctors visualize the internal structures of your body in three dimensions. This advanced technology provides detailed images, aiding in accurate diagnosis and treatment planning. It involves exposure to minimal radiation.

15 services15 patients

X-ray of hand, minimum of 3 views 73130

An X-ray of the hand, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones in your hand from different angles. This helps in diagnosing fractures, infections, arthritis, or other abnormalities. It's quick and painless.

13 services12 patients

X-ray of lower leg, 2 views 73590

An X-ray of the lower leg, 2 views, is a quick, painless test that produces images of the bones in your lower leg. It helps to identify fractures, infections, or diseases. Two different angles are used to provide a comprehensive view of the leg's structure.

13 services13 patients

Complete ultrasound scan of pelvis 76856

A complete ultrasound scan of the pelvis is a safe, non-invasive imaging procedure. It uses sound waves to create pictures of your lower abdomen area, helping doctors to evaluate and diagnose any potential issues. It's painless and usually takes about 30 minutes.

12 services12 patients

X-ray of pelvis, 1-2 views 72170

An X-ray of the pelvis, 1-2 views, is a quick and painless imaging test. It uses a small amount of radiation to produce images of the lower part of your torso. These images help to detect any abnormalities or injuries in your hip bones and surrounding structures.

11 services11 patients

X-ray of abdomen, 2 views 74019

An X-ray of the abdomen, 2 views, is a non-invasive imaging test. It uses a small amount of radiation to capture pictures of the structures inside your belly. The two views provide different angles, helping doctors see your organs clearly and detect any issues.

11 services11 patients

Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina 76830

An ultrasound scan of the lower abdominal region is a safe, non-invasive procedure that uses sound waves to create images of internal structures. This helps in checking the health of reproductive organs and detecting any abnormalities. The scan is done via a small probe inserted into the body.

11 services11 patients

Hospital Affiliations CMS Care Compare 5

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

Lakeview Memorial Hospital

Acute Care Hospitals · Stillwater, MN

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number240066

Location927 West Churchill StreetStillwater, MN 55082 · Washington County

Emergency services Birthing friendly

Regions Hospital

Acute Care Hospitals · Saint Paul, MN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number240106

Location640 Jackson StreetSaint Paul, MN 55101 · Ramsey County

Emergency services Birthing friendly

Amery Hospital & Clinic

Critical Access Hospitals · Amery, WI

OwnershipVoluntary non-profit - Private

CMS Certification Number521308

Location265 Griffin Street EastAmery, WI 54001 · Polk County

Emergency services Birthing friendly

Hudson Hospital

Critical Access Hospitals · Hudson, WI

OwnershipVoluntary non-profit - Private

CMS Certification Number521335

Location405 Stageline RoadHudson, WI 54016 · St. Croix County

Emergency services Birthing friendly

Westfields Hospital And Clinic

Critical Access Hospitals · New Richmond, WI

OwnershipVoluntary non-profit - Private

CMS Certification Number521345

Location535 Hospital RdNew Richmond, WI 54017 · St. Croix County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55113 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.

98.25/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

96.83

Promoting Interoperability

100

Improvement Activities

Reported Quality Measures

Appropriate Follow-up Imaging for Incidental Abdominal Lesions

Percentage of final reports for abdominal imaging studies for asymptomatic patients aged 18 years and older with one or more of the following noted incidentally with follow_up imaging recommended: - Liver lesion =< 0.5 cm - Cystic kidney lesion < 1.0 cm -…

Lower rates are better for this measure.

0%110 patients

Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques

Percentage of final reports for patients aged 18 years and older undergoing CT with documentation that one or more of the following dose reduction techniques were used: - Automated exposure control - Adjustment of the mA and/or kV according to patient size -…

100%928 patients

Radiology: Stenosis Measurement in Carotid Imaging Reports

Percentage of final reports for carotid imaging studies (neck magnetic resonance angiography [MRA], neck computed tomography angiography [CTA], neck duplex ultrasound, carotid angiogram) performed that include direct or indirect reference to measurements of…

100%33 patients

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

CHERIE S. NIENOW RN, CNP

Nurse Practitioner