Active NPI 1801870886 Individual Practitioner Male Practitioner

Dr. Troy M Duininck , MD

Surgery • Brainerd, MN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Troy Duininck, MD is a certified Surgery practicing in Brainerd, MN. With approximately 28 years of clinical experience since graduating from University Of Minnesota Medical School in 1998, Dr. Duininck delivers high-quality medical care to the local community at 2024 S 6TH ST.

Dr. Duininck is affiliated with St Josephs Medical Center and accepts Medicare assignment.

Frequently performed procedures and clinical services include new patient outpatient office visit, initial hospital care with straightforward or low-level medical decision making, if using time, at least, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2024 S 6th St

Brainerd, MN 564014529

Telephone 2188287100

Associated Practice Facility / Clinic

🏢 North Central Cardiovascular Diagnostics, Llc Facility NPI 1871533802

Medicare Profile & Education

Medical School

University Of Minnesota Medical School

Graduation Year

1998

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Brainerd, MN

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

28 Yrs +8.5 yrs vs City Avg

City Avg: 19.5 Yrs

State Avg: 23.0 Yrs

Regional Practice Density

6 Specialists

Practicing in Brainerd, MN (770 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

73.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Duininck (28 Years) 28 Yrs

Brainerd Specialty Average (19.5 Years) 19.5 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	32	32	$191.38	$76.77
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	27	27	$501.44	$122.38
99213 Established patient office or other outpatient visit, typically 15 minutes	16	15	$152.94	$62.18
99202 New patient office or other outpatient visit, typically 20 minutes	15	15	$135.20	$44.67
33208 Insertion of pacemaker and upper and lower heart chamber electrode	14	14	$1919.00	$455.98
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	12	11	$95.33	$33.30

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	28	23	$145.96	$63.21
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	25	25	$187.00	$78.51
99231 Follow-up hospital inpatient care per day, typically 15 minutes	25	16	$128.00	$47.01
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	16	16	$456.63	$124.21
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$284.00	$127.06
33208 Insertion of pacemaker and upper and lower heart chamber electrode	12	12	$1906.08	$471.25

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	39	22	$217.95	$68.43
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	24	24	$179.42	$80.14
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$273.41	$130.70
99202 New patient office or other outpatient visit, typically 20 minutes	15	15	$125.67	$47.31
99213 Established patient office or other outpatient visit, typically 15 minutes	14	14	$128.57	$65.08
99221 Initial hospital inpatient care per day, typically 30 minutes	11	11	$301.45	$95.58

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	28	14	$207.71	$69.88
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	22	22	$174.00	$81.36
99202 New patient office or other outpatient visit, typically 20 minutes	21	21	$123.00	$48.05
99213 Established patient office or other outpatient visit, typically 15 minutes	18	17	$120.00	$66.03
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$266.00	$132.79
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	11	11	$1522.00	$210.50

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99202 New patient office or other outpatient visit, typically 20 minutes	44	44	$124.95	$49.48
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	31	15	$206.00	$71.50
99213 Established patient office or other outpatient visit, typically 15 minutes	18	18	$127.22	$50.65
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$178.53	$74.30
99221 Initial hospital inpatient care per day, typically 30 minutes	12	12	$287.00	$99.33
19301 Partial removal of breast	12	11	$2376.92	$656.74

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99202 New patient office or other outpatient visit, typically 20 minutes	28	28	$101.50	$49.13
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	25	21	$187.76	$67.82
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	22	22	$138.50	$73.36
99213 Established patient office or other outpatient visit, typically 15 minutes	17	16	$82.12	$49.64

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	28	17	$168.00	$70.94
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	23	16	$35.00	$24.73
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$108.00	$77.03
99202 New patient office or other outpatient visit, typically 20 minutes	16	16	$70.00	$49.11

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	27	18	$168.00	$70.30
99213 Established patient office or other outpatient visit, typically 15 minutes	21	19	$68.00	$49.49
99202 New patient office or other outpatient visit, typically 20 minutes	19	19	$70.00	$48.92
99221 Initial hospital inpatient care per day, typically 30 minutes	17	16	$230.00	$97.36
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$108.00	$73.49

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License MN 41868

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

063402600 (MN)

Hospital & Practice Group Affiliations

St Josephs Medical Center

523 N 3rd St, Brainerd, MN 564013054

Phone: 2188287400

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners

Dr. Eric Chapman , DO

Urology

NPI 1003136839

Doctor of Osteopathic Medicine (D.O.)

Dr. Vishnuteja Devalla , MD

Internal Medicine - Rheumatology

NPI 1063874881

Doctor of Medicine (M.D.)

Jordan Benson , NP

Nurse Practitioner - Obstetrics & Gynecology

NPI 1104126994

Nurse Practitioner

Teresa Farrell

Dietitian, Registered

NPI 1104804350

Dr. Dale Hadland , MD

Family Medicine

NPI 1144204181

Doctor of Medicine (M.D.)

Dr. Gregory Whiteman , MD

Family Medicine

NPI 1154311660

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active January 07, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location January 07, 2016

Registered at 2024 S 6TH ST, BRAINERD, MN 564014529 (Tel: 2188287100)

📍

Updated Business Mailing Address January 07, 2016

Registered at 523 N 3RD ST, BRAINERD, MN 564013054 (Tel: 2188292861)

👤

Provider Name / Credentials Updated January 07, 2016

Recorded as TROY DUININCK, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 07, 2016

Surgery (License #41868 in MN)

🟢

Initial NPI Registration & Enumeration December 02, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1801870886

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: December 02, 2005

Last Update: January 07, 2016

Sole Proprietor: No

Update or Correct Profile

Mailing Address

523 N 3rd St

Brainerd, MN 564013054

Phone: 2188292861

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.