Active NPI 1194950303 Individual Practitioner Female Practitioner

Dr. Ruby Waiyee Tam , DO

Family Medicine • Crystal, MN

Professional Overview & Biography Verified Profile Summary

Dr. Ruby Tam, DO is a registered healthcare professional specializing in Family Medicine in Crystal, MN. Practice services are available at 5700 BOTTINEAU BLVD under active NPI credentials.

Frequently performed procedures and clinical services include insertion of needle into vein for collection of blood sample, established patient outpatient office visit, administration of influenza virus vaccine. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

5700 Bottineau Blvd
Suite 100

Crystal, MN 554293183

Telephone 7635046500

Associated Practice Facility / Clinic

🏢 Northwest Family Physicians Pa Facility NPI 1548366867

Specialty Benchmarks & Practice Insights

Comparative analytics for Family Medicine in Crystal, MN

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 18.8 Yrs

State Avg: 23.1 Yrs

Regional Practice Density

27 Specialists

Practicing in Crystal, MN (4134 Statewide)

Telehealth Adoption Rate

11.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

49.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2022)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	145	85	$12.00	$2.94
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	75	54	$275.00	$122.75
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	60	44	$389.50	$177.10
99213 Established patient office or other outpatient visit, typically 15 minutes	42	33	$195.19	$87.10
G0008 Administration of influenza virus vaccine	28	27	$55.50	$29.33
0064A Adm sarscov2 50mcg/0.25mlbst	24	24	$95.00	$39.30
90682 Influenza vaccine, quadrivalent derived from recombinant dna	22	22	$80.00	$68.54
0134A Fee covid-19 vac 14 res	21	21	$90.00	$38.89
0054A Intramuscular administration of single severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, mrna-lnp, spike protein, preservative free, 30 mcg/0.3ml dosage, tris-sucrose formulation; booster dose	18	18	$80.00	$39.28
81003 Automated urinalysis test	17	11	$12.00	$2.21
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	15	15	$181.00	$128.79

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
0001A Intramuscular administration of single severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, mrna-lnp, spike protein, preservative free, 30 mcg/0.3ml dosage, diluent reconstituted; first dose	169	114	$62.44	$26.26
36415 Insertion of needle into vein for collection of blood sample	160	92	$12.00	$2.96
0012A Adm sarscov2 100mcg/0.5ml2nd	88	87	$69.44	$32.53
0011A Adm sarscov2 100mcg/0.5ml1st	81	81	$62.59	$25.81
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	72	51	$275.00	$124.71
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	64	45	$75.00	$40.19
0003A Adm sarscov2 30mcg/0.3ml 3rd	60	60	$80.00	$40.01
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	45	35	$388.00	$177.08
99213 Established patient office or other outpatient visit, typically 15 minutes	40	33	$196.53	$90.16
0064A Adm sarscov2 50mcg/0.25mlbst	37	37	$84.73	$40.01
0004A Fee covid-19 vac 1 res	29	29	$89.31	$40.01
G0008 Administration of influenza virus vaccine	24	24	$55.58	$17.01
81003 Automated urinalysis test	19	15	$12.00	$2.25
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m servic	18	14	$123.61	$14.27
0013A Adm sarscov2 100mcg/0.5ml3rd	15	15	$80.00	$40.01
90682 Influenza vaccine, quadrivalent derived from recombinant dna	15	15	$74.80	$65.26
G2212 Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or	12	12	$105.00	$32.50

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	214	111	$12.00	$2.98
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	138	88	$275.00	$105.80
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	92	53	$75.00	$41.17
99213 Established patient office or other outpatient visit, typically 15 minutes	42	39	$185.69	$71.09
G0008 Administration of influenza virus vaccine	32	30	$55.44	$16.78
90682 Influenza vaccine, quadrivalent derived from recombinant dna	28	27	$74.00	$60.55
81003 Automated urinalysis test	22	18	$12.00	$2.24
85610 Blood test, clotting time	21	12	$37.00	$4.27
G0009 Administration of pneumococcal vaccine	20	20	$62.00	$16.62
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	17	13	$365.29	$144.98
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m servic	14	11	$85.71	$14.37
83036 Hemoglobin A1C level	12	11	$42.00	$9.62
90670 Pneumococcal vaccine for injection into muscle	12	12	$268.33	$218.58

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	250	136	$12.00	$2.92
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	209	112	$275.00	$107.03
99213 Established patient office or other outpatient visit, typically 15 minutes	83	61	$178.00	$73.22
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	40	39	$75.00	$40.84
81003 Automated urinalysis test	40	32	$12.00	$2.44
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	38	28	$360.00	$142.92
G0008 Administration of influenza virus vaccine	25	25	$52.04	$16.48
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	23	12	$152.00	$40.87
90682 Influenza vaccine, quadrivalent derived from recombinant dna	18	18	$62.67	$54.89
93000 Routine ekg using at least 12 leads including interpretation and report	17	17	$66.00	$16.71
G0009 Administration of pneumococcal vaccine	14	14	$51.00	$16.48
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	11	11	$179.00	$52.37

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	238	109	$275.00	$105.62
36415 Insertion of needle into vein for collection of blood sample	202	119	$12.00	$2.91
99213 Established patient office or other outpatient visit, typically 15 minutes	100	61	$170.52	$72.01
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	76	13	$10.00	$1.83
83036 Hemoglobin A1C level	76	53	$42.00	$11.44
85610 Blood test, clotting time	58	11	$37.00	$4.75
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	28	23	$48.00	$9.06
G0008 Administration of influenza virus vaccine	28	28	$51.00	$20.39
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	27	21	$360.00	$138.39
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	25	14	$152.00	$41.49
81003 Automated urinalysis test	20	15	$12.00	$2.71
90682 Influenza vaccine, quadrivalent derived from recombinant dna	19	19	$60.11	$51.78
20610 Aspiration and/or injection of fluid from large joint	16	13	$196.00	$56.88
G0009 Administration of pneumococcal vaccine	11	11	$51.00	$20.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	225	104	$244.02	$104.69
36415 Insertion of needle into vein for collection of blood sample	196	114	$12.00	$2.91
99213 Established patient office or other outpatient visit, typically 15 minutes	88	56	$167.00	$71.80
83036 Hemoglobin A1C level	68	48	$42.00	$12.67
G0008 Administration of influenza virus vaccine	33	33	$51.73	$25.39
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	28	18	$327.50	$141.97
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	27	11	$75.00	$41.52
81003 Automated urinalysis test	24	21	$12.00	$3.02
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	19	19	$35.00	$18.65
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	17	15	$48.00	$10.45
87086 Bacterial colony count, urine	15	14	$34.00	$10.85
G0009 Administration of pneumococcal vaccine	13	13	$48.38	$25.39
90662 Influenza vaccine split virus, preservative free	12	12	$51.25	$48.05
93000 Routine ekg using at least 12 leads including interpretation and report	12	12	$66.00	$16.67

Medical Specialties & State Licenses

Family Medicine Primary Specialty

NUCC Taxonomy Code: 207Q00000X

State License MN 53209

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Practice Associates & Co-Workers

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

15 Associated Practitioners

Ofer Barniv , PA-C

Family Medicine

NPI 1093184533

Physician Assistant (Certified)

Dr. Gretchen Soberay Betts , DO

Family Medicine

NPI 1124292578

Doctor of Osteopathic Medicine (D.O.)

Stephanie Lee , PHYSICIAN ASSISTANT

Physician Assistant - Medical

NPI 1154018844

PHYSICIANASSISTANT

Yehudis Last

Student in an Organized Health Care Education/Training Program

NPI 1306558317

Dr. Jennifer Riley , MD

Family Medicine

NPI 1316111768

Doctor of Medicine (M.D.)

Dr. Kennita Solberg , MD

Family Medicine

NPI 1376231746

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 September 24, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location September 24, 2012

Registered at 5700 BOTTINEAU BLVD, SUITE 100, CRYSTAL, MN 554293183 (Tel: 7635046500)

📍

Updated Business Mailing Address September 24, 2012

Registered at 5700 BOTTINEAU BLVD, SUITE 100, CRYSTAL, MN 554293183

👤

Provider Name / Credentials Updated September 24, 2012

Recorded as RUBY TAM, D.O.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 24, 2012

Family Medicine (License #53209 in MN)

🟢

Initial NPI Registration & Enumeration May 18, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1194950303

Entity Type:

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

Enumeration Date: May 18, 2009

Last Update: September 24, 2012

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

5700 Bottineau Blvd, Suite 100

Crystal, MN 554293183

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.