Active NPI 1740452812 Individual Practitioner Male Practitioner

Dr. Thomas Opheim , MD

Hospitalist • Duluth, MN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Thomas Opheim, MD is a certified Hospitalist practicing in Duluth, MN. With approximately 21 years of clinical experience since graduating from University Of Minnesota, Duluth School Of Medicine in 2005, Dr. Opheim delivers high-quality medical care to the local community at 1001 E SUPERIOR ST STE L401.

Dr. Opheim is affiliated with St. Luke'S Hospital Of Duluth and accepts Medicare assignment.

Frequently performed procedures and clinical services include initial hospital care with moderate level of medical decision making, if using time, at least, initial hospital care with straightforward or low-level medical decision making, if using time, at least, follow-up hospital inpatient care per day. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1001 E Superior St Ste L401

Duluth, MN 558022207

Telephone 2182497960

Fax 2182497997

Associated Practice Facility / Clinic

🏢 St. Luke's Hospital Of Duluth Facility NPI 1720032428

Medicare Profile & Education

Medical School

University Of Minnesota, Duluth School Of Medicine

Graduation Year

2005

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Hospitalist in Duluth, MN

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

21 Yrs +4.1 yrs vs City Avg

City Avg: 16.9 Yrs

State Avg: 18.2 Yrs

Regional Practice Density

72 Specialists

Practicing in Duluth, MN (402 Statewide)

Telehealth Adoption Rate

20.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

73.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Opheim (21 Years) 21 Yrs

Duluth Specialty Average (16.9 Years) 16.9 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
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	61	61	$640.67	$165.65
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	49	46	$439.31	$125.59

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	68	68	$410.00	$124.54
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	45	43	$598.00	$169.19

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	59	58	$580.00	$190.55
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	53	52	$395.00	$129.53
99231 Follow-up hospital inpatient care per day, typically 15 minutes	21	14	$120.00	$36.76
99291 Critical care, first 30-74 minutes	15	15	$800.00	$208.17
99219 Hospital observation care, typically 50 minutes	12	12	$345.00	$127.33

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	64	64	$395.00	$132.91
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	35	35	$580.00	$189.51
99219 Hospital observation care, typically 50 minutes	19	19	$345.00	$131.33
99291 Critical care, first 30-74 minutes	13	13	$800.00	$213.96

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	84	84	$382.50	$136.84
99231 Follow-up hospital inpatient care per day, typically 15 minutes	62	25	$115.00	$39.04
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	33	33	$559.00	$202.19
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	23	16	$210.00	$72.51
99291 Critical care, first 30-74 minutes	22	17	$725.00	$219.69
99219 Hospital observation care, typically 50 minutes	16	16	$330.00	$135.58

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	56	53	$382.50	$134.40
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	20	12	$203.50	$71.64
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	15	15	$479.00	$199.16

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	127	45	$190.00	$70.94
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	59	58	$363.00	$132.78
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	23	13	$272.00	$101.65
99231 Follow-up hospital inpatient care per day, typically 15 minutes	18	14	$104.50	$38.08
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	15	15	$465.00	$197.40
99219 Hospital observation care, typically 50 minutes	11	11	$306.00	$132.50

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	243	103	$188.00	$70.27
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	51	50	$357.00	$132.38
99231 Follow-up hospital inpatient care per day, typically 15 minutes	31	23	$104.50	$37.96
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	22	22	$455.00	$196.50
99239 Hospital discharge day management, more than 30 minutes	20	20	$214.00	$105.14
99219 Hospital observation care, typically 50 minutes	17	16	$296.70	$132.12

Medical Specialties & State Licenses

CMS Verified: 2020-12-04

Hospitalist Primary Specialty

NUCC Taxonomy Code: 208M00000X

State License MN 51767

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Internal Medicine

NUCC Taxonomy Code: 207R00000X

State License MN 51767

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

General Practice

NUCC Taxonomy Code: 208D00000X

State License IN 11012848A

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Hospital & Practice Group Affiliations

St. Luke's Hospital Of Duluth

1015 E 1st St, Duluth, MN 558052242

Phone: 2182497860

St. Luke's Hospital Of Duluth

915 E 1st St, Duluth, MN 558052107

Phone: 2182495439

St. Luke's Hospital Of Duluth

1011 E 1st St, Duluth, MN 558052242

Phone: 2182497000

Secondary Practice Locations

7512 Choate Ct

Indianapolis, IN 462549674

Phone: 3179020049

915 E 1st St

Duluth, MN 558052107

Phone: 2182495555

Practice Associates & Co-Workers

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

37 Associated Practitioners

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Doctor of Osteopathic Medicine (D.O.)

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Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

10 Historical Events

📍

Updated Business Mailing Address March 30, 2020

Registered at 915 E 1ST ST, DULUTH, MN 558052107 (Tel: 2182495555)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 30, 2020

Internal Medicine (License #51767 in MN)

📍

Updated Practice Location November 29, 2018

Registered at 1001 E SUPERIOR ST STE L401, DULUTH, MN 558022207 (Tel: 2182497960)

📍

Updated Business Mailing Address November 29, 2018

Registered at 1001 E SUPERIOR ST STE L401, DULUTH, MN 558022207 (Tel: 2182497960)

✅

NPI Profile Active March 29, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location March 29, 2008

Registered at 7512 CHOATE CT, INDIANAPOLIS, IN 462549674 (Tel: 3179020049)

📍

Updated Business Mailing Address March 29, 2008

Registered at 7512 CHOATE CT, INDIANAPOLIS, IN 462549674 (Tel: 3179020049)

👤

Provider Name / Credentials Updated March 29, 2008

Recorded as THOMAS OPHEIM, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 29, 2008

General Practice (License #11012848A in IN)

🟢

Initial NPI Registration & Enumeration March 29, 2008

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: 1740452812

Entity Type:

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

Enumeration Date: March 29, 2008

Last Update: December 04, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

915 E 1st St

Duluth, MN 558052107

Phone: 2182495555

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.