Active NPI 1124258223 Individual Practitioner Male Practitioner

Dr. Glen H Rudolph , MD

Orthopaedic Surgery • Duluth, MN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Glen Rudolph, MD is a certified Orthopaedic Surgery practicing in Duluth, MN. With approximately 20 years of clinical experience since graduating from University Of Minnesota Medical School in 2006, Dr. Rudolph delivers high-quality medical care to the local community at 1000 E 1ST ST STE 404.

Dr. Rudolph maintains professional affiliations with International Falls Memorial Hospital Association, Range Regional Health Services, Grand Itasca Clinic And Hospital and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, triamcinolone acetonide, not otherwise specified, 10 mg, aspiration and/or injection of fluid from large joint, 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

1000 E 1st St Ste 404

Duluth, MN 558052297

Telephone 2187225513

Fax 2187226515

Medicare Profile & Education

Medical School

University Of Minnesota Medical School

Graduation Year

2006

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Duluth, MN

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

20 Yrs -5.1 yrs vs City Avg

City Avg: 25.1 Yrs

State Avg: 22.9 Yrs

Regional Practice Density

29 Specialists

Practicing in Duluth, MN (674 Statewide)

Telehealth Adoption Rate

6.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

81.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Rudolph (20 Years) 20 Yrs

Duluth Specialty Average (25.1 Years) 25.1 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
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	202	35	$3.00	$0.99
20610 Aspiration and/or injection of fluid from large joint	48	35	$265.83	$68.23
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	42	35	$404.00	$125.95
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	34	34	$410.00	$109.67
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	30	24	$165.00	$56.41
99213 Established patient office or other outpatient visit, typically 15 minutes	26	22	$240.58	$62.68
73030 X-ray of shoulder, minimum of 2 views	24	22	$109.00	$31.02
20610 Aspiration and/or injection of fluid from large joint	22	16	$51.68	$45.02
73562 X-ray of knee, 3 views	22	16	$134.00	$41.78
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$329.00	$77.18
29824 Partial removal of collar bone at shoulder using an endoscope	12	12	$2666.00	$275.52

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	205	36	$3.00	$1.06
20610 Aspiration and/or injection of fluid from large joint	50	36	$252.00	$67.26
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	45	39	$392.00	$126.62
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	45	37	$160.00	$56.27
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	38	38	$398.00	$106.81
73030 X-ray of shoulder, minimum of 2 views	35	30	$106.00	$34.04
99213 Established patient office or other outpatient visit, typically 15 minutes	33	26	$225.42	$64.29
20610 Aspiration and/or injection of fluid from large joint	31	26	$64.66	$44.42
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$315.15	$78.81
73562 X-ray of knee, 3 views	18	13	$144.44	$46.26
27447 Replacement of knee joint, both sides of knee	11	11	$5489.86	$1220.77

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	219	40	$3.00	$1.13
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	53	53	$386.00	$106.60
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	51	48	$381.00	$124.67
20610 Aspiration and/or injection of fluid from large joint	48	37	$240.71	$66.81
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	42	34	$155.00	$55.66
73030 X-ray of shoulder, minimum of 2 views	40	26	$103.00	$35.22
99213 Established patient office or other outpatient visit, typically 15 minutes	34	28	$205.71	$64.48
73562 X-ray of knee, 3 views	30	25	$134.40	$44.67
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	25	25	$316.72	$77.06
20610 Aspiration and/or injection of fluid from large joint	25	20	$55.12	$42.85
29824 Partial removal of collar bone at shoulder using an endoscope	13	13	$2507.69	$256.17
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	12	12	$653.50	$149.27
23472 Prosthetic repair of shoulder joint, total shoulder	11	11	$5562.18	$1391.11
99213 Established patient office or other outpatient visit, typically 15 minutes	11	11	$260.00	$89.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	235	46	$3.00	$1.26
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	63	58	$370.00	$127.92
20610 Aspiration and/or injection of fluid from large joint	58	48	$244.90	$67.89
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	56	56	$375.00	$111.67
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	48	40	$150.00	$53.62
73030 X-ray of shoulder, minimum of 2 views	41	26	$102.44	$35.92
73562 X-ray of knee, 3 views	35	33	$122.00	$40.56
99213 Established patient office or other outpatient visit, typically 15 minutes	31	28	$172.68	$66.89
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	28	28	$306.93	$81.22
20610 Aspiration and/or injection of fluid from large joint	24	21	$64.27	$45.48
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	14	14	$636.07	$167.24
29824 Partial removal of collar bone at shoulder using an endoscope	12	12	$2414.17	$357.52

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	185	36	$3.07	$1.45
99213 Established patient office or other outpatient visit, typically 15 minutes	64	52	$245.00	$75.25
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	61	61	$364.00	$107.98
20610 Aspiration and/or injection of fluid from large joint	43	35	$254.45	$68.55
73030 X-ray of shoulder, minimum of 2 views	41	28	$97.00	$32.57
73562 X-ray of knee, 3 views	31	21	$118.00	$39.31
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	29	26	$359.00	$109.57
20610 Aspiration and/or injection of fluid from large joint	22	16	$67.59	$43.73
99213 Established patient office or other outpatient visit, typically 15 minutes	21	18	$159.90	$51.06
99202 New patient office or other outpatient visit, typically 20 minutes	20	20	$173.50	$50.22
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	13	$55.59	$25.51
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	17	17	$604.88	$166.54
29824 Partial removal of collar bone at shoulder using an endoscope	16	16	$2342.50	$320.80
73110 X-ray of wrist, minimum of 3 views	13	11	$117.00	$39.51
29827 Repair of shoulder rotator cuff using an endoscope	11	11	$3691.91	$1061.19
27447 Replacement of knee joint, both sides of knee	11	11	$5338.31	$1270.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	282	64	$3.00	$1.50
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	92	92	$353.00	$105.00
20610 Aspiration and/or injection of fluid from large joint	69	62	$217.39	$58.69
99213 Established patient office or other outpatient visit, typically 15 minutes	68	56	$238.00	$73.03
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	39	39	$349.00	$108.42
99202 New patient office or other outpatient visit, typically 20 minutes	31	31	$244.00	$76.01
73030 X-ray of shoulder, minimum of 2 views	25	19	$94.00	$29.56
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	25	24	$142.00	$44.00
73562 X-ray of knee, 3 views	22	19	$115.00	$35.86
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	15	14	$582.00	$169.76
29824 Partial removal of collar bone at shoulder using an endoscope	14	13	$2233.00	$229.84
29828 Release of shoulder biceps tendon using an endoscope	12	11	$3760.00	$508.76
29827 Repair of shoulder rotator cuff using an endoscope	12	11	$3537.00	$1039.51

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	704	65	$6.39	$1.82
99213 Established patient office or other outpatient visit, typically 15 minutes	185	127	$178.52	$69.89
20610 Aspiration and/or injection of fluid from large joint	95	64	$562.20	$57.60
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	50	50	$324.45	$102.47
99213 Established patient office or other outpatient visit, typically 15 minutes	31	28	$136.25	$46.66
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	19	19	$1561.05	$152.90
23472 Prosthetic repair of shoulder joint, total shoulder	19	19	$12839.21	$1352.29
29824 Partial removal of collar bone at shoulder using an endoscope	18	18	$5939.17	$222.96
20610 Aspiration and/or injection of fluid from large joint	17	16	$452.04	$41.64
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$228.24	$69.41
29828 Release of shoulder biceps tendon using an endoscope	15	15	$8124.33	$526.77
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	15	$270.40	$96.44
29827 Repair of shoulder rotator cuff using an endoscope	11	11	$9408.73	$980.69

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	962	87	$5.80	$1.80
99213 Established patient office or other outpatient visit, typically 15 minutes	275	159	$162.74	$69.51
20610 Aspiration and/or injection of fluid from large joint	112	85	$542.93	$59.82
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	92	92	$284.42	$102.71
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	35	35	$245.28	$103.00
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	21	21	$1411.57	$166.44
23472 Prosthetic repair of shoulder joint, total shoulder	21	21	$11918.86	$1376.94
29824 Partial removal of collar bone at shoulder using an endoscope	20	20	$5372.10	$277.68
29828 Release of shoulder biceps tendon using an endoscope	14	14	$7315.64	$674.68

Medical Specialties & State Licenses

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License MN 50713

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Orthopaedic Surgery

NUCC Taxonomy Code: 207X00000X

State License WI 55776

Hospital & Practice Group Affiliations

Grand Itasca Clinic And Hospital

1601 Goldf Course Rd, Grand Rapids, MN 557448648

Phone: 2183263401

Range Regional Health Services

3605 Mayfair Ave, Hibbing, MN 557462935

Phone: 2182623441

International Falls Memorial Hospital Association

1400 Hwy 71, International Falls, MN 566492154

Phone: 2182834481

Orthopedic Associates Of Duluth Pa

1000 E 1st St, Duluth, MN 558052297

Phone: 2187225513

Practice Associates & Co-Workers

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

37 Associated Practitioners

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Hakan Binek , PA-C

Physician Assistant - Surgical

NPI 1043705460

Physician Assistant (Certified)

Dr. Joel Zamzow , MD

Orthopaedic Surgery

NPI 1053316554

Doctor of Medicine (M.D.)

Dr. Emily Holter , DPT

Physical Therapist

NPI 1083048714

Doctor of Physical Therapy

Jolene Furey Mlaskoch , BS, RDMS, MSKS, RVT

Radiologic Technologist - Sonography

NPI 1083435697

Bachelor of Science, RDMS, MSKS, RVT

Adam Hermes , PA-C

Physician Assistant - Surgical

NPI 1104133727

Physician Assistant (Certified)

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Practice Location February 19, 2019

Registered at 1000 E 1ST ST STE 404, DULUTH, MN 558052297 (Tel: 2187225513)

📍

Updated Business Mailing Address February 19, 2019

Registered at 1000 E 1ST ST STE 404, DULUTH, MN 558052297 (Tel: 2187225513)

✅

NPI Profile Active September 19, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location September 19, 2012

Registered at 1700 W STOUT ST, RICE LAKE, WI 548685000 (Tel: 7152368100)

📍

Updated Business Mailing Address September 19, 2012

Registered at 1000 N OAK AVE, MARSHFIELD, WI 544495703 (Tel: 7153875511)

👤

Provider Name / Credentials Updated September 19, 2012

Recorded as GLEN RUDOLPH, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 19, 2012

Orthopaedic Surgery (License #55776 in WI)

🟢

Initial NPI Registration & Enumeration July 23, 2009

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: 1124258223

Entity Type:

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

Enumeration Date: July 23, 2009

Last Update: March 12, 2019

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1000 E 1st St Ste 404

Duluth, MN 558052297

Phone: 2187225513

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

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