Active NPI 1295771798 Individual Practitioner Male Practitioner

Dr. Thomas Jon Rishavy , MD

Plastic Surgery • Duluth, MN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Thomas Rishavy, MD is a certified Plastic Surgery practicing in Duluth, MN. With approximately 30 years of clinical experience since graduating from Creighton University School Of Medicine in 1996, Dr. Rishavy delivers high-quality medical care to the local community at 4316 RICE LAKE RD STE 109.

Dr. Rishavy maintains professional affiliations with The Duluth Clinic Ltd, Northland Plastic Surgery Pa, Polinsky Medical Rehabilitation Center and accepts Medicare assignment.

Frequently performed procedures and clinical services include new patient outpatient office visit, initial hospital inpatient care per day, 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

4316 Rice Lake Rd Ste 109

Duluth, MN 558112885

Telephone 2187247363

Fax 2187246199

Associated Practice Facility / Clinic

🏢 Northland Plastic Surgery, Pa Facility NPI 1275569477

Medicare Profile & Education

Medical School

Creighton University School Of Medicine

Graduation Year

1996

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Plastic Surgery in Duluth, MN

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

30 Yrs +8.0 yrs vs City Avg

City Avg: 22.0 Yrs

State Avg: 26.2 Yrs

Regional Practice Density

9 Specialists

Practicing in Duluth, MN (125 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

76.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Rishavy (30 Years) 30 Yrs

Duluth Specialty Average (22.0 Years) 22.0 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	31	31	$439.53	$107.21
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	21	21	$239.33	$76.57
99221 Initial hospital inpatient care per day, typically 30 minutes	15	15	$417.77	$76.65

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	44	18	$156.32	$47.04
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	32	32	$426.73	$105.00
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$217.00	$78.47
99221 Initial hospital inpatient care per day, typically 30 minutes	14	14	$405.60	$78.40
99213 Established patient office or other outpatient visit, typically 15 minutes	11	11	$297.16	$88.06

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	19	19	$413.03	$109.52
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$218.08	$80.28
99221 Initial hospital inpatient care per day, typically 30 minutes	12	12	$392.83	$95.42

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	29	29	$402.23	$111.05
99221 Initial hospital inpatient care per day, typically 30 minutes	17	17	$382.32	$97.03

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	45	45	$393.45	$106.87
99231 Follow-up hospital inpatient care per day, typically 15 minutes	39	14	$143.30	$38.41
99221 Initial hospital inpatient care per day, typically 30 minutes	17	17	$370.94	$99.48
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$193.82	$74.04

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	63	24	$119.40	$24.72
99231 Follow-up hospital inpatient care per day, typically 15 minutes	62	18	$139.31	$38.14
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	29	29	$382.78	$105.63
99221 Initial hospital inpatient care per day, typically 30 minutes	25	21	$360.19	$97.48
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$245.50	$73.43

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	91	27	$136.53	$35.92
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	44	17	$113.75	$23.96
99221 Initial hospital inpatient care per day, typically 30 minutes	23	21	$351.78	$92.11
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$373.92	$99.51
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	11	$150.07	$40.91
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$195.73	$71.50

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	139	22	$114.25	$36.54
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	47	20	$97.53	$24.12
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	38	38	$327.62	$99.67
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	27	22	$128.82	$41.03
99221 Initial hospital inpatient care per day, typically 30 minutes	25	23	$309.46	$92.46
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$157.93	$73.49

Medical Specialties & State Licenses

CMS Verified: 2026-04-07

Plastic Surgery Primary Specialty

NUCC Taxonomy Code: 208200000X

State License MN 45103

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

078738800 (MN)

Hospital & Practice Group Affiliations

The Duluth Clinic Ltd

400 E 3rd St, Duluth, MN 558051951

Phone: 2187868364

Northland Plastic Surgery Pa

4316 Rice Lake Rd, Duluth, MN 558112885

Phone: 2187247363

The Duluth Clinic Ltd

530 E 2nd St, Duluth, MN 558051913

Phone: 2187868364

The Duluth Clinic Ltd

502 E 2nd St, Duluth, MN 558051913

Phone: 2187868364

Polinsky Medical Rehabilitation Center

1600 Miller Trunk Hwy, Duluth, MN 558115640

Phone: 2187865360

Practice Associates & Co-Workers

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

6 Associated Practitioners

Dr. Sarah Crandall , MD

Plastic Surgery

NPI 1023451317

Doctor of Medicine (M.D.)

Dr. Andrew Baertsch , MD

Plastic Surgery

NPI 1053347799

Doctor of Medicine (M.D.)

Dr. Andrew Messa , MD

Plastic Surgery

NPI 1225064959

Doctor of Medicine (M.D.)

Dr. Ameya Chumble , MD

Plastic Surgery

NPI 1285126060

Doctor of Medicine (M.D.)

Dr. Dean Weber , MD

Plastic Surgery

NPI 1922036540

Doctor of Medicine (M.D.)

Dr. Michael Schroeder , MD

Plastic Surgery

NPI 1952920985

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Practice Location April 07, 2026

Registered at 4316 RICE LAKE RD STE 109, DULUTH, MN 558112885 (Tel: 2187247363)

📍

Updated Business Mailing Address April 07, 2026

Registered at 4316 RICE LAKE RD STE 109, DULUTH, MN 558112885 (Tel: 2187247363)

✅

NPI Profile Active April 14, 2010

NPI status registered as active in NPPES database

📍

Updated Practice Location April 14, 2010

Registered at 1420 LONDON RD, SUITE 101, DULUTH, MN 558052433 (Tel: 2187247363)

📍

Updated Business Mailing Address April 14, 2010

Registered at 1420 LONDON RD, SUITE 101, DULUTH, MN 558052433 (Tel: 2187247363)

👤

Provider Name / Credentials Updated April 14, 2010

Recorded as THOMAS RISHAVY, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 14, 2010

Plastic Surgery (License #45103 in MN)

🟢

Initial NPI Registration & Enumeration June 22, 2006

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: 1295771798

Entity Type:

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

Enumeration Date: June 22, 2006

Last Update: April 07, 2026

Sole Proprietor: No

Update or Correct Profile

Mailing Address

4316 Rice Lake Rd Ste 109

Duluth, MN 558112885

Phone: 2187247363

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.