Active NPI 1245290329 Individual Practitioner Male Practitioner

Dr. David Peterson Tetzlaff , MD

Pediatrics • Minneapolis, MN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. David Tetzlaff, MD is a certified Pediatrics practicing in Minneapolis, MN. With approximately 28 years of clinical experience since graduating from University Of Minnesota Medical School in 1998, Dr. Tetzlaff delivers high-quality medical care to the local community at 920 E 28TH ST.

Dr. Tetzlaff maintains professional affiliations with Allina Health System, Gillette Childrens Specialty Healthcare and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, hospital discharge day management, more than, initial hospital care with straightforward or low-level medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

920 E 28th St
Suite190

Minneapolis, MN 554071139

Telephone 6128631893

Associated Practice Facility / Clinic

🏢 Allina Health System Facility NPI 1316901333

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 Pediatrics in Minneapolis, MN

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

28 Yrs +10.3 yrs vs City Avg

City Avg: 17.7 Yrs

State Avg: 20.6 Yrs

Regional Practice Density

277 Specialists

Practicing in Minneapolis, MN (1325 Statewide)

Telehealth Adoption Rate

0.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

79.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Tetzlaff (28 Years) 28 Yrs

Minneapolis Specialty Average (17.7 Years) 17.7 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
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	90	47	$354.03	$74.77
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	68	32	$542.70	$112.42
99239 Hospital discharge day management, more than 30 minutes	32	32	$522.70	$109.18
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	20	20	$593.60	$123.45
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	20	19	$791.00	$164.30

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	204	70	$310.97	$76.31
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	155	63	$448.46	$114.67
99239 Hospital discharge day management, more than 30 minutes	44	42	$462.90	$111.24
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	31	31	$872.60	$168.10

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	194	85	$421.90	$99.89
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	161	75	$296.96	$69.47
99239 Hospital discharge day management, more than 30 minutes	36	36	$440.40	$103.39
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	23	23	$822.21	$193.45
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	17	17	$564.20	$130.96
99226 Subsequent observation care, typically 35 minutes per day	14	11	$426.00	$98.83

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	111	61	$419.73	$101.43
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	100	55	$286.00	$70.51
99239 Hospital discharge day management, more than 30 minutes	30	30	$430.47	$104.93
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	21	21	$822.00	$193.66
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	15	15	$560.00	$133.06

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	162	66	$417.00	$104.32
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	68	39	$292.00	$72.55
99239 Hospital discharge day management, more than 30 minutes	34	34	$430.00	$107.00
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	27	27	$811.00	$202.22
99226 Subsequent observation care, typically 35 minutes per day	19	11	$424.21	$105.02
99217 Hospital observation care on day of discharge	18	16	$288.11	$73.03
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	17	17	$550.00	$135.89

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	211	97	$404.52	$102.39
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	146	71	$283.00	$71.59
99239 Hospital discharge day management, more than 30 minutes	48	46	$420.00	$106.17
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	22	22	$532.00	$134.30
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	19	18	$790.00	$199.03
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	12	12	$424.00	$128.66
99217 Hospital observation care on day of discharge	11	11	$285.00	$72.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	173	81	$386.00	$101.66
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	137	64	$267.00	$70.95
99239 Hospital discharge day management, more than 30 minutes	44	43	$396.00	$105.73
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	24	23	$747.00	$197.40
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	13	13	$507.00	$132.92

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	111	63	$267.00	$70.27
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	98	60	$386.00	$101.38
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	31	31	$507.00	$132.38
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	31	31	$747.00	$196.49
99239 Hospital discharge day management, more than 30 minutes	12	12	$396.00	$105.14

Medical Specialties & State Licenses

CMS Verified: 2025-10-13

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License MN 42365

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

617637200 (MN)

Hospital & Practice Group Affiliations

Gillette Childrens Specialty Healthcare

200 University Ave E, Saint Paul, MN 551012507

Phone: 6512912848

Allina Health System

2925 Chicago Ave, Minneapolis, MN 554071321

Phone: 6122628640

Practice Associates & Co-Workers

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

12 Associated Practitioners

Dr. Robert Wieland , MD

Internal Medicine

NPI 1023070927

Doctor of Medicine (M.D.)

Dr. Whitney Evavold , MD

Internal Medicine

NPI 1033172572

Doctor of Medicine (M.D.)

Dr. Justin Kirven , MD

Internal Medicine

NPI 1093778524

Doctor of Medicine (M.D.)

Dr. Martha Ripon , MD

Internal Medicine

NPI 1154384675

Doctor of Medicine (M.D.)

Dr. Rebecca Koshnick , MD

Internal Medicine

NPI 1306080072

Doctor of Medicine (M.D.)

Dr. David Sausker , MD

Internal Medicine

NPI 1386606689

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 13, 2025

Pediatrics (License #42365 in MN)

✅

NPI Profile Active January 30, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location January 30, 2015

Registered at 920 E 28TH ST, SUITE190, MINNEAPOLIS, MN 554071139 (Tel: 6128631893)

📍

Updated Business Mailing Address January 30, 2015

Registered at PO BOX 43, MR 10809, MINNEAPOLIS, MN 554400043 (Tel: 6122624813)

👤

Provider Name / Credentials Updated January 30, 2015

Recorded as DAVID TETZLAFF, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 30, 2015

Internal Medicine (License #42365 in MN)

🟢

Initial NPI Registration & Enumeration March 24, 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: 1245290329

Entity Type:

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

Enumeration Date: March 24, 2006

Last Update: October 13, 2025

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 43, Mr 10809

Minneapolis, MN 554400043

Phone: 6122624813

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.