Active NPI 1164498564 Individual Practitioner Male Practitioner

Dr. Seth I Wolpert , MD

Surgery • St Paul, MN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Seth Wolpert, MD is a certified Surgery practicing in St Paul, MN. With approximately 38 years of clinical experience since graduating from University Of Chicago, Pritzker School Of Medicine in 1988, Dr. Wolpert delivers high-quality medical care to the local community at 401 PHALEN BLVD.

Dr. Wolpert is affiliated with Group Health Plan Inc and accepts Medicare assignment.

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

Practice Location & Contact Primary Location

Practice Address

401 Phalen Blvd
Mail Stop 41104a

St Paul, MN 551015302

Telephone 8512547980

Fax 6512547969

Associated Practice Facility / Clinic

🏢 Group Health Plan Inc Facility NPI 1932269867

Medicare Profile & Education

Medical School

University Of Chicago, Pritzker School Of Medicine

Graduation Year

1988

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in St Paul, MN

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

38 Yrs +10.0 yrs vs City Avg

City Avg: 28.0 Yrs

State Avg: 23.0 Yrs

Regional Practice Density

11 Specialists

Practicing in St Paul, MN (770 Statewide)

Telehealth Adoption Rate

27.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

74.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Wolpert (38 Years) 38 Yrs

St Paul Specialty Average (28.0 Years) 28.0 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	51	51	$420.00	$107.49
99213 Established patient office or other outpatient visit, typically 15 minutes	12	11	$338.00	$84.01

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	60	60	$386.00	$106.64
99213 Established patient office or other outpatient visit, typically 15 minutes	18	18	$312.00	$89.19
36415 Insertion of needle into vein for collection of blood sample	15	12	$21.00	$7.89
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$575.00	$163.18
49505 Repair of groin hernia (5 years or older)	11	11	$2294.00	$478.79

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	40	40	$359.00	$106.60
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	18	17	$73.00	$23.52
99213 Established patient office or other outpatient visit, typically 15 minutes	16	16	$292.00	$90.12
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	12	12	$414.00	$127.58

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	42	42	$342.00	$110.46
99213 Established patient office or other outpatient visit, typically 15 minutes	24	23	$238.00	$91.36
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	21	21	$73.00	$23.17
47562 Removal of gallbladder using an endoscope	15	15	$2886.40	$650.68
36415 Insertion of needle into vein for collection of blood sample	15	15	$20.00	$3.00
99202 New patient office or other outpatient visit, typically 20 minutes	12	12	$242.00	$72.88
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$523.00	$166.74
85027 Complete blood cell count (red cells, white blood cell, platelets), automated test	11	11	$24.25	$6.47

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99202 New patient office or other outpatient visit, typically 20 minutes	58	58	$230.00	$75.80
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	27	15	$219.00	$72.70
47562 Removal of gallbladder using an endoscope	16	16	$2560.45	$650.63
99213 Established patient office or other outpatient visit, typically 15 minutes	15	14	$224.00	$73.76
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	15	15	$68.00	$23.77

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99202 New patient office or other outpatient visit, typically 20 minutes	95	95	$216.00	$75.38
99213 Established patient office or other outpatient visit, typically 15 minutes	24	24	$210.00	$74.03
47562 Removal of gallbladder using an endoscope	19	19	$2469.79	$643.99
49505 Repair of groin hernia (5 years or older)	16	16	$1871.00	$501.55
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	12	12	$126.00	$45.09
36415 Insertion of needle into vein for collection of blood sample	12	11	$25.00	$2.94

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99202 New patient office or other outpatient visit, typically 20 minutes	64	64	$212.00	$72.71
99213 Established patient office or other outpatient visit, typically 15 minutes	15	14	$207.00	$71.99
47562 Removal of gallbladder using an endoscope	12	12	$2134.87	$631.83

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99202 New patient office or other outpatient visit, typically 20 minutes	58	58	$209.00	$72.59
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	14	$121.00	$42.95
47562 Removal of gallbladder using an endoscope	13	13	$2072.88	$627.74
99213 Established patient office or other outpatient visit, typically 15 minutes	12	12	$204.00	$67.04

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License MN 42294

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Hospital & Practice Group Affiliations

Group Health Plan Inc

8600 Nicollet Ave, Bloomington, MN 554202824

Phone: 9528841148

Group Health Plan Inc

435 Phalen Blvd, Saint Paul, MN 551305302

Phone: 6512912848

Group Health Plan Inc

401 Phalen Blvd, Saint Paul, MN 551305302

Phone: 6512547400

Group Health Plan Inc

640 Jackson St, Saint Paul, MN 551012502

Phone: 6512213456

Practice Associates & Co-Workers

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

17 Associated Practitioners

Dr. Lan Nguyen , MD

Surgery - Vascular Surgery

NPI 1184686800

Doctor of Medicine (M.D.)

Maggie Vancil , PA

Physician Assistant

NPI 1215616420

Physician Assistant

Dr. Gary Rosenthal , MD

Surgery - Vascular Surgery

NPI 1265491278

Doctor of Medicine (M.D.)

Raechel Koppen , MPH, PA-C

Physician Assistant

NPI 1336540848

Master of Public Health, Physician Assistant (Certified)

Dr. Jennifer Haas , MD

Surgery

NPI 1356785620

Doctor of Medicine (M.D.)

Dr. Benjamin Brasseur , MD

Surgery

NPI 1366836454

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 July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 401 PHALEN BLVD, MAIL STOP 41104A, ST PAUL, MN 551015302 (Tel: 8512547980)

📍

Updated Business Mailing Address July 08, 2007

Registered at 8100 34TH AVE S, 21110Q, BLOOMINGTON, MN 554251672 (Tel: 9528835790)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as SETH WOLPERT, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Surgery (License #42294 in MN)

🟢

Initial NPI Registration & Enumeration February 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: 1164498564

Entity Type:

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

Enumeration Date: February 24, 2006

Last Update: July 13, 2026

Sole Proprietor: No

Update or Correct Profile

Mailing Address

8100 34th Ave S, 21110q

Bloomington, MN 554251672

Phone: 9528835790

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.