Active NPI 1790150332 Individual Practitioner Male Practitioner

Dr. Evgueni E Kouznetsov , MD

Neurological Surgery • Fargo, ND

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Evgueni Kouznetsov, MD is a certified Neurological Surgery practicing in Fargo, ND. With approximately 30 years of clinical experience since completing medical education in 1996, Dr. Kouznetsov delivers high-quality medical care to the local community at 700 1ST AVE S.

Dr. Kouznetsov is affiliated with Sanford Medical Center Fargo and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's, new 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

700 1st Ave S

Fargo, ND 581031802

Telephone 7012344036

Associated Practice Facility / Clinic

🏢 Sanford Clinic North Facility NPI 1023030046

Medicare Profile & Education

Medical School

Other

Graduation Year

1996

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Neurological Surgery in Fargo, ND

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

30 Yrs +4.1 yrs vs City Avg

City Avg: 25.9 Yrs

State Avg: 30.5 Yrs

Regional Practice Density

22 Specialists

Practicing in Fargo, ND (35 Statewide)

Telehealth Adoption Rate

4.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

74.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Kouznetsov (30 Years) 30 Yrs

Fargo Specialty Average (25.9 Years) 25.9 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	30	27	$121.00	$90.10
99213 Established patient office or other outpatient visit, typically 15 minutes	24	23	$82.00	$62.79
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	23	22	$49.00	$15.81
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	22	22	$101.00	$77.59
36224 Insertion of tube into internal neck artery for diagnosis or treatment with review by radiologist	22	19	$1895.18	$402.55
36226 Insertion of tube into brain artery for diagnosis or treatment with review by radiologist	19	17	$1228.11	$175.96
75894 Radiological supervision and interpretation of obstruction of blood vessel via catheter	14	11	$212.14	$64.89
61624 Occlusion of central nervous system or spinal cord artery	14	11	$3474.86	$928.21
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	12	11	$153.25	$11.35
36223 Insertion of tube into intracranial artery for diagnosis or treatment with review by radiologist	11	11	$1296.55	$300.22
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$165.00	$126.33

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	31	28	$82.00	$64.43
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	29	29	$101.00	$78.10
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	20	17	$121.00	$86.49
61645 Removal of blood clot and injection to dissolve blood clot from head artery using fluoroscopic guidance, accessed through skin	20	20	$2354.32	$745.36
36224 Insertion of tube into internal neck artery for diagnosis or treatment with review by radiologist	17	15	$1771.41	$354.69
75898 Imaging of blood vessel	17	15	$260.41	$84.44
75894 Radiological supervision and interpretation of obstruction of blood vessel via catheter	17	15	$207.00	$66.69
36226 Insertion of tube into brain artery for diagnosis or treatment with review by radiologist	15	14	$1166.60	$177.77
61624 Occlusion of central nervous system or spinal cord artery	14	12	$3378.29	$989.20
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$165.00	$129.69

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	36	30	$82.00	$65.69
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	24	22	$121.00	$97.04
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	23	23	$101.00	$78.76
61645 Removal of blood clot and injection to dissolve blood clot from head artery using fluoroscopic guidance, accessed through skin	12	12	$2446.00	$780.83
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	12	12	$3010.93	$976.78
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$165.00	$132.47

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	25	25	$101.64	$79.67
99213 Established patient office or other outpatient visit, typically 15 minutes	20	20	$75.70	$65.04
36226 Insertion of tube into brain artery for diagnosis or treatment with review by radiologist	20	20	$1264.75	$218.48
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	16	16	$143.88	$12.28
36224 Insertion of tube into internal neck artery for diagnosis or treatment with review by radiologist	16	15	$1855.38	$450.48
36223 Insertion of tube into intracranial artery for diagnosis or treatment with review by radiologist	14	14	$1489.00	$328.06
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$159.86	$134.10
61645 Removal of blood clot and injection to dissolve blood clot from head artery using fluoroscopic guidance, accessed through skin	12	12	$2427.33	$791.22
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	12	12	$109.50	$96.63
36227 Insertion of tube into external neck artery for diagnosis or treatment with review by radiologist	11	11	$601.82	$156.08

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	36	36	$87.00	$75.53
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	20	18	$29.00	$25.70
99231 Follow-up hospital inpatient care per day, typically 15 minutes	18	12	$103.89	$39.28
36224 Insertion of tube into internal neck artery for diagnosis or treatment with review by radiologist	15	13	$1748.07	$420.30
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	13	$90.00	$78.90
36226 Insertion of tube into brain artery for diagnosis or treatment with review by radiologist	12	11	$1498.50	$237.91

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36224 Insertion of tube into internal neck artery for diagnosis or treatment with review by radiologist	24	22	$1675.96	$430.96
36226 Insertion of tube into brain artery for diagnosis or treatment with review by radiologist	24	22	$1344.00	$196.13
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$87.00	$75.06
99213 Established patient office or other outpatient visit, typically 15 minutes	14	12	$58.00	$50.67
36227 Insertion of tube into external neck artery for diagnosis or treatment with review by radiologist	12	11	$745.25	$159.92

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36226 Insertion of tube into brain artery for diagnosis or treatment with review by radiologist	24	23	$1035.00	$194.16
36224 Insertion of tube into internal neck artery for diagnosis or treatment with review by radiologist	22	20	$1422.36	$389.33
99213 Established patient office or other outpatient visit, typically 15 minutes	19	18	$58.00	$50.10
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$87.00	$74.43
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	15	14	$129.07	$11.72
36223 Insertion of tube into intracranial artery for diagnosis or treatment with review by radiologist	14	14	$1236.00	$334.82
61645 Removal of blood clot and injection to dissolve blood clot from head artery using fluoroscopic guidance, accessed through skin	11	11	$1998.18	$795.04

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36224 Insertion of tube into internal neck artery for diagnosis or treatment with review by radiologist	30	27	$1343.23	$353.81
36226 Insertion of tube into brain artery for diagnosis or treatment with review by radiologist	28	28	$1080.00	$236.88
99231 Follow-up hospital inpatient care per day, typically 15 minutes	23	14	$94.17	$38.24
36223 Insertion of tube into intracranial artery for diagnosis or treatment with review by radiologist	21	21	$1325.71	$306.83
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	20	20	$128.00	$12.04
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	13	$28.36	$24.82
76377 3D radiographic procedure with computerized image postprocessing	12	12	$97.50	$36.80
36225 Insertion of tube into chest artery for diagnosis or treatment with review by radiologist	11	11	$809.27	$149.07

Medical Specialties & State Licenses

Neurological Surgery Primary Specialty

NUCC Taxonomy Code: 207T00000X

State License ND LT13937

A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.

Hospital & Practice Group Affiliations

Sanford Medical Center Fargo

5225 23rd Ave S, Fargo, ND 581047927

Phone: 7014172575

Sanford Medical Center Fargo

2301 25th St S, Fargo, ND 581036104

Phone: 7012347400

Sanford Medical Center Fargo

1220 Sheyenne St, West Fargo, ND 580782637

Phone: 7012344445

Practice Associates & Co-Workers

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

18 Associated Practitioners

Susan Falck , PA

Physician Assistant

NPI 1013008028

Physician Assistant

Dr. Susan Scarberry , MD

Psychiatry & Neurology - Neurology

NPI 1023039245

Doctor of Medicine (M.D.)

Dr. Ravinda Samaraweera , MD

Psychiatry & Neurology - Neurology

NPI 1053573287

Doctor of Medicine (M.D.)

Amanda Diamond

Psychiatry & Neurology - Neurology

NPI 1093932212

Alexa Privratsky , PA

Physician Assistant

NPI 1104596527

Physician Assistant

Dr. Marcus Keep , MD

Neurological Surgery

NPI 1164438743

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 April 01, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location April 01, 2016

Registered at 700 1ST AVE S, FARGO, ND 581031802 (Tel: 7012344036)

📍

Updated Business Mailing Address April 01, 2016

Registered at PO BOX 2168, FARGO, ND 581072168 (Tel: 7012342119)

👤

Provider Name / Credentials Updated April 01, 2016

Recorded as EVGUENI KOUZNETSOV, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 01, 2016

Neurological Surgery (License #LT13937 in ND)

🟢

Initial NPI Registration & Enumeration December 08, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1790150332

Entity Type:

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

Enumeration Date: December 08, 2015

Last Update: April 01, 2016

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 2168

Fargo, ND 581072168

Phone: 7012342119

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.