Thomas Opheim, M.D.
NPI 1740452812 · Hospitalist Physician · Duluth, MN
Enrolled with Medicare as Practitioner - Hospitalist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Thomas Opheim, M.D. is a Hospitalist Physician provider in Duluth, MN (NPI 1740452812).
Provider details
- NPI number
- 1740452812
- Entity type
- Individual
- Primary specialty
- Hospitalist PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 51767 (MN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
18 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
3 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
110 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 | 61 | $166 |
| Initial Hospital Care With Straightforward Or Low-Level Medical Decision Making, If Using Time, at Least 55 Minutes99222 | 49 | $126 |
Typical Medicare-allowed amounts for these services range $126–$166 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Practice location
Mailing address
Additional practice locations (2)
- 7512 Choate CtIndianapolis, IN 46254-9674Phone: (317) 902-0049
- 915 E 1st StDuluth, MN 55805-2107Phone: (218) 249-5555Fax: (218) 249-7997
Registry dates
- Enumerated
- 2008-03-29
- Last updated
- 2020-12-04
- Certified
- 2020-12-04
Frequently asked questions
- What is Thomas Opheim's NPI number?
- Thomas Opheim's National Provider Identifier (NPI) is 1740452812, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Thomas Opheim's specialty?
- Thomas Opheim is listed in the NPPES registry with a primary specialty of Hospitalist Physician (Allopathic & Osteopathic Physicians).
- Where is Thomas Opheim located?
- Thomas Opheim's practice location on file with NPPES is 1001 E Superior St Ste L401, Duluth, MN 55802-2207.
- What is Thomas Opheim's phone number?
- The practice phone number listed in the NPPES registry for Thomas Opheim is (218) 249-7960.
- Does Thomas Opheim accept Medicare?
- Thomas Opheim is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Thomas Opheim's NPI active?
- Yes — Thomas Opheim's NPI (1740452812) is active in the NPPES registry as of the last update on 2020-12-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.