SCOTT MYRON HOLTHUSEN MD NPI 1093924276

NPI Information

  • NPI: 1093924276
  • Provider Name: SCOTT MYRON HOLTHUSEN, MD
  • Classification: Orthopaedic Surgery - 207XX0004X
  • Specialization: Foot and Ankle Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 560 S MAPLE ST
    SUITE 200
    WACONIA, MN
    ZIP 55387
  • Phone: (952) 442-2163

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NPI Details

Scott Myron Holthusen, MD is a foot and ankle surgery orthopaedic surgery in Waconia, MN with 20 years of experience. The provider is recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, foot and ankle surgeons deal with adult reconstructive foot and ankle surgery, adult foot and ankle trauma, sports medicine foot and ankle, and children's foot and ankle reconstructive surgery. Scott Myron Holthusen, MD NPI is 1093924276. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduation Year:2005

The provider's business location address is:

560 S MAPLE ST
SUITE 200
WACONIA, MN
ZIP 55387-733
Phone: (952) 442-2163

The NPI 1093924276 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • X-ray of ankle, minimum of 3 views (HCPCS:73610)
  • Aspiration and/or injection of fluid from large joint (HCPCS:20610)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • X-ray of knee, 3 views (HCPCS:73562)
  • Aspiration and/or injection of fluid from medium joint (HCPCS:20605)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • Lower limb (leg) arthroscopy (minimally invasive joint repair) (HCPCS:NAN15)

The enumeration date for this NPI number is 5/22/2007 and was last updated on 8/9/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207XX0004XOrthopaedic SurgeryFoot and Ankle SurgeryMD 60132138WASHINGTONNo
2207X00000XOrthopaedic Surgery4301085937MICHIGANNo
3207XX0004XOrthopaedic SurgeryFoot and Ankle Surgery54138MINNESOTAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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