NPI Details
Glen H Rudolph, M.D. is an orthopaedic surgery in Duluth, MN with 20 years of experience. The provider is an orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. Glen H Rudolph, M.D. NPI is 1124258223. 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:2006
The provider's business location address is:
1000 E 1ST ST STE 404
DULUTH, MN
ZIP 55805-297
Phone: (218) 722-5513
Fax: (218) 722-6515
The NPI 1124258223 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)
- New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
- Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
- Aspiration and/or injection of fluid from large joint (HCPCS:20610)
- Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
- X-ray of shoulder, minimum of 2 views (HCPCS:73030)
- Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
- X-ray of knee, 3 views (HCPCS:73562)
- New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
- Aspiration and/or injection of fluid from large joint (HCPCS:20610)
- Partial removal of collar bone at shoulder using an endoscope (HCPCS:29824)
- Shaving of part of shoulder bone and repair of ligament using an endoscope (HCPCS:29826)
- Prosthetic repair of shoulder joint, total shoulder (HCPCS:23472)
- Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
- Hip replacement (HCPCS:NAN09)
- Knee replacement (HCPCS:NAN06)
- Lower limb (leg) arthroscopy (minimally invasive joint repair) (HCPCS:NAN15)
- Upper limb (arm) arthroscopy (minimally invasive joint repair) (HCPCS:NAN17)
The enumeration date for this NPI number is 7/23/2009 and was last updated on 3/12/2019.
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 |
| 1 | 207X00000X | Orthopaedic Surgery | | 50713 | MINNESOTA | Yes |
| 2 | 207X00000X | Orthopaedic Surgery | | 55776 | WISCONSIN | No |
