DANIEL E TVEDTEN M.D.
NPI 1003979030
Orthopaedic Surgery in Rhinelander, WI
NPI Status: Active since December 19, 2006
Contact Information
444 E TIMBER DR
RHINELANDER, WI
ZIP 54501
Phone: (715) 369-2300
Fax: (715) 369-2482
- Individual
- Male
- Orthopaedic Surgery
- Accepts Insurance
- PECOS Enrolled
- Medicare Quality Reporting
About DANIEL TVEDTEN
This page provides the complete NPI Profile along with additional information for Daniel Tvedten, a provider established in Rhinelander, Wisconsin with a medical specialization in Orthopaedic Surgery. The healthcare provider is registered in the NPI registry with number 1003979030 assigned on December 2006. The practitioner's primary taxonomy code is 207X00000X with license number G51428 (WI). The provider is registered as an individual and his NPI record was last updated 4 years ago.
- NPI
- 1003979030
- Provider Name
- DANIEL E TVEDTEN M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 444 E TIMBER DR RHINELANDER, WI 54501
- Location Phone
- (715) 369-2300
- Location Fax
- (715) 369-2482
- Mailing Address
- 444 E TIMBER DR RHINELANDER, WI 54501
- Mailing Phone
- (715) 369-2300
- Is Sole Proprietor?
- No
- Enumeration Date
- 12-19-2006
- Last Update Date
- 03-15-2021
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Orthopaedic Surgery
- Taxonomy Code
- 207X00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- G51428
- License State
- WI
- Taxonomy Description
- 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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Anthem Bronze Preferred/Broad 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - POS
- Anthem Bronze Preferred/Broad HSA (+ Incentives) - POS
- Anthem Bronze Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Gold Preferred/Broad 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Gold Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Heart Healthy Bronze Preferred/Broad 0 Med Ded ($0 Virtual PCP+$0 Select Drugs+Incentives) - POS
- Anthem Silver Preferred/Broad 4000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - POS
- Anthem Silver Preferred/Broad 5300 (3 Free PCP Visits + $0 Select Drugs + Incentives) - POS
- Anthem Silver Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Robin Oak $1,000 Gold - PPO
- Robin Oak $1,500 Standard Gold - PPO
- QUARTZ ONE ACHIEVE BRONZE (DENTAL & VISION) $9100 DED FLAT RX COPAYS - IL - HMO
- QUARTZ ONE ACHIEVE BRONZE (DENTAL & VISION) STANDARD EASY PRICING - IL - HMO
- QUARTZ ONE ACHIEVE BRONZE (VISION) $7250 HSA - IL - HMO
- QUARTZ ONE ACHIEVE BRONZE (VISION) $9100 DED FLAT RX COPAYS - IL - HMO
- QUARTZ ONE ACHIEVE BRONZE (VISION) STANDARD EASY PRICING - IL - HMO
- QUARTZ ONE ACHIEVE CATASTROPHIC (VISION) - IL - HMO
- QUARTZ ONE ACHIEVE GOLD (DENTAL & VISION) $2500 DED - IL - HMO
- QUARTZ ONE ACHIEVE GOLD (VISION) $2500 DED - IL - HMO
- QUARTZ ONE ACHIEVE GOLD MAINTENANCE (DENTAL & VISION) $500 DED - IL - HMO
- QUARTZ ONE ACHIEVE GOLD MAINTENANCE (VISION) $500 DED - IL - HMO
- QUARTZ ONE ACHIEVE GOLD STANDARD (DENTAL & VISION) FLAT RX COPAYS EASY PRICING - IL - HMO
- QUARTZ ONE ACHIEVE GOLD STANDARD (VISION) FLAT RX COPAYS EASY PRICING - IL - HMO
- QUARTZ ONE ACHIEVE SILVER (DENTAL & VISION) $0 DED FLAT RX COPAYS - IL - HMO
- QUARTZ ONE ACHIEVE SILVER (DENTAL & VISION) $7000 DED - IL - HMO
- QUARTZ ONE ACHIEVE SILVER (DENTAL & VISION) STANDARD EASY PRICING - IL - HMO
- QUARTZ ONE ACHIEVE SILVER (VISION) $0 DED FLAT RX COPAYS - IL - HMO
- QUARTZ ONE ACHIEVE SILVER (VISION) $7000 DED - IL - HMO
- QUARTZ ONE ACHIEVE SILVER (VISION) STANDARD EASY PRICING - IL - HMO
- QUARTZ ONE ACHIEVE W/ADVOCATE HEALTH CARE BRONZE $0 MEDICAL DED - HMO
- QUARTZ ONE ACHIEVE W/ADVOCATE HEALTH CARE BRONZE $7250 HSA - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 32339000 | MEDICAID (05) | WI |
Medicare Participation & PECOS Enrollment Status
Daniel Tvedten is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 54501 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $82.92
- Minimum New Patient Price $53.9
- Maximum New Patient Price $163.24
- Average New Patient Copayment $20.73
- Minimum New Patient Copayment $13.47
- Maximum New Patient Copayment $40.81
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $67.37
- Minimum Established Patient Price $17.4
- Maximum Established Patient Price $133.76
- Average Established Patient Copayment $16.84
- Minimum Established Patient Copayment $4.35
- Maximum Established Patient Copayment $33.44
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Quality Reporting
The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.
| Quality Measure | Performance | Number of Patients |
|---|---|---|
| Measurement and Improvement at the Practice and Panel Level | Yes | N/A |
| Measure and improve quality at the practice and panel level, such as the American Board of Orthopaedic Surgery (ABOS) Physician Scorecards, that could include one or more of the following: • Regularly review measures of quality, utilization, patient satisfaction and other measures that may be useful at the practice level and at the level of the care team or MIPS eligible clinician or group (panel); and/or • Use relevant data sources to create benchmarks and goals for performance at the practice level and panel level. | ||
| Use of decision support and standardized treatment protocols | Yes | N/A |
| Use decision support and standardized treatment protocols to manage workflow in the team to meet patient needs. | ||
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 0 | 0 | 3 | 9 | 7 | 9 | 0 | 3 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 0 | 3 | 18 | 7 | 18 | 0 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 0 + 3 + 1 + 8 + 7 + 1 + 8 + 0 + 6 + 24 = 60 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1003979030 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 12 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1558373977 | NORTHLAND ORTHOPEDIC ASSOCIATES, S.C. Organization | Orthopaedic Surgery | 444 E TIMBER DR RHINELANDER, WI 54501 (715) 369-2300 |
| 1972666964 | JAMES R DYREBY JR. M.D. Individual | Orthopaedic Surgery | 444 E TIMBER DR RHINELANDER, WI 54501 (715) 369-2300 |
| 1396808325 | KENT J LOWRY M.D. Individual | Orthopaedic Surgery | 444 E TIMBER DR RHINELANDER, WI 54501 (715) 369-2300 |
| 1982767919 | WILLIAM R. PADGETT M.D. Individual | Orthopaedic Surgery | 444 E TIMBER DR RHINELANDER, WI 54501 (715) 369-2300 |
| 1780696542 | ANN M CHIZEK-LIERMANN NP Individual | Nurse Practitioner | 444 E TIMBER DR RHINELANDER, WI 54501 (715) 369-2300 |
| 1760822001 | BENJAMIN BRUSCH M.D. Individual | Physical Medicine & Rehabilitation (Sports Medicine) | 444 E TIMBER DR RHINELANDER, WI 54501 (715) 361-4700 |
| 1578504189 | BONNIE C THORSEN PAC Individual | Physician Assistant | 444 E TIMBER DR RHINELANDER, WI 54501 (715) 342-7765 |
| 1679558290 | GREGORY PAUL HARBACH MD Individual | Orthopaedic Surgery | 444 E TIMBER DR RHINELANDER, WI 54501 (715) 369-2300 |
| 1932445038 | STACEY M. FASHINGBAUER PA-C, LAT Individual | Physician Assistant | 444 E TIMBER DR RHINELANDER, WI 54501 (715) 369-2300 |
| 1942554514 | ASCENSION MEDICAL GROUP-NORTHERN WISCONSIN, INC Organization | Orthopaedic Surgery | 444 E TIMBER DR RHINELANDER, WI 54501 (715) 369-2300 |
| 1770252884 | ASPIRUS MEDICAL GROUP, INC. Organization | Orthopaedic Surgery | 444 E TIMBER DR RHINELANDER, WI 54501 (715) 369-2300 |
| 1215754361 | BOBBI WIMMER FNP Individual | Nurse Practitioner (Family) | 444 E TIMBER DR RHINELANDER, WI 54501 (715) 369-2300 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1003979030, enumerated in the NPI registry as an "individual" on December 19, 2006
The provider is located at 444 E Timber Dr Rhinelander, Wi 54501 and the phone number is (715) 369-2300
The provider's speciality is Orthopaedic Surgery with taxonomy code 207X00000X
The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, HealthPartners,. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $82.92 with an average copayment of $20.73 for new patient appointments. Established patients should expect a typical charge of $67.37 and an average copayment of 16.84. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on December 19, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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