BROOK BUTZER WALDO M.D.
NPI 1417482308
Psychiatry & Neurology - Psychiatry in Minneapolis, MN
NPI Status: Active since April 27, 2017
Contact Information
2450 RIVERSIDE AVE
F282/2A WEST
MINNEAPOLIS, MN
ZIP 55454
Phone: (612) 273-9824
Fax: (612) 273-9779
- Individual
- Female
- Psychiatry & Neurology
- Psychiatry
- PECOS Enrolled
About BROOK WALDO
This page provides the complete NPI Profile along with additional information for Brook Waldo, a provider established in Minneapolis, Minnesota with a medical specialization in Psychiatry & Neurology, focusing in psychiatry . The healthcare provider is registered in the NPI registry with number 1417482308 assigned on April 2017. The practitioner's primary taxonomy code is 2084P0800X with license number 64458 (MN). The provider is registered as an individual and her NPI record was last updated 4 years ago.
- NPI
- 1417482308
- Provider Name
- BROOK BUTZER WALDO M.D.
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 2450 RIVERSIDE AVE F282/2A WEST MINNEAPOLIS, MN 55454
- Location Phone
- (612) 273-9824
- Location Fax
- (612) 273-9779
- Mailing Address
- 2450 RIVERSIDE AVE F282/2A WEST MINNEAPOLIS, MN 55454
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 04-27-2017
- Last Update Date
- 06-09-2021
- Code Navigator
A psychiatrist like Brook Waldo are primary mental health physicians diagnose and treat mental illnesses through psychotherapy, psychoanalysis, hospitalization and medication. Psychiatrist help patients find solutions through changes in their behavioral patterns, explorations of experiences, group and family therapy.
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
Psychiatry & Neurology Psychiatry
- Taxonomy Code
- 2084P0800X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 64458
- License State
- MN
- Taxonomy Description
- A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Medicare Participation & PECOS Enrollment Status
Brook Waldo 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 55454 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99205
- Average New Patient Price $168.28
- Minimum New Patient Price $56
- Maximum New Patient Price $168.28
- Average New Patient Copayment $42.07
- Minimum New Patient Copayment $14
- Maximum New Patient Copayment $42.07
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $69.74
- Minimum Established Patient Price $18.32
- Maximum Established Patient Price $138.04
- Average Established Patient Copayment $17.43
- Minimum Established Patient Copayment $4.58
- Maximum Established Patient Copayment $34.51
* 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.
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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 | 4 | 1 | 7 | 4 | 8 | 2 | 3 | 0 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 2 | 7 | 8 | 8 | 4 | 3 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 2 + 7 + 8 + 8 + 4 + 3 + 0 + 24 = 62 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 62 = 8 | 8 | ||||||||
The NPI number 1417482308 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1568462570 | SREEJAYA VELUVALI M.D. Individual | Psychiatry & Neurology (Addiction Psychiatry) | 2450 RIVERSIDE AVE MINNEAPOLIS, MN 55454 (612) 672-6600 |
| 1407829237 | MS. SUSAN M SCHMIDT CRNA Individual | Nurse Anesthetist, Certified Registered | 2450 RIVERSIDE AVE MINNEAPOLIS, MN 55454 (612) 672-6000 |
| 1538132345 | MS. KIMBERLY K SWENSON-ZAKULA CRNA Individual | Nurse Anesthetist, Certified Registered | 2450 RIVERSIDE AVE MINNEAPOLIS, MN 55454 (612) 672-6000 |
| 1932172772 | MR. NORBERT C WEIXEL CRNA Individual | Nurse Anesthetist, Certified Registered | 2450 RIVERSIDE AVE MINNEAPOLIS, MN 55454 (612) 672-6000 |
| 1720052871 | BARBARA FRANKEL PT Individual | Physical Therapist | 2450 RIVERSIDE AVE MINNEAPOLIS, MN 55454 (612) 672-6000 |
| 1134193287 | REBECCA WICKLUND PT Individual | Physical Therapist | 2450 RIVERSIDE AVE MINNEAPOLIS, MN 55454 (612) 273-6000 |
| 1982678991 | CAROL R HAUSER CRNA Individual | Nurse Anesthetist, Certified Registered | 2450 RIVERSIDE AVE MINNEAPOLIS, MN 55454 (612) 672-6000 |
| 1639143639 | MARY M ANKERSTJERNE CRNA Individual | Nurse Anesthetist, Certified Registered | 2450 RIVERSIDE AVE MINNEAPOLIS, MN 55454 (612) 672-6000 |
| 1154395077 | SUSAN M HERBERT CRNA Individual | Nurse Anesthetist, Certified Registered | 2450 RIVERSIDE AVE MINNEAPOLIS, MN 55454 (612) 672-6000 |
| 1487628517 | PATRICK O'LAUGHLIN PHD Individual | Psychologist | 2450 RIVERSIDE AVE MINNEAPOLIS, MN 55454 (612) 672-6000 |
| 1891769691 | MELISSA A BECKER CRNA Individual | Nurse Anesthetist, Certified Registered | 2450 RIVERSIDE AVE MINNEAPOLIS, MN 55454 (612) 672-6000 |
| 1699740274 | DR. DANIEL A ZYDOWICZ MD Individual | Internal Medicine (Infectious Disease) | 2450 RIVERSIDE AVE MINNEAPOLIS, MN 55454 (612) 672-6000 |
| 1104890896 | JOAN MARIE VILTER CRNA Individual | Nurse Anesthetist, Certified Registered | 2450 RIVERSIDE AVE MINNEAPOLIS, MN 55454 (612) 672-6000 |
| 1710951405 | MARY C BUCHMAN CRNA Individual | Nurse Anesthetist, Certified Registered | 2450 RIVERSIDE AVE MINNEAPOLIS, MN 55454 (612) 672-6000 |
| 1265406979 | MARTHA J GRIFFIN CRNA Individual | Nurse Anesthetist, Certified Registered | 2450 RIVERSIDE AVE MINNEAPOLIS, MN 55454 (612) 672-6000 |
| 1477528156 | MR. STEVEN J NOVAK CRNA Individual | Nurse Anesthetist, Certified Registered | 2450 RIVERSIDE AVE MINNEAPOLIS, MN 55454 (612) 672-6000 |
| 1851366439 | MS. AMNA HENNA SHAKIL MD Individual | Internal Medicine | 2450 RIVERSIDE AVE MINNEAPOLIS, MN 55454 (612) 672-6000 |
| 1881669240 | MS. VICKI SUE CALLAGHAN GNP Individual | Nurse Practitioner (Gerontology) | 2450 RIVERSIDE AVE MINNEAPOLIS, MN 55454 (612) 672-6000 |
| 1699740050 | MR. MICHAEL CHARLES FINCH NP Individual | Nurse Practitioner (Adult Health) | 2450 RIVERSIDE AVE MINNEAPOLIS, MN 55454 (612) 672-6000 |
| 1669447934 | MR. BYRON W. ENROTH CRNA Individual | Nurse Anesthetist, Certified Registered | 2450 RIVERSIDE AVE MINNEAPOLIS, MN 55454 (612) 672-6000 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1417482308, enumerated in the NPI registry as an "individual" on April 27, 2017
The provider is located at 2450 Riverside Ave F282/2a West Minneapolis, Mn 55454 and the phone number is (612) 273-9824
The provider's speciality is Psychiatry & Neurology with taxonomy code 2084P0800X with a focus in Psychiatry
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 $168.28 with an average copayment of $42.07 for new patient appointments. Established patients should expect a typical charge of $69.74 and an average copayment of 17.43. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on April 27, 2017. 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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