Doctor profile · Federal record
Dr. Glen Rudolph, M.D.
Orthopaedic Surgery Physician (CMS: Orthopedic Surgery) · Orthopaedic Surgery Physician · Duluth, MN
- NPI 1124258223
- Accepts Medicare
- 20 yrs in practice
- Licensed in 2 states
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
1000 E 1St St Ste 404
Duluth, MN 558052297
(218) 722-5513
fax (218) 722-6515
Credentials & registration
- NPI registered
- July 2009 — 17 yrs on file
- Profile last updated
- March 12, 2019
- Year of graduation
- 2006 — 20 yrs since
- Specialty taxonomy
- 207X00000X — NUCC code
- State licenses (2)
- Minnesota #50713 · Wisconsin #55776
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1124258223. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
531
Distinct HCPCS
10
Medicare allowed
$36,397
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 205 | 36 | $1 | |
20610 |
Aspiration and/or injection of fluid from large joint | 50 | 36 | $67 | |
99212 |
Established patient office or other outpatient visit, 10-19 minutes | 45 | 37 | $56 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 45 | 39 | $127 | |
99203 |
New patient office or other outpatient visit, 30-44 minutes | 38 | 38 | $107 | |
73030 |
X-ray of shoulder, minimum of 2 views | 35 | 30 | $34 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 33 | 26 | $64 | |
20610 |
Aspiration and/or injection of fluid from large joint | 31 | 26 | $44 | |
99203 |
New patient office or other outpatient visit, 30-44 minutes | 20 | 20 | $79 | |
73562 |
X-ray of knee, 3 views | 18 | 13 | $46 |
In context: peer comparison
Among 5 peers in Duluth Orthopaedic Surgery Physician, average services per provider: 47. This provider delivers 11× the peer median.Open Payments
Industry payments received
All-time total
$613
Transactions
15
Manufacturers
2
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Stryker Corporation | 13 | $482.85 | |
| Foundation Medical, LLC | 2 | $129.88 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
256
Patients
140
Total drug cost
$4,599
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Hydrocodone-Acetaminophen (Hydrocodone/Acetaminophen) | Brand | 118 | 99 | $1,151 |
| Tramadol Hcl | Generic | 31 | 21 | $106 |
| Oxycodone Hcl | Generic | 24 | 20 | $145 |
| Atorvastatin Calcium | Generic | 13 | 0 | $256 |
| Doxycycline Hyclate | Generic | 12 | 0 | $868 |
| Lisinopril | Generic | 12 | 0 | $352 |
| Metoprolol Succinate | Generic | 12 | 0 | $241 |
| Mirtazapine | Generic | 12 | 0 | $776 |
| Celecoxib | Generic | 11 | 0 | $652 |
| Ibuprofen | Generic | 11 | 0 | $51 |
Hospital affiliations
Frequently asked questions
What is Dr. Glen Rudolph's medical specialty?
Dr. Glen Rudolph practices Orthopaedic Surgery Physician in Duluth, MN.
Where does Dr. Glen Rudolph practice?
Dr. Glen Rudolph practices at 1000 E 1St St Ste 404, Duluth, MN 558052297. Office phone: 2187225513.
What is Dr. Glen Rudolph's NPI?
Dr. Glen Rudolph's National Provider Identifier (NPI) is 1124258223, issued by NPPES.
Does Dr. Glen Rudolph accept Medicare assignment?
Yes. Dr. Glen Rudolph accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Glen Rudolph commonly perform?
Top Medicare-reported procedures in 2023: Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS J3301); Aspiration and/or injection of fluid from large joint (HCPCS 20610); Established patient office or other outpatient visit (HCPCS 99212). Source: CMS Medicare Physician & Other Practitioners file.