Doctor profile · Federal record
Dr. Tore Detlie, M.D.
Diagnostic Radiology Physician (CMS: Diagnostic Radiology) · Diagnostic Radiology Physician · Maplewood, MN
- NPI 1841240686
- Accepts Medicare
- MIPS 75.0 / 100 · 2023
- 42 yrs in practice
- Licensed in 2 states
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
918 Demont Ave E
Maplewood, MN 551091953
(952) 595-1100
fax (612) 294-4903 - Mailing address
-
11995 Singletree Ln, Suite 500
Eden Prairie, MN 553445347
Credentials & registration
- NPI registered
- May 2006 — 20 yrs on file
- Profile last updated
- July 19, 2012
- Year of graduation
- 1984 — 42 yrs since
- Specialty taxonomy
- 2085R0202X — NUCC code
- State licenses (2)
- Minnesota #29546 · New Hampshire #15435
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1841240686. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
4,887
Distinct HCPCS
10
Medicare allowed
$86,880
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | 1,880 | 19 | $0 | |
Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml | 1,751 | 54 | $0 | |
77067 |
Screening mammography | 382 | 382 | $105 | |
77063 |
Screening 3d breast mammography | 377 | 377 | $46 | |
J1100 |
Injection, dexamethasone sodium phosphate, 1 mg | 160 | 14 | $0 | |
J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | 92 | 40 | $7 | |
77002 |
Fluoroscopic guidance for needle placement | 26 | 26 | $118 | |
74177 |
Ct scan of abdomen and pelvis with contrast | 25 | 25 | $188 | |
71250 |
Ct scan of chest without contrast | 24 | 24 | $92 | |
20610 |
Aspiration and/or injection of fluid from large joint | 22 | 22 | $62 |
In context: peer comparison
Among 1 peers in this city , average services per provider: 244. This provider delivers 20× the peer median.Frequently asked questions
What is Dr. Tore Detlie's medical specialty?
Dr. Tore Detlie practices Diagnostic Radiology Physician in Maplewood, MN.
Where does Dr. Tore Detlie practice?
Dr. Tore Detlie practices at 918 Demont Ave E, Maplewood, MN 551091953. Office phone: 9525951100.
What is Dr. Tore Detlie's NPI?
Dr. Tore Detlie's National Provider Identifier (NPI) is 1841240686, issued by NPPES.
Does Dr. Tore Detlie accept Medicare assignment?
Yes. Dr. Tore Detlie accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Tore Detlie commonly perform?
Top Medicare-reported procedures in 2023: Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml (HCPCS Q9967); Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml (HCPCS Q9966); Screening mammography (HCPCS 77067). Source: CMS Medicare Physician & Other Practitioners file.