DR. TROY DEAN WOLTER (M.D.) – Orthopaedic Surgery Physician, NPI 1154547552

DR. TROY DEAN WOLTER (M.D.) is a healthcare provider. based in Blaine, Minnesota. specializing in ORTHOPEDIC SURGERY. They hold the professional credentials M.D.. They hold a License No. 52909 (MN). The NPI Number for DR. TROY DEAN WOLTER (M.D.) is 1154547552

Main info

Male
Sole Proprietor
21 Years Of Experience
Accepts Medicare Assignment
Name
DR. TROY DEAN WOLTER (M.D.)
NPI
1154547552
Phone
(734) 945-2059
Address
3122 120TH CT NE
Enumeration Date
17 April 2007
Last Update Date
20 July 2011

Doctor Profile

Medical School Name
UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Secondary Phone
8553247843
Graduation Year
2005 (21 years ago)
PAC ID
4082806773
Group Practice PAC ID
3375645179
Professional Enrollment ID
I20101013000910
Address ID
MN551043727SA1700XWXXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

819 ORTHOPEDIC SURGERY in MN

Provider Addresses for DR. TROY DEAN WOLTER (M.D.)

  • 3122 120TH CT NE

    BLAINE, MN 554492500

    Phone: (734) 945-2059

    Type: Mailing

  • 6341 UNIVERSITY AVE NE

    FRIDLEY, MN 554324946

    Phone: (763) 586-5844

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $266.

Total Amount is formed as General ($266) + Research ($0) + Ownership ($0) = $266.

Last reported payment date: 2024-08-15 • Largest payer in this snapshot: DePuy Synthes Sales Inc. ($242).

Total Amount

$266

General + Research + Ownership

Payments

3

Total payment records

General Amount

$266

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-15

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-10-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20101013000910IOrthopedic SurgeryMNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg29034$0
99213Established patient office or other outpatient visit, 20-29 minutes6048$0
20610Aspiration and/or injection of fluid from large joint6039$0
99203New patient office or other outpatient visit, 30-44 minutes4848$0
J1040Injection, methylprednisolone acetate, 80 mg4622$0
View full utilization report →

Insurance plans in this area (ZIP 55449)

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Provider's Procedures

DR. TROY DEAN WOLTER (M.D.) performs procedures in ORTHOPEDIC SURGERY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
ORTHOPEDIC SURGERYMN20610Aspiration and/or injection of large joint or joint capsule7150

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3375645179View full group profile
NameSpecialtyState
P A T H O L O G YMN
G A S T R O E N T E R O L O G YMN
N E U R O S U R G E R YOH
-MN
Physician AssistantMN
Physician AssistantMN
-MN
P O D I A T R YMN
-MN
Physical Therapist In Private PracticeOR

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Frequently asked questions

What unique ID ties claims to DR. TROY DEAN WOLTER (M.D.)?
NPI 1154547552 is assigned to DR. TROY DEAN WOLTER (M.D.) under the national enumeration system.
Is DR. TROY DEAN WOLTER (M.D.)'s NPI currently valid?
The extract we use shows DR. TROY DEAN WOLTER (M.D.) as active.
Does DR. TROY DEAN WOLTER (M.D.) list a primary specialty?
If you are matching referrals, note Orthopaedic Surgery Physician for DR. TROY DEAN WOLTER (M.D.). Clinical services aligned with this taxonomy classification.
Where is DR. TROY DEAN WOLTER (M.D.)'s primary listing?
We display Blaine, Minnesota because that is what the record indicates for DR. TROY DEAN WOLTER (M.D.).
Is DR. TROY DEAN WOLTER (M.D.) a real provider?
This page reflects official NPPES data for NPI 1154547552. Always confirm identity and privileges with the practice and licensing boards.

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