Active NPI
Andrew Charles Ockuly, DO
- Sports Medicine (Orthopaedic Surgery) Physician
- Vadnais Heights, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Orthopaedic Surgery) Physician
- License
- 65557
- Practice address
- 3545 Highway 61 N
Vadnais Heights, MN 55110-5223 - Phone
- (651) 439-8807
- Fax
- (651) 439-0232
- NPI assigned
- Jul 2, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 71348-21 | WI | |
| Orthopaedic Surgery Physician | 207X00000X | 65557 | MN | |
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | 71348-21 | WI | |
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | 65557 | MN | Primary |
Addresses
Primary practice location
3545 Highway 61 N
Vadnais Heights, MN 55110-5223
Mailing address
3500 American Blvd W Ste 300
Bloomington, MN 55431-4442
Phone (952) 512-5600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN, WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Allina Health System
Practice addresses (Care Compare)
11225 Ulysses St NE
Blaine, MN 55434-4261
Phone (763) 302-2600
1687 E Division St
River Falls, WI 54022-1571
Phone (715) 307-6432
2211 Vine St
Hudson, WI 54016-1899
Phone (715) 386-1155
2651 Hillcrest Dr
Suite 101
Hudson, WI 54016-9919
Phone (800) 423-1088
3111 124TH Ave NW
Suite 200
Coon Rapids, MN 55433-4573
Phone (763) 427-7300
3545 Hwy 61 N
Vadnais Heights, MN 55110-5223
Phone (651) 439-8807
4040 Radio Dr
Woodbury, MN 55129-3237
Phone (651) 439-8807
5715 Memorial Ave N
Oak Park Heights, MN 55082-1093
Phone (651) 439-8807
Hospital & facility affiliations
- River Falls Area Hospital
- Hudson Hospital
- Lakeview Memorial Hospital
- Western Wisconsin Health
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.79 of 100
- Quality
- 95.08
- Improvement activities
- 40
- Cost
- 81.67
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.6 of 100
- Quality
- 72.5
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77.07
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hip replacement | 1-10 |
| Knee replacement | 23 |
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71348-21 | WI | MD | Sports Medicine (Orthopaedic Surgery) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allina Health System | Current | Accepting new patients | |
| Allina Health System | Current | Accepting new patients | |
| Infinite Health Collaborative, PA | Orthopaedic Surgery | Current | Accepting new patients |
| Allina Health System | Current | Accepting new patients | |
| Infinite Health Collaborative, PA | Orthopaedic Surgery | Current | Accepting new patients |
| Allina Health System | Current | Accepting new patients | |
| St. Croix Orthopaedics, PA | Past | Accepting new patients | |
| Infinite Health Collaborative, PA | Past | Accepting new patients |
Locations
3500 American Blvd W
Ste 300
Minneapolis, MN 55431
Phone (952) 512-5600
4200 Dahlberg Dr
Ste 300
Minneapolis, MN 55422
Phone (952) 512-5600
920 E 28th St
Ste 440
Minneapolis, MN 55407
Phone (612) 863-5155
1701 Curve Crest Blvd W
Ste 104
Stillwater, MN 55082
Phone (651) 342-1883
3545 Highway 61 N
Vadnais Heights, MN 55110
2651 Hillcrest Dr
Ste 101
Hudson, WI 54016
Phone (800) 423-1088
2211 Vine St
Hudson, WI 54016
Phone (715) 386-1155
1687 E Division St
River Falls, WI 54022
Phone (715) 425-6701
1629 E Division St
River Falls, WI 54022
Phone (715) 307-6000
1617 E Division St
River Falls, WI 54022
Phone (715) 307-6600
Interoperability endpoints
- aockuly438402@excellian.direct.allina.com
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Physician
- River Falls, WI
- NPI 1407395247
-
- Emergency Medicine Physician
- River Falls, WI
- NPI 1578507513
-
- Rheumatology Physician
- Coon Rapids, MN
- NPI 1952146516
-
- Clinic/Center
- River Falls, WI
- NPI 1619559663
-
- Durable Medical Equipment & Medical Supplies
- Hudson, WI
- NPI 1568840916
Orthopaedic Surgery
-
- Specialist
- Oak Park Heights, MN
- NPI 1255337945
-
- Durable Medical Equipment & Medical Supplies
- River Falls, WI
- NPI 1144608589
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Stillwater, MN
- NPI 1538138003
-
- Critical Access Hospital
- River Falls, WI
- NPI 1285691725
-
- Critical Access Hospital
- Baldwin, WI
- NPI 1467496133
-
- Critical Access Hospital
- Hudson, WI
- NPI 1396849303
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404259200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737417600000",
"number": "1245646983",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3500 AMERICAN BLVD W STE 300",
"city": "BLOOMINGTON",
"state": "MN",
"postal_code": "554314442",
"telephone_number": "952-512-5600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3545 HIGHWAY 61 N",
"city": "VADNAIS HEIGHTS",
"state": "MN",
"postal_code": "551105223",
"telephone_number": "651-439-8807",
"fax_number": "651-439-0232"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OCKULY",
"first_name": "ANDREW",
"middle_name": "CHARLES",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-07-02",
"last_updated": "2025-01-21",
"certification_date": "2025-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "WI",
"license": "71348-21",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "MN",
"license": "65557",
"primary": false
},
{
"code": "207XX0005X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Sports Medicine",
"state": "WI",
"license": "71348-21",
"primary": false
},
{
"code": "207XX0005X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Sports Medicine",
"state": "MN",
"license": "65557",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vadnais Heights, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.