JOHN J DEGELAU MD
NPI 1063489375
Hospitalist in Duluth, MN

Active since March 06, 2006PECOS EnrolledAccepts Medicare Assignment
407 E 3RD ST, DULUTH, MN 55805(218) 786-4000 Get Directions Write a Review

NPPES record last updated: June 26, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 7, 2025, Dec 28, 2018 (2 updates tracked since 2018).

About John J Degelau Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOHN J DEGELAU MD (NPI 1063489375) is an individual hospitalist provider in Duluth, Minnesota, licensed in Minnesota (28918) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Essentia Health St Mary's Medical Center, and is a graduate of University Of Minnesota Medical School (1983).

NPPES Registry Identity

NPI1063489375
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameJOHN J DEGELAUCredential: MD
Location Address407 E 3RD STDuluth, MN 55805-1950
Mailing Address1702 University Dr SFargo, ND 58103-4940 · (701) 364-4222
Sole ProprietorNo
Medical School CMSUniversity Of Minnesota Medical SchoolGraduated 1983
Enumeration DateMarch 6, 2006
Last NPPES UpdateJune 26, 20262 updates tracked since enumeration
NPPES CertifiedJune 26, 2026
✔ NPI 1063489375 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in MN · 28918
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License 28918 (MN)
Also ListedInternal Medicine · Geriatric MedicineTaxonomy 207RG0300X · License 28918 (MN)
407 E 3RD ST, Duluth, MN 55805

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

John J Degelau Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4789729435
PECOS Enrollment IDI20100304001064
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

4

Medicare enrollment records show John Degelau reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Multi-Specialty
400 E 3RD ST
Duluth, MN 55805
  • Reassigned Medicare billing, Minnesota enrollment
  • 1,460 clinicians in this Medicare group
Critical Access
3500 TOWER AVE
Superior, WI 54880
  • Reassigned Medicare billing, Wisconsin enrollment
  • Medicare enrollment name: St Marys Hospital Of Superior
  • 381 clinicians in this Medicare group
General Practice
10961 CLUB WEST PKWY
Blaine, MN 55449
  • Reassigned Medicare billing, Minnesota enrollment
  • 2,274 clinicians in this Medicare group
Family Medicine
7000 TARGET PKWY N
Brooklyn Park, MN 55445
  • Reassigned Medicare billing, Minnesota enrollment
  • 2,527 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
201 services63 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
66 services27 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
38 services37 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Essentia Health St Mary's Medical Center

Acute Care Hospitals · Duluth, MN
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240002
Location402 East Second StreetDuluth, MN 55805 · St. Louis County
Emergency services Birthing friendly

Essentia Health Duluth

Acute Care Hospitals · Duluth, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240019
Location502 East Second StreetDuluth, MN 55805 · St. Louis County
Birthing friendly

Essentia Health Deer River

Critical Access Hospitals · Deer River, MN
OwnershipVoluntary non-profit - Private
CMS Certification Number241360
Location115 10th Avenue NortheastDeer River, MN 56636 · Itasca County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55805 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$127.61 typical visit price
range $56.00 – $168.28
Typical copayment $31.90 (range $14.00 – $42.07)
Most-billed visit code 99204
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
407 E 3RD ST, ESSENTIA HEALTH ST. MARY'S MEDICAL CENTER
DULUTH, MN 55805
Occupational Therapist
407 E 3RD ST
DULUTH, MN 55805
Emergency Medicine
407 E 3RD ST
DULUTH, MN 55805
Physical Therapist
407 E 3RD ST
DULUTH, MN 55805
Nurse Anesthetist, Certified Registered
407 E 3RD ST
DULUTH, MN 55805
Nurse Practitioner (Neonatal)
407 E 3RD ST
DULUTH, MN 55805
Clinical Nurse Specialist (Adult Health)
407 E 3RD ST
DULUTH, MN 55805
Occupational Therapist
407 E 3RD ST, ESSENTIA HEALTH DULUTH CLINIC
DULUTH, MN 55805

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is John Degelau's NPI number?

The NPI number for John Degelau is 1063489375. It was assigned to this individual provider in the NPPES registry on March 6, 2006.

Where is John Degelau located?

John Degelau practices at 407 E 3rd St, Duluth, MN 55805. The listed phone number is (218) 786-4000.

What is John Degelau's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is John Degelau enrolled in Medicare?

Yes. John Degelau is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for John Degelau's services?

According to the CMS Revalidation Reassignment List (October 2026 release), John Degelau reassigns Medicare benefits to 4 organizations: The Duluth Clinic, Ltd (Duluth, MN), St. Mary's Hospital Of Superior (Superior, WI), Group Health, Inc. (Blaine, MN) and Park Nicollet Clinic (Brooklyn Park, MN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for John Degelau's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is John Degelau affiliated with any hospitals?

According to CMS data, John Degelau is affiliated with Essentia Health St Mary's Medical Center, Essentia Health Duluth and Essentia Health Deer River.

When was this NPI record last updated?

The NPPES record for John Degelau was last updated on June 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.