DR. JONATHAN W MELLEMA MD
NPI 1083680458
Otolaryngology in Willmar, MN

Q: What is Jonathan Mellema's NPI number?

The NPI number for Jonathan Mellema is 1083680458. It was assigned to this individual provider in the NPPES registry on February 27, 2006.

Q: What is Jonathan Mellema's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Q: When was this NPI record last updated?

The NPPES record for Jonathan Mellema was last updated on October 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.

Active since February 27, 2006PECOS EnrolledAccepts Medicare Assignment

97.58/100

CMS Quality Rating

1801 19TH AVE SW, WILLMAR, MN 56201(320) 231-3277(320) 214-5758 Get Directions Write a Review

NPPES record last updated: October 10, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 10, 2024, Jun 22, 2021, Sep 10, 2019 and 1 more (4 updates tracked since 2019).

On this page

About Dr. Jonathan W Mellema Md NPPES

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

DR. JONATHAN W MELLEMA MD (NPI 1083680458) is an individual otolaryngology provider in Willmar, Minnesota, licensed in Minnesota (47540) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Centracare- Rice Memorial Hospital, and is a graduate of University Of Minnesota Medical School (2000).

NPPES Registry Identity

NPI1083680458

Entity TypeIndividualMale

Primary Taxonomy207Y00000X

Provider Legal NameDR. JONATHAN W MELLEMACredential: MD

Location Address1801 19TH AVE SWWillmar, MN 56201-4946

Mailing Address1801 19th Ave SwWillmar, MN 56201-4946 · (320) 231-3277 · Fax (320) 214-5758

Phone(320) 231-3277

Fax(320) 214-5758

Sole ProprietorNo

Medical School CMSUniversity Of Minnesota Medical SchoolGraduated 2000

Enumeration DateFebruary 27, 2006

Last NPPES UpdateOctober 10, 20244 updates tracked since enumeration

NPPES CertifiedOctober 10, 2024

✔ NPI 1083680458 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians

Taxonomy Code207Y00000X

License✔ Licensed in MN · 47540

Definition

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

1801 19TH AVE SW, Willmar, MN 56201

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Other Identifiers 1

Medicaid312128300MN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Avera Health Plans, HealthPartners, Sanford Health Plan.Insurance ›

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

Dr. Jonathan W Mellema 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 ID6305882861

PECOS Enrollment IDI20050706000707

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

Medicare enrollment records show Jonathan Mellema reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Surgery Center, LLC

Same address

Ambulatory Surgical

1801 19TH AVE SW
Willmar, MN 56201

Reassigned Medicare billing, Minnesota enrollment
7 clinicians in this Medicare group

NPI 1831200120 (320) 235-7700

Janning Ent Center, LLC

Same address

Otolaryngology

1801 19TH AVE SW
Willmar, MN 56201

Reassigned Medicare billing, Minnesota enrollment
6 clinicians in this Medicare group

NPI 1952332629 (320) 231-3277

Centracare Clinic Southwest LLC

1.2 mi

Multi-Specialty

101 WILLMAR AVE SW
Willmar, MN 56201

Reassigned Medicare billing, Minnesota enrollment
236 clinicians in this Medicare group

NPI 1174106264 (320) 231-5000

Carris Health LLC

1.5 mi

Emergency Medicine

301 BECKER AVE SW
Willmar, MN 56201

Reassigned Medicare billing, Minnesota enrollment
179 clinicians in this Medicare group

NPI 1134632680 (320) 235-4543

Avera Marshall

39 mi

Ophthalmology

900 E COOK ST
Redwood Falls, MN 56283

Reassigned Medicare billing, Minnesota enrollment
Also billed through NPI 1568401016 (Minnesota)
260 clinicians in this Medicare group

NPI 1962724831 (507) 637-5715

Appleton Area Health

45 mi

Clinic/Center

657 ATLANTIC AVE
Hancock, MN 56244

Reassigned Medicare billing, Minnesota enrollment
Also billed through NPI 1578590626 (Minnesota), NPI 1649333923 (Minnesota)
29 clinicians in this Medicare group

NPI 1972496917 (320) 289-1580

Lac Qui Parle Clinic Of Madison Inc

55 mi

Rural Health

820 3RD AVE
Madison, MN 56256

Reassigned Medicare billing, Minnesota enrollment
185 clinicians in this Medicare group

NPI 1144266156 (320) 598-7551

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 8

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

84 services50 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

81 services60 patients

Removal of impacted ear wax 69210

Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.

75 services43 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

66 services66 patients

Diagnostic exam of nasal passages using an endoscope 31231

A diagnostic exam of nasal passages using an endoscope is a non-invasive procedure. A small, flexible tube with a light and camera at the end, called an endoscope, is inserted into the nose. This allows the doctor to view the nasal passages and sinuses, helping to identify any issues.

40 services29 patients

Diagnostic exam of voice box using a flexible endoscope 31575

This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.

29 services24 patients

Hospital Affiliations CMS Care Compare 2

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

Centracare- Rice Memorial Hospital

Acute Care Hospitals · Willmar, MN

4/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number240088

Location301 Becker Ave SWWillmar, MN 56201 · Kandiyohi County

Emergency services Birthing friendly

Avera Marshall Regional Medical Ctr

Critical Access Hospitals · Marshall, MN

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number241359

Location300 South Bruce StreetMarshall, MN 56258 · Lyon County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 56201 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

$69.74 typical visit price

range $18.32 – $138.04

Typical copayment $17.43 (range $4.58 – $34.51)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

97.58/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

86.53

Promoting Interoperability

100

Improvement Activities

Other Providers at the Same Location NPPES 19

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

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