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

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: August 02, 2026.

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

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
Open in Google Maps ↗

Other Identifiers 1

Medicaid312128300MN

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

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
Quality86.53
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 18

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

DR. WHITNEY STOCK OD
Optometrist
1801 19TH AVE SW
WILLMAR, MN 56201
Kandiyohi County (320) 235-2020
THOMAS J LENZ O.D.
Optometrist (Corneal and Contact Management)
1801 19TH AVE SW
WILLMAR, MN 56201
Kandiyohi County (320) 235-2020
DR. MICHAEL L NOVAK O.D.
Optometrist (Corneal and Contact Management)
1801 19TH AVE SW
WILLMAR, MN 56201
Kandiyohi County (320) 235-2020
AUDIOLOGY CENTER INC.
Audiologist
1801 19TH AVE SW
WILLMAR, MN 56201
Kandiyohi County (320) 214-7256
SHANE JAHRAUS
Optometrist
1801 19TH AVE SW
WILLMAR, MN 56201
Kandiyohi County (320) 235-2020
DR. JENNIFER LYNN FAIRBANKS O.D
Optometrist
1801 19TH AVE SW
WILLMAR, MN 56201
Kandiyohi County (320) 235-2020
DR. JEFFREY L FISCHER M.D.
Ophthalmology
1801 19TH AVE SW
WILLMAR, MN 56201
Kandiyohi County (320) 235-2020
KARA DE GROOT ARNP
Nurse Practitioner
1801 19TH AVE SW
WILLMAR, MN 56201
Kandiyohi County (000) 000-0000

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 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.

Where is Jonathan Mellema located?

Jonathan Mellema practices at 1801 19th Ave SW, Willmar, MN 56201. The listed phone number is (320) 231-3277.

What is Jonathan Mellema's specialty?

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

Is Jonathan Mellema enrolled in Medicare?

Yes. Jonathan Mellema 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.

What insurance does Jonathan Mellema accept?

Health plans from Avera Health Plans, HealthPartners, Medica and Sanford Health Plan list Jonathan Mellema as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Jonathan Mellema affiliated with any hospitals?

According to CMS data, Jonathan Mellema is affiliated with Centracare- Rice Memorial Hospital and Avera Marshall Regional Medical Ctr.

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 21 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.