JOHN JOSEPH PELZEL M.D.
NPI 1124319025
Family Medicine in Sleepy Eye, MN

Active since April 26, 2011PECOS EnrolledAccepts Medicare Assignment
400 4TH AVE NW, SLEEPY EYE, MN 56085(507) 794-3571(507) 794-5950 Get Directions Write a Review

NPPES record last updated: October 13, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 13, 2021, Dec 31, 2015 (2 updates tracked since 2015).

About John Joseph Pelzel M.d. NPPES

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

JOHN JOSEPH PELZEL M.D. (NPI 1124319025) is an individual family medicine provider in Sleepy Eye, Minnesota, licensed in Minnesota (55423) and active in the NPI registry since April 2011. He is enrolled in Medicare PECOS, is affiliated with Abbott Northwestern Hospital, and is a graduate of University Of Minnesota Medical School (2011).

NPPES Registry Identity

NPI1124319025
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJOHN JOSEPH PELZELCredential: M.D.
Location Address400 4TH AVE NWSleepy Eye, MN 56085-1109
Mailing Address400 4th Ave NwSleepy Eye, MN 56085-1109 · (507) 794-3571 · Fax (507) 794-5950
Fax(507) 794-5950
Sole ProprietorYes
Medical School CMSUniversity Of Minnesota Medical SchoolGraduated 2011
Enumeration DateApril 26, 2011
Last NPPES UpdateOctober 13, 20212 updates tracked since enumeration
NPPES CertifiedOctober 13, 2021
NPI 1124319025 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in MN · 55423
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

400 4TH AVE NW, Sleepy Eye, MN 56085

Accepted 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

John Joseph Pelzel M.d. 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 ID1557519790
PECOS Enrollment IDI20120913000483
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 5

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 straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
71 services30 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
52 services48 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
30 services29 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
29 services28 patients
Emergency department visit with straightforward medical decision making 99282
An emergency department visit for a mild to moderate issue is when you seek immediate medical attention for a non-life-threatening condition. This could include minor injuries, moderate pain, or illnesses like the flu. During the visit, healthcare professionals assess your condition, provide treatment, and may recommend follow-up care.
12 services12 patients

Hospital Affiliations CMS Care Compare 4

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

Abbott Northwestern Hospital

Acute Care Hospitals · Minneapolis, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240057
Location800 East 28th StreetMinneapolis, MN 55407 · Hennepin County
Emergency services Birthing friendly

Mayo Clinic Health System - Mankato

Acute Care Hospitals · Mankato, MN
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240093
Location1025 Marsh StreetMankato, MN 56001 · Blue Earth County
Emergency services Birthing friendly

Sleepy Eye Medical Center

Critical Access Hospitals · Sleepy Eye, MN
OwnershipGovernment - Local
CMS Certification Number241327
Location400 Fourth Avenue NorthwestSleepy Eye, MN 56085 · Brown County
Emergency services

New Ulm Medical Center

Critical Access Hospitals · New Ulm, MN
OwnershipVoluntary non-profit - Private
CMS Certification Number241378
Location1324 Fifth North StreetNew Ulm, MN 56073 · Brown County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 56085 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
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.

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
4 suppliers26 claims51 services$6.34 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
4 suppliers13 claims13 services$92.00 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
6 suppliers13 claims68 services$2.07 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
4 suppliers21 claims21 services$119.19 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers17 claims17 services$168.77 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 6

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

Family Medicine
400 4TH AVE NW
SLEEPY EYE, MN 56085
Family Medicine
400 4TH AVE NW
SLEEPY EYE, MN 56085
Family Medicine
400 4TH AVE NW
SLEEPY EYE, MN 56085
Surgery
400 4TH AVE NW
SLEEPY EYE, MN 56085
Nurse Practitioner
400 4TH AVE NW
SLEEPY EYE, MN 56085
General Acute Care Hospital (Critical Access)
400 4TH AVE NW
SLEEPY EYE, MN 56085

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 Pelzel's NPI number?

The NPI number for John Pelzel is 1124319025. It was assigned to this individual provider in the NPPES registry on April 26, 2011.

Where is John Pelzel located?

John Pelzel practices at 400 4th Ave NW, Sleepy Eye, MN 56085. The listed phone number is (507) 794-3571.

What is John Pelzel's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is John Pelzel enrolled in Medicare?

Yes. John Pelzel 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 John Pelzel accept?

Health plans from Medica and Sanford Health Plan list John Pelzel 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 John Pelzel affiliated with any hospitals?

According to CMS data, John Pelzel is affiliated with Abbott Northwestern Hospital, Mayo Clinic Health System - Mankato, Sleepy Eye Medical Center and New Ulm Medical Center.

When was this NPI record last updated?

The NPPES record for John Pelzel was last updated on October 13, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.