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DR. ZACHARY TYLER LUNDSTROM MD
NPI 1134656358
Internal Medicine in Duluth, MN

Active since May 18, 2017PECOS EnrolledAccepts Medicare Assignment
1001 E SUPERIOR ST STE 401, DULUTH, MN 55802(218) 249-5555 Get Directions Write a Review

NPPES record last updated: December 4, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 4, 2020, Oct 29, 2020, Aug 27, 2020 and 3 more (6 updates tracked since 2017).

About Dr. Zachary Tyler Lundstrom Md NPPES

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

DR. ZACHARY TYLER LUNDSTROM MD (NPI 1134656358) is an individual internal medicine provider in Duluth, Minnesota, licensed in Minnesota (64132) and active in the NPI registry since May 2017. He is enrolled in Medicare PECOS, is affiliated with Essentia Health Duluth, and is a graduate of University Of Minnesota Medical School (2017).

NPPES Registry Identity

NPI1134656358
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. ZACHARY TYLER LUNDSTROMCredential: MD
Location Address1001 E SUPERIOR ST STE 401Duluth, MN 55802-2229
Mailing Address1001 E Superior St Ste 401Duluth, MN 55802-2229 · (218) 249-5555
Phone(218) 249-5555
Sole ProprietorNo
Medical School CMSUniversity Of Minnesota Medical SchoolGraduated 2017
Enumeration DateMay 18, 2017
Last NPPES UpdateDecember 4, 20206 updates tracked since enumeration
NPPES CertifiedDecember 4, 2020
✔ NPI 1134656358 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MN · 64132
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1001 E SUPERIOR ST STE 401, Duluth, MN 55802
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, Medica, Security Health Plan.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. Zachary Tyler Lundstrom 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 ID5890067284
PECOS Enrollment IDI20180802001712
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 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.
269 services130 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.
254 services70 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
118 services118 patients
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.
71 services58 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.
69 services56 patients
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.
29 services18 patients

Hospital Affiliations CMS Care Compare 5

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

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

St Lukes Hospital

Acute Care Hospitals · Duluth, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240047
Location915 East 1st StreetDuluth, MN 55805 · St. Louis County
Emergency services Birthing friendly

Lake View Memorial Hospital

Critical Access Hospitals · Two Harbors, MN
OwnershipVoluntary non-profit - Private
CMS Certification Number241308
Location325 Eleventh AveTwo Harbors, MN 55616 · Lake County
Emergency services

Community Memorial Hospital

Critical Access Hospitals · Cloquet, MN
OwnershipVoluntary non-profit - Private
CMS Certification Number241364
Location512 Skyline BoulevardCloquet, MN 55720 · Carlton County
Emergency services

Tamarack Health Hayward Medical Center

Critical Access Hospitals · Hayward, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521336
Location11040 N State Rd 77Hayward, WI 54843 · Sawyer County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55802 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.

Referred Medical Equipment & Supplies CMS DME claims 6

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
15 suppliers59 claims190 services$5.79 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
7 suppliers19 claims26 services$1.00 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers16 claims16 services$17.88 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
2 suppliers20 claims20 services$91.35 avg. paid by Medicare
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620
DME-Drugs Administered Through DME · category DG006N
2 suppliers16 claims1,280 services$0.10 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
2 suppliers11 claims11 services$26.11 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.

ALICIA BETH LAGARDE FNP
Nurse Practitioner (Family)
1001 E SUPERIOR ST STE 401
DULUTH, MN 55802
St. Louis County (218) 249-6523
ALI R JAFFERY MD
Internal Medicine
1001 E SUPERIOR ST STE 401
DULUTH, MN 55802
St. Louis County (218) 249-5555
EMILY ABERNETHY NP
Nurse Practitioner
1001 E SUPERIOR ST STE 401
DULUTH, MN 55802
St. Louis County (218) 249-7960
UMAR KAMAL SIDDIQUI MD
Internal Medicine (Addiction Medicine)
1001 E SUPERIOR ST STE 401
DULUTH, MN 55802
St. Louis County (218) 249-5555
JENNIFER NORISSA ROSE DNP
Nurse Practitioner
1001 E SUPERIOR ST STE 401
DULUTH, MN 55802
St. Louis County (218) 249-7960
DR. IAN CHRISTOPHER FEKETE MD
Internal Medicine
1001 E SUPERIOR ST STE 401
DULUTH, MN 55802
St. Louis County (218) 249-5555

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 Zachary Lundstrom's NPI number?

The NPI number for Zachary Lundstrom is 1134656358. It was assigned to this individual provider in the NPPES registry on May 18, 2017.

Where is Zachary Lundstrom located?

Zachary Lundstrom practices at 1001 E Superior St Ste 401, Duluth, MN 55802. The listed phone number is (218) 249-5555.

What is Zachary Lundstrom's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Zachary Lundstrom enrolled in Medicare?

Yes. Zachary Lundstrom 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 Zachary Lundstrom accept?

Health plans from HealthPartners, Medica and Security Health Plan list Zachary Lundstrom 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 Zachary Lundstrom affiliated with any hospitals?

According to CMS data, Zachary Lundstrom is affiliated with Essentia Health Duluth, St Lukes Hospital, Lake View Memorial Hospital, Community Memorial Hospital and Tamarack Health Hayward Medical Center.

When was this NPI record last updated?

The NPPES record for Zachary Lundstrom was last updated on December 4, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.