DAVID L COUNCILMAN MD
NPI 1174578850
Family Medicine in Minneapolis, MN

Active since May 23, 2006PECOS EnrolledAccepts Medicare Assignment
91.42/100
CMS Quality Rating
2810 NICOLLET AVE, MINNEAPOLIS, MN 55408(612) 873-6963 Get Directions Write a Review

NPPES record last updated: July 17, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About David L Councilman Md NPPES

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

DAVID L COUNCILMAN MD (NPI 1174578850) is an individual family medicine provider in Minneapolis, Minnesota, licensed in Minnesota (38144) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Hennepin County Medical Center, and is a graduate of Washington University School Of Medicine (1993).

NPPES Registry Identity

NPI1174578850
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDAVID L COUNCILMANCredential: MD
Location Address2810 NICOLLET AVEMinneapolis, MN 55408-4708
Mailing Address701 Park AveMinneapolis, MN 55415-1623 · (612) 873-3000
Sole ProprietorNo
Medical School CMSWashington University School Of MedicineGraduated 1993
Enumeration DateMay 23, 2006
Last NPPES UpdateJuly 17, 2020
NPPES CertifiedJuly 17, 2020
NPI 1174578850 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 · 38144
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.
2810 NICOLLET AVE, Minneapolis, MN 55408

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

David L Councilman 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 ID6608903893
PECOS Enrollment IDI20100420000517
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 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.

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.
51 services35 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.
25 services16 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
14 services12 patients

Hospital Affiliations CMS Care Compare

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

Hennepin County Medical Center

Acute Care Hospitals · Minneapolis, MN
2/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number240004
Location701 Park AvenueMinneapolis, MN 55415 · Hennepin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55408 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.

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.

91.42/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.78
Promoting Interoperability100
Improvement Activities40
Cost62.8

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
5 suppliers11 claims29 services$6.59 avg. paid by Medicare
Compressor, air power source for equipment which is not self-contained or cylinder driven E0565
DME-Other DME · category DE000N
1 supplier12 claims12 services$28.72 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers11 claims11 services$3.51 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
3 suppliers16 claims2,580 services$0.10 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
3 suppliers12 claims12 services$26.00 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 20

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

Family Medicine
2810 NICOLLET AVE
MINNEAPOLIS, MN 55408
Counselor (Professional)
2810 NICOLLET AVE
MINNEAPOLIS, MN 55408
Psychologist (Clinical)
2810 NICOLLET AVE
MINNEAPOLIS, MN 55408
Pharmacist
2810 NICOLLET AVE
MINNEAPOLIS, MN 55408
Nurse Practitioner (Family)
2810 NICOLLET AVE
MINNEAPOLIS, MN 55408
Nurse Practitioner (Family)
2810 NICOLLET AVE
MINNEAPOLIS, MN 55408
Physician Assistant
2810 NICOLLET AVE
MINNEAPOLIS, MN 55408
Specialist
2810 NICOLLET AVE
MINNEAPOLIS, MN 55408

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 David Councilman's NPI number?

The NPI number for David Councilman is 1174578850. It was assigned to this individual provider in the NPPES registry on May 23, 2006.

Where is David Councilman located?

David Councilman practices at 2810 Nicollet Ave, Minneapolis, MN 55408. The listed phone number is (612) 873-6963.

What is David Councilman's specialty?

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

Is David Councilman enrolled in Medicare?

Yes. David Councilman 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 David Councilman accept?

Health plans from HealthPartners and Medica list David Councilman 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 David Councilman affiliated with any hospitals?

According to CMS data, David Councilman is affiliated with Hennepin County Medical Center.

When was this NPI record last updated?

The NPPES record for David Councilman was last updated on July 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.