LINA DAUGELA MD PHD
NPI 1245419134
Family Medicine in St Cloud, MN

Active since October 29, 2007PECOS EnrolledAccepts Medicare Assignment
97.58/100
CMS Quality Rating
251 COUNTY ROAD 120, CENTRACARE CLINIC ST CLOUD MEDICAL GROUP NORTHWEST, ST CLOUD, MN 56303(320) 202-8949(320) 257-1733 Get Directions Write a Review

NPPES record last updated: March 11, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 11, 2021, Jan 16, 2018 (2 updates tracked since 2018).

About Lina Daugela Md Phd NPPES

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

LINA DAUGELA MD PHD (NPI 1245419134) is an individual family medicine provider in St Cloud, Minnesota, licensed in Minnesota (51890) and active in the NPI registry since October 2007. She is enrolled in Medicare PECOS, is affiliated with Monument Health Rapid City Hospital, and is a graduate of Other (1992).

NPPES Registry Identity

NPI1245419134
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameLINA DAUGELACredential: MD PHD
Location Address251 COUNTY ROAD 120, CENTRACARE CLINIC ST CLOUD MEDICAL GROUP NORTHWESTSt Cloud, MN 56303-4872
Mailing Address251 County Road 120, Centracare Clinic St Cloud Medical Group NorthwestSt Cloud, MN 56303-4872 · (320) 202-8949 · Fax (320) 257-1733
Fax(320) 257-1733
Sole ProprietorNo
Medical School CMSOtherGraduated 1992
Enumeration DateOctober 29, 2007
Last NPPES UpdateMarch 11, 20212 updates tracked since enumeration
NPPES CertifiedMarch 11, 2021
NPI 1245419134 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 · 51890
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.

251 COUNTY ROAD 120, St Cloud, MN 56303

Other Identifiers 1

Medicaid12083ND

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

Lina Daugela Md Phd 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 ID5395883409
PECOS Enrollment IDI20091110000707, I20221110002723
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 16

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.
182 services178 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 services78 patients
Bacterial colony count, urine 87086
A bacterial colony count, urine, is a laboratory test that checks a urine sample for bacteria. It helps to identify if an infection is present in the urinary system. High numbers of bacteria in the urine can indicate a urinary tract infection (UTI).
61 services59 patients
Manual urinalysis test with examination using microscope, automated 81001
A manual urinalysis test with automated microscopic examination is a lab process that checks your urine for health indicators. It involves a machine scanning your sample to identify any abnormal elements, which can assist in diagnosing various conditions.
54 services53 patients
Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), microdilution or agar dilution 87186
This process checks how well certain drugs, like antibiotics, can fight against infections. It involves mixing the drug with a microbe (like bacteria or a virus) in a lab. By observing how the microbe reacts, it helps determine the best drug to treat your infection.
36 services33 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
31 services31 patients

Hospital Affiliations CMS Care Compare

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

Monument Health Rapid City Hospital

Acute Care Hospitals · Rapid City, SD
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number430077
Location353 Fairmont BlvdRapid City, SD 57701 · Pennington County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 56303 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.

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 20

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

Physician Assistant (Medical)
251 COUNTY ROAD 120
SAINT CLOUD, MN 56303
Physical Therapist
251 COUNTY ROAD 120, SUITE A
ST CLOUD, MN 56303
Chiropractor
251 COUNTY ROAD 120, SUITE B
SAINT CLOUD, MN 56303
Psychologist
251 COUNTY ROAD 120
ST. CLOUD, MN 56303
Family Medicine
251 COUNTY ROAD 120
SAINT CLOUD, MN 56303
Physical Therapist
251 COUNTY ROAD 120, SUITE A
SAINT CLOUD, MN 56303
Family Medicine
251 COUNTY ROAD 120, SAINT CLOUD MEDICAL GROUP
SAINT CLOUD, MN 56303
Nurse Practitioner (Family)
251 COUNTY ROAD 120
SAINT CLOUD, MN 56303

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 Lina Daugela's NPI number?

The NPI number for Lina Daugela is 1245419134. It was assigned to this individual provider in the NPPES registry on October 29, 2007.

Where is Lina Daugela located?

Lina Daugela practices at 251 County Road 120 Centracare Clinic St Cloud Medical Group Northwest, St Cloud, MN 56303. The listed phone number is (320) 202-8949.

What is Lina Daugela's specialty?

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

Is Lina Daugela enrolled in Medicare?

Yes. Lina Daugela 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 Lina Daugela accept?

Health plans from Avera Health Plans, HealthPartners, Medica, Oscar Insurance Company and Sanford Health Plan list Lina Daugela 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 Lina Daugela affiliated with any hospitals?

According to CMS data, Lina Daugela is affiliated with Monument Health Rapid City Hospital.

When was this NPI record last updated?

The NPPES record for Lina Daugela was last updated on March 11, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.