MARK DAVID BOSTROM MD
NPI 1255860169
Family Medicine in New Richmond, WI

Active since June 06, 2017PECOS EnrolledAccepts Medicare Assignment
535 HOSPITAL RD, NEW RICHMOND, WI 54017(715) 243-2600 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 21, 2022, Mar 12, 2021, Oct 16, 2020 and 2 more (5 updates tracked since 2017).

About Mark David Bostrom Md NPPES

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

MARK DAVID BOSTROM MD (NPI 1255860169) is an individual family medicine provider in New Richmond, Wisconsin, licensed in Wisconsin (73969) and active in the NPI registry since June 2017. He is enrolled in Medicare PECOS, is affiliated with Lakeview Memorial Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1255860169
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMARK DAVID BOSTROMCredential: MD
Location Address535 HOSPITAL RDNew Richmond, WI 54017-1449
Mailing Address8170 33rd Ave SBloomington, MN 55425-4516
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJune 6, 2017
Last NPPES UpdateJuly 21, 20225 updates tracked since enumeration
NPPES CertifiedMarch 12, 2021
NPI 1255860169 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in WI · 73969 Licensed in MN · 64340
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.

535 HOSPITAL RD, New Richmond, WI 54017

Secondary Practice Locations 2

Location 1330 N 8th Ave EDuluth, MN 55805-2024 · Phone (218) 723-1112 · Fax (218) 725-2620
Location 2640 Jackson StSaint Paul, MN 55101-2502 · Phone (651) 439-1234

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

Mark David Bostrom 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 ID2466886361
PECOS Enrollment IDI20201101000006
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.

Hospital Affiliations CMS Care Compare 3

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

Lakeview Memorial Hospital

Acute Care Hospitals · Stillwater, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number240066
Location927 West Churchill StreetStillwater, MN 55082 · Washington County
Emergency services Birthing friendly

Amery Hospital & Clinic

Critical Access Hospitals · Amery, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521308
Location265 Griffin Street EastAmery, WI 54001 · Polk County
Emergency services Birthing friendly

Westfields Hospital And Clinic

Critical Access Hospitals · New Richmond, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521345
Location535 Hospital RdNew Richmond, WI 54017 · St. Croix County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54017 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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 2

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 suppliers32 claims78 services$5.89 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
3 suppliers12 claims16 services$0.98 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
535 HOSPITAL RD
NEW RICHMOND, WI 54017
Physical Therapist
535 HOSPITAL RD
NEW RICHMOND, WI 54017
Non-Pharmacy Dispensing Site
535 HOSPITAL RD
NEW RICHMOND, WI 54017
Occupational Therapist
535 HOSPITAL RD
NEW RICHMOND, WI 54017
Occupational Therapist
535 HOSPITAL RD
NEW RICHMOND, WI 54017
Family Medicine
535 HOSPITAL RD
NEW RICHMOND, WI 54017
Dermatology
535 HOSPITAL RD, C/O NEW RICHMOND SPECIALTY CLINIC
NEW RICHMOND, WI 54017
Physical Therapist
535 HOSPITAL RD
NEW RICHMOND, WI 54017

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 Mark Bostrom's NPI number?

The NPI number for Mark Bostrom is 1255860169. It was assigned to this individual provider in the NPPES registry on June 6, 2017.

Where is Mark Bostrom located?

Mark Bostrom practices at 535 Hospital Rd, New Richmond, WI 54017. The listed phone number is (715) 243-2600.

What is Mark Bostrom's specialty?

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

Is Mark Bostrom enrolled in Medicare?

Yes. Mark Bostrom 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 Mark Bostrom accept?

Health plans from Anthem Blue Cross and Blue Shield, HealthPartners, Medica and Security Health Plan list Mark Bostrom 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 Mark Bostrom affiliated with any hospitals?

According to CMS data, Mark Bostrom is affiliated with Lakeview Memorial Hospital, Amery Hospital & Clinic and Westfields Hospital And Clinic.

When was this NPI record last updated?

The NPPES record for Mark Bostrom was last updated on July 21, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.