MARK DAVID BOSTROM MD
NPI 1255860169
Family Medicine in New Richmond, WI
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
Specialties & Licenses
Secondary Practice Locations 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
2Medicare enrollment records show Mark Bostrom reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
New Richmond, WI 54017
- Reassigned Medicare billing, Wisconsin enrollment
- 357 clinicians in this Medicare group
Stillwater, MN 55082
- Reassigned Medicare billing, Minnesota enrollment
- 2,274 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, MNAmery Hospital & Clinic
Critical Access Hospitals · Amery, WIWestfields Hospital And Clinic
Critical Access Hospitals · New Richmond, WIPhysician 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.
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.
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.
NEW RICHMOND, WI 54017
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.
Which organizations bill Medicare for Mark Bostrom's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mark Bostrom reassigns Medicare benefits to 2 organizations: Westfields Hospital, Inc. (New Richmond, WI) and Group Health, Inc. (Stillwater, MN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mark Bostrom's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mark Bostrom accept?
Health plans from Anthem Blue Cross and Blue Shield, HealthPartners 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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Mark David Bostrom, MD · NPI 1255860169
Family Medicine physician in New Richmond, Wisconsin. Individual provider, active in the CMS NPPES registry since June 6, 2017.
## Identity
- **NPI:** 1255860169 (Entity type: Individual)
- **Enumerated:** June 6, 2017
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 73969 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 535 HOSPITAL RD, New Richmond, WI 54017-1449
- **Phone:** (715) 243-2600
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Westfields Hospital, Inc. (NPI 1881640183, New Richmond, WI); Group Health, Inc. (NPI 1578932943, Stillwater, MN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** July 21, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1255860169) · Data from the CMS NPPES public registry.