DR. MARK STANLEY MELLSTROM M.D.
NPI 1346302106
Family Medicine in Red Wing, MN

Q: What is Mark Mellstrom's NPI number?

The NPI number for Mark Mellstrom is 1346302106. It was assigned to this individual provider in the NPPES registry on December 15, 2006.

Q: What is Mark Mellstrom's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Mark Mellstrom was last updated on February 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.

Active since December 15, 2006PECOS Enrolled

701 HEWITT BLVD, RED WING, MN 55066(651) 267-5000(651) 267-5964 Get Directions Write a Review

NPPES record last updated: February 5, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 5, 2025, Sep 28, 2020, Jun 7, 2019 and 1 more (4 updates tracked since 2018).

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About Dr. Mark Stanley Mellstrom M.d. NPPES

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

DR. MARK STANLEY MELLSTROM M.D. (NPI 1346302106) is an individual family medicine provider in Red Wing, Minnesota, licensed in Minnesota (27926) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Lakeville.

NPPES Registry Identity

NPI1346302106

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. MARK STANLEY MELLSTROMCredential: M.D.

Location Address701 HEWITT BLVDRed Wing, MN 55066-2848

Mailing Address200 1st St SwRochester, MN 55905-0001 · (651) 267-5000

Phone(651) 267-5000

Fax(651) 267-5964

Sole ProprietorYes

Enumeration DateDecember 15, 2006

Last NPPES UpdateFebruary 5, 20254 updates tracked since enumeration

NPPES CertifiedFebruary 5, 2025

✔ NPI 1346302106 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 · 27926

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.

701 HEWITT BLVD, Red Wing, MN 55066

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Secondary Practice Location 1

Location 120157 Icenic TrlLakeville, MN 55044-7708 · Phone (952) 469-3393 · Fax (952) 469-3399

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Sanford 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 (PECOS)

Dr. Mark Stanley Mellstrom M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 4

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.

Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306

An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.

116 services102 patients

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

109 services65 patients

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

48 services29 patients

Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306

40 services37 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55066 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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) A4314

DME-Orthotic Devices · category DF000N

2 suppliers19 claims19 services$24.39 avg. paid by Medicare

Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357

DME-Orthotic Devices · category DF000N

2 suppliers19 claims19 services$9.39 avg. paid by Medicare

Iv pole E0776

DME-Other DME · category DE000N

1 supplier12 claims12 services$13.88 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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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.

DOUGLAS STEVEN LARSEN PA-C

Physician Assistant