MARY LUNDGREN D.O.
NPI 1386061844
Orthopaedic Surgery in Pueblo, CO

Q: What is Mary Lundgren's NPI number?

The NPI number for Mary Lundgren is 1386061844. It was assigned to this individual provider in the NPPES registry on March 23, 2014.

Q: What is Mary Lundgren's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Q: When was this NPI record last updated?

The NPPES record for Mary Lundgren was last updated on March 28, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 23, 2014PECOS EnrolledAccepts Medicare Assignment

3530 E SPAULDING AVE, PUEBLO, CO 81008(719) 296-9000(719) 296-9001 Get Directions Write a Review

NPPES record last updated: March 28, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 16, 2020, Jul 28, 2020, Jul 1, 2019 (3 updates tracked since 2019).

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About Mary Lundgren D.o. NPPES

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

MARY LUNDGREN D.O. (NPI 1386061844) is an individual orthopaedic surgery provider in Pueblo, Colorado, licensed in Colorado (67638) and active in the NPI registry since March 2014. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Midwestern University, Chicago College Of Osteopathic Med (2014).

NPPES Registry Identity

NPI1386061844

Entity TypeIndividualFemale

Primary Taxonomy207X00000X

Provider Legal NameMARY LUNDGRENCredential: D.O.

Location Address3530 E SPAULDING AVEPueblo, CO 81008-2209

Mailing Address3530 E Spaulding AvePueblo, CO 81008-2209 · (719) 296-9000 · Fax (719) 296-9001

Phone(719) 296-9000

Fax(719) 296-9001

Sole ProprietorNo

Medical School CMSMidwestern University, Chicago College Of Osteopathic MedGraduated 2014

Enumeration DateMarch 23, 2014

Last NPPES UpdateMarch 28, 20223 updates tracked since enumeration

NPPES CertifiedFebruary 17, 2021

✔ NPI 1386061844 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207X00000X

License✔ Licensed in CO · 67638

Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Also ListedOrthopaedic Surgery · Orthopaedic Surgery of the SpineTaxonomy 207XS0117X · License 73026-21 (WI)

3530 E SPAULDING AVE, Pueblo, CO 81008

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Secondary Practice Locations 2

Location 13033 W Layton AveGreenfield, WI 53221-2628 · Phone (414) 647-0033 · Fax (414) 817-3928

Location 23601 W 13 Mile RdRoyal Oak, MI 48073 · Phone (248) 898-5000

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

Mary Lundgren D.o. 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 ID8224323670

PECOS Enrollment IDI20220405003133

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 5

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.

188 services112 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

109 services109 patients

X-ray lower and sacral spine, minimum of 6 views 72114

An X-ray of the lower and sacral spine involves capturing images of the bones in your lower back and tailbone area. It helps to identify issues like fractures, infections, or degenerative diseases. A minimum of 6 views ensures a comprehensive examination.

54 services47 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.

33 services24 patients

X-ray of lower and sacral spine, 2-3 views 72100

An X-ray of the lower and sacral spine involves capturing images of your lower back area, including the tailbone. This procedure helps in identifying problems like fractures, infections, or deformities. 2-3 different angle views provide a comprehensive picture.

18 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 81008 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

$89.43 typical visit price

range $58.06 – $174.82

Typical copayment $22.35 (range $14.51 – $43.70)

Most-billed visit code 99203

Established Patient

$72.20 typical visit price

range $18.88 – $142.79

Typical copayment $18.05 (range $4.72 – $35.69)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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Other Providers at the Same Location NPPES 8

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

PAUL MARTINEZ CSFA

Specialist/Technologist, Other (Surgical Assistant)