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MARK KOLLER
NPI 1407031032
Psychiatry & Neurology - Psychiatry in Edina, MN

Active since January 02, 2008Opted out of Medicare · through Jan 4, 2028
3400 W 66TH ST STE 375, EDINA, MN 55435(952) 926-7374 Get Directions Write a Review

NPPES record last updated: January 2, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mark Koller NPPES

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

MARK KOLLER (NPI 1407031032) is an individual psychiatry provider in Edina, Minnesota, licensed in Minnesota (31306) and active in the NPI registry since January 2008. He has opted out of Medicare through January 4, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1407031032
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameMARK KOLLER
Location Address3400 W 66TH ST STE 375Edina, MN 55435-2168
Mailing Address3400 W 66th St Ste 375Edina, MN 55435-2168
Phone(952) 926-7374
Sole ProprietorYes
Enumeration DateJanuary 2, 2008
✔ NPI 1407031032 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in MN · 31306
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
3400 W 66TH ST STE 375, Edina, MN 55435
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Mark Koller has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 4, 2014 through January 4, 2028.

Opt-Out Effective DateJanuary 4, 2014
Opt-Out In Effect ThroughJanuary 4, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55435 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
$168.28 typical visit price
range $56.00 – $168.28
Typical copayment $42.07 (range $14.00 – $42.07)
Most-billed visit code 99205
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
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.

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 Koller's NPI number?

The NPI number for Mark Koller is 1407031032. It was assigned to this individual provider in the NPPES registry on January 2, 2008.

Where is Mark Koller located?

Mark Koller practices at 3400 W 66th St Ste 375, Edina, MN 55435. The listed phone number is (952) 926-7374.

What is Mark Koller's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Mark Koller enrolled in Medicare?

No. Mark Koller has opted out of Medicare through January 4, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Mark Koller was last updated on January 2, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.