MARK S CLAUSSEN MD
NPI 1447278171
Surgery in Bemidji, MN

Active since July 18, 2006PECOS EnrolledAccepts Medicare Assignment
82.64/100
CMS Quality Rating
1233 34TH ST NW, BEMIDJI, MN 56601(218) 333-5283(218) 759-5279 Get Directions Write a Review

NPPES record last updated: March 29, 2022. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Mark S Claussen Md NPPES

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

MARK S CLAUSSEN MD (NPI 1447278171) is an individual surgery provider in Bemidji, Minnesota, licensed in Minnesota (36995) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Sanford Bemidji Medical Center, and is a graduate of University Of Minnesota Medical School (1989).

NPPES Registry Identity

NPI1447278171
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameMARK S CLAUSSENCredential: MD
Location Address1233 34TH ST NWBemidji, MN 56601-5112
Mailing Address1233 34th St NwBemidji, MN 56601-5112
Fax(218) 759-5279
Sole ProprietorNo
Medical School CMSUniversity Of Minnesota Medical SchoolGraduated 1989
Enumeration DateJuly 18, 2006
Last NPPES UpdateMarch 29, 2022
NPPES CertifiedMarch 29, 2022
NPI 1447278171 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in MN · 36995
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
1233 34TH ST NW, Bemidji, MN 56601

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 S Claussen 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 ID9537101282
PECOS Enrollment IDI20101110001275
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 10

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
70 services25 patients
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.
22 services21 patients
Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43235
This procedure, known as an upper endoscopy, involves inserting a thin, flexible tube with a camera down the throat to examine the esophagus, stomach, and upper small bowel. It helps diagnose conditions like ulcers or inflammation.
20 services18 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.
17 services17 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
17 services11 patients
Colorectal cancer screening; colonoscopy on individual at high risk G0105
Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.
17 services17 patients

Hospital Affiliations CMS Care Compare

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

Sanford Bemidji Medical Center

Acute Care Hospitals · Bemidji, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240100
Location1300 Anne St NWBemidji, MN 56601 · Beltrami County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 56601 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
$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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

82.64/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality88.21
Promoting Interoperability99
Improvement Activities40
Cost51.14

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.

Physician Assistant (Medical)
1233 34TH ST NW
BEMIDJI, MN 56601
Hospitalist
1233 34TH ST NW
BEMIDJI, MN 56601
Family Medicine
1233 34TH ST NW
BEMIDJI, MN 56601
Surgery
1233 34TH ST NW
BEMIDJI, MN 56601
Nurse Practitioner (Family)
1233 34TH ST NW
BEMIDJI, MN 56601
Internal Medicine
1233 34TH ST NW
BEMIDJI, MN 56601
Radiology (Diagnostic Radiology)
1233 34TH ST NW
BEMIDJI, MN 56601
Nurse Practitioner
1233 34TH ST NW
BEMIDJI, MN 56601

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 Claussen's NPI number?

The NPI number for Mark Claussen is 1447278171. It was assigned to this individual provider in the NPPES registry on July 18, 2006.

Where is Mark Claussen located?

Mark Claussen practices at 1233 34th St NW, Bemidji, MN 56601. The listed phone number is (218) 333-5283.

What is Mark Claussen's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Mark Claussen enrolled in Medicare?

Yes. Mark Claussen 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 Claussen accept?

Health plans from Medica, Sanford Health Plan and Security Health Plan list Mark Claussen 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 Claussen affiliated with any hospitals?

According to CMS data, Mark Claussen is affiliated with Sanford Bemidji Medical Center.

When was this NPI record last updated?

The NPPES record for Mark Claussen was last updated on March 29, 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.