LUCINDA L MUNDORF MD
NPI 1497732374
Internal Medicine in Waterford City, ND

Q: What is Lucinda Mundorf's NPI number?

The NPI number for Lucinda Mundorf is 1497732374. It was assigned to this individual provider in the NPPES registry on December 30, 2005.

Q: What is Lucinda Mundorf's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Lucinda Mundorf was last updated on August 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since December 30, 2005PECOS EnrolledAccepts Medicare Assignment

709 4TH AVE NE, WATERFORD CITY, ND 58854(701) 842-3771(701) 444-4025 Get Directions Write a Review

NPPES record last updated: August 17, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Lucinda L Mundorf Md NPPES

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

LUCINDA L MUNDORF MD (NPI 1497732374) is an individual internal medicine provider in Waterford City, North Dakota, licensed in Maryland (D0062705) and active in the NPI registry since December 2005. She is enrolled in Medicare PECOS, is affiliated with Mckenzie County Healthcare Systems Inc, and is a graduate of George Washington University School Of Medicine (1999).

NPPES Registry Identity

NPI1497732374

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameLUCINDA L MUNDORFCredential: MD

Location Address709 4TH AVE NEWaterford City, ND 58854-7628

Mailing Address709 4th Ave NeWaterford City, ND 58854-7628 · (701) 842-3771 · Fax (701) 444-4025

Phone(701) 842-3771

Fax(701) 444-4025

Sole ProprietorNo

Medical School CMSGeorge Washington University School Of MedicineGraduated 1999

Enumeration DateDecember 30, 2005

Last NPPES UpdateAugust 17, 2023

✔ NPI 1497732374 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Licenses✔ Licensed in MD · D0062705✔ Licensed in MS · 17890

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

709 4TH AVE NE, Waterford City, ND 58854

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of North Dakota, Medica.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

Lucinda L Mundorf 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 ID7810913951

PECOS Enrollment IDI20170118002638, I20190311001651

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.

Hospital Affiliations CMS Care Compare

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

Mckenzie County Healthcare Systems Inc

Critical Access Hospitals · Watford City, ND

OwnershipVoluntary non-profit - Private

CMS Certification Number351302

Location709 4th Ave NEWatford City, ND 58854 · Mckenzie County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 58854 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

$127.45 typical visit price

range $55.75 – $168.12

Typical copayment $31.86 (range $13.93 – $42.03)

Most-billed visit code 99204

Established Patient

$98.29 typical visit price

range $18.11 – $137.65

Typical copayment $24.57 (range $4.52 – $34.41)

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 5

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

1 supplier11 claims11 services$21.28 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

2 suppliers42 claims42 services$119.25 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

1 supplier19 claims19 services$38.18 avg. paid by Medicare

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

2 suppliers22 claims22 services$153.86 avg. paid by Medicare

Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738

DME-Oxygen and Supplies · category DC000N

1 supplier20 claims20 services$38.18 avg. paid by Medicare

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

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.

MCKENZIE COUNTY HEALTHCARE SYSTEMS INC

Clinic/Center

709 4TH AVE NE
WATFORD CITY, ND 58854

McKenzie County (701) 842-3771

MRS. AFTON MCKENZIE SCHAPER FNP

Nurse Practitioner (Family)

709 4TH AVE NE
WATFORD CITY, ND 58854

McKenzie County (701) 842-3740

MRS. JESSICA M COMEAU FNP

Nurse Practitioner (Family)

709 4TH AVE NE
WATFORD CITY, ND 58854

McKenzie County (701) 842-3771

MCKENZIE COUNTY HEALTHCARE SYSTEMS INC

Non-Pharmacy Dispensing Site

709 4TH AVE NE
WATFORD CITY, ND 58854

McKenzie County (701) 842-3771

VINCENT ADJETEY MD

Pediatrics

709 4TH AVE NE
WATFORD CITY, ND 58854

McKenzie County (701) 842-3771

DR. DAVID PAUL HARRIES MD

Pain Medicine (Interventional Pain Medicine)

709 4TH AVE NE, PAIN MANAGEMENT CLINIC
WATFORD CITY, ND 58854

McKenzie County (701) 842-3000

DR. GARY W RAMAGE M.D.

General Practice

709 4TH AVE NE
WATFORD CITY, ND 58854

McKenzie County (701) 842-3000

MICHELLE WISEHART BA

Case Manager/Care Coordinator

709 4TH AVE NE
WATFORD CITY, ND 58854

McKenzie County (701) 334-2381

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 Lucinda Mundorf's NPI number?

The NPI number for Lucinda Mundorf is 1497732374. It was assigned to this individual provider in the NPPES registry on December 30, 2005.

Where is Lucinda Mundorf located?

Lucinda Mundorf practices at 709 4th Ave NE, Waterford City, ND 58854. The listed phone number is (701) 842-3771.

What is Lucinda Mundorf's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Lucinda Mundorf enrolled in Medicare?

Yes. Lucinda Mundorf 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 Lucinda Mundorf accept?

Health plans from Blue Cross Blue Shield of North Dakota and Medica list Lucinda Mundorf 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 Lucinda Mundorf affiliated with any hospitals?

According to CMS data, Lucinda Mundorf is affiliated with Mckenzie County Healthcare Systems Inc.

When was this NPI record last updated?

The NPPES record for Lucinda Mundorf was last updated on August 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.