MITCHELL B GOLDSTEIN MD
NPI 1497773030
Surgery in Detroit Lakes, MN
About Mitchell B Goldstein Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MITCHELL B GOLDSTEIN MD (NPI 1497773030) is an individual surgery provider in Detroit Lakes, Minnesota, licensed in Minnesota (35264) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Essentia Health St Marys - Detroit Lakes, and is a graduate of University Of Minnesota Medical School (1990).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mitchell B Goldstein 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.
Medicare Billing Reassignments
3Medicare enrollment records show Mitchell Goldstein reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Detroit Lakes, MN 56501
- Reassigned Medicare billing, Minnesota enrollment
- Also billed through NPI 1114953627 (Minnesota)
- 9 clinicians in this Medicare group
Perham, MN 56573
- Reassigned Medicare billing, Minnesota enrollment
- 86 clinicians in this Medicare group
Park Rapids, MN 56470
- Reassigned Medicare billing, Minnesota enrollment
- 2 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 8
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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Essentia Health St Marys - Detroit Lakes
Acute Care Hospitals · Detroit Lakes, MNPerham Health
Critical Access Hospitals · Perham, MNSanford Medical Center Fargo
Acute Care Hospitals · Fargo, NDPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 56501 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
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 Mitchell Goldstein's NPI number?
The NPI number for Mitchell Goldstein is 1497773030. It was assigned to this individual provider in the NPPES registry on July 18, 2006.
Where is Mitchell Goldstein located?
Mitchell Goldstein practices at 1245 Washington Ave, Detroit Lakes, MN 56501. The listed phone number is (218) 846-2000.
What is Mitchell Goldstein's specialty?
The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.
Is Mitchell Goldstein enrolled in Medicare?
Yes. Mitchell Goldstein 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.
Which organizations bill Medicare for Mitchell Goldstein's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mitchell Goldstein reassigns Medicare benefits to 3 organizations: Sanford Medical Center Fargo (Detroit Lakes, MN), Perham Hospital District (Perham, MN) and St. Joseph's Area Health Services (Park Rapids, MN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mitchell Goldstein's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mitchell Goldstein accept?
Health plans from Blue Cross Blue Shield of North Dakota, Sanford Health Plan and Security Health Plan list Mitchell Goldstein 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 Mitchell Goldstein affiliated with any hospitals?
According to CMS data, Mitchell Goldstein is affiliated with Essentia Health St Marys - Detroit Lakes, Perham Health and Sanford Medical Center Fargo.
When was this NPI record last updated?
The NPPES record for Mitchell Goldstein 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.
# Mitchell B Goldstein, MD · NPI 1497773030
Surgery physician in Detroit Lakes, Minnesota. Individual provider, active in the CMS NPPES registry since July 18, 2006.
## Identity
- **NPI:** 1497773030 (Entity type: Individual)
- **Enumerated:** July 18, 2006
- **Primary specialty:** Surgery · taxonomy 208600000X
- **State license:** 35264 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 1245 WASHINGTON AVE, Detroit Lakes, MN 56501-3905
- **Phone:** (218) 846-2000 · **Fax:** (218) 846-2114
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Sanford Medical Center Fargo (NPI 1922303213, Detroit Lakes, MN); Perham Hospital District (NPI 1932113768, Perham, MN); St. Joseph's Area Health Services (NPI 1740325919, Park Rapids, MN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Minnesota Medical School, class of 1990
## Record status
- **NPPES last updated:** March 29, 2022
- **Other identifiers:** Medicaid 10974 (ND)
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Source: [NPI Profile](https://npiprofile.com/npi/1497773030) · Data from the CMS NPPES public registry.