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DOUGLAS DAVID PFLAUM M.D.
NPI 1538145156
Family Medicine in Lake City, MN

Active since December 15, 2005PECOS Enrolled
507 W DOUGHTY ST, LAKE CITY, MN 55041(651) 345-2350(651) 345-2238 Get Directions Write a Review

NPPES record last updated: August 18, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Douglas David Pflaum M.d. NPPES

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

DOUGLAS DAVID PFLAUM M.D. (NPI 1538145156) is an individual family medicine provider in Lake City, Minnesota, licensed in Minnesota (27015) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS and is a graduate of Wayne State University School Of Medicine (1981).

NPPES Registry Identity

NPI1538145156
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDOUGLAS DAVID PFLAUMCredential: M.D.
Location Address507 W DOUGHTY STLake City, MN 55041-1500
Mailing Address507 W Doughty StLake City, MN 55041-1500 · (651) 345-2350 · Fax (651) 345-2238
Phone(651) 345-2350
Fax(651) 345-2238
Sole ProprietorNo
Medical School CMSWayne State University School Of MedicineGraduated 1981
Enumeration DateDecember 15, 2005
Last NPPES UpdateAugust 18, 2016
✔ NPI 1538145156 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in MN · 27015✔ Licensed in WI · 26415
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
507 W DOUGHTY ST, Lake City, MN 55041
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Other Identifiers 7

Other49A85PFBcbs
Other080123675Railroad Medicare
Other118098Ucare
Other0113153Medica
Medicare UPINA93789
Medicaid336370800MN
OtherMH9101008902Preferred One

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Quartz.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Douglas David Pflaum M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID42104168
PECOS Enrollment IDI20040210000911
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55041 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
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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.

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.

NICHOLAS CHAMBERLAIN DPT
Physical Therapist
507 W DOUGHTY ST
LAKE CITY, MN 55041
Wabasha County (651) 345-2350
SCOTT STUART SMITH PT
Physical Therapist
507 W DOUGHTY ST
LAKE CITY, MN 55041
Wabasha County (651) 345-2350
REBECCA TIGHE PA-C
Physician Assistant
507 W DOUGHTY ST
LAKE CITY, MN 55041
Wabasha County (651) 345-2350
CRYSTAL M BOE APRN, CNP
Nurse Practitioner
507 W DOUGHTY ST
LAKE CITY, MN 55041
Wabasha County (651) 345-2350
MATTHEW JOHNSON DPT
Physical Therapist
507 W DOUGHTY ST
LAKE CITY, MN 55041
Wabasha County (651) 345-2350
TRACY THORSON
Physical Therapist
507 W DOUGHTY ST
LAKE CITY, MN 55041
Wabasha County (651) 345-2350
MICHAEL JAMES SEGER PT
Physical Therapist
507 W DOUGHTY ST
LAKE CITY, MN 55041
Wabasha County (707) 239-3948
THOMAS MATTHEW ZIEBARTH M.D.
Family Medicine
507 W DOUGHTY ST
LAKE CITY, MN 55041
Wabasha County (651) 345-2350

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 Douglas Pflaum's NPI number?

The NPI number for Douglas Pflaum is 1538145156. It was assigned to this individual provider in the NPPES registry on December 15, 2005.

Where is Douglas Pflaum located?

Douglas Pflaum practices at 507 W Doughty St, Lake City, MN 55041. The listed phone number is (651) 345-2350.

What is Douglas Pflaum's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Douglas Pflaum enrolled in Medicare?

Yes. Douglas Pflaum is registered in the Medicare PECOS enrollment system.

What insurance does Douglas Pflaum accept?

Health plans from Medica and Quartz list Douglas Pflaum 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.

When was this NPI record last updated?

The NPPES record for Douglas Pflaum was last updated on August 18, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.