MR. TONY ALAN PELZEL M.D.
NPI 1609806538
Family Medicine in Saint Paul, MN

Active since July 04, 2006PECOS EnrolledAccepts Medicare Assignment
980 RICE ST, SAINT PAUL, MN 55117(651) 326-9020 Get Directions Write a Review

NPPES record last updated: July 9, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mr. Tony Alan Pelzel M.d. NPPES

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

MR. TONY ALAN PELZEL M.D. (NPI 1609806538) is an individual family medicine provider in Saint Paul, Minnesota, licensed in Minnesota (49000) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with M Health Fairview St John's Hospital, and is a graduate of University Of Minnesota Medical School (2005).

NPPES Registry Identity

NPI1609806538
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMR. TONY ALAN PELZELCredential: M.D.
Location Address980 RICE STSaint Paul, MN 55117-4949
Mailing Address2003 Sheridan AveSaint Paul, MN 55116-2662 · (612) 220-6685
Sole ProprietorNo
Medical School CMSUniversity Of Minnesota Medical SchoolGraduated 2005
Enumeration DateJuly 4, 2006
Last NPPES UpdateJuly 9, 2008
NPI 1609806538 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in MN · 49000
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.

980 RICE ST, Saint Paul, MN 55117

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

Mr. Tony Alan Pelzel M.d. 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 ID9133213135
PECOS Enrollment IDI20070921000257
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 13

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.

Established patient office or other outpatient visit, 30-39 minutes 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
82 services57 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
77 services45 patients
Blood test, basic group of blood chemicals (calcium, total) 80048
A basic group blood test measures the levels of certain chemicals in your blood, including calcium. This helps assess your overall health and detect potential problems. The procedure involves drawing a small amount of blood from your arm, which is then analyzed in a lab.
34 services26 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test 85027
A complete blood cell count (CBC) is an automated test that measures different components of the blood, including red cells, white cells, and platelets. It helps assess overall health, detect disorders like anemia or infection, and monitor medical treatments.
32 services29 patients
Blood test, thyroid stimulating hormone (tsh) 84443
A TSH blood test measures the level of thyroid stimulating hormone in your body. This hormone is produced by the pituitary gland and regulates how your thyroid works. It's a simple procedure where a small amount of blood is drawn from your arm for analysis.
27 services19 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
26 services18 patients

Hospital Affiliations CMS Care Compare

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

M Health Fairview St John's Hospital

Acute Care Hospitals · Maplewood, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240210
Location1575 Beam AvenueMaplewood, MN 55109 · Ramsey County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55117 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.

Referred Medical Equipment & Supplies CMS DME claims 2

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

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
1 supplier12 claims12 services$62.95 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
2 suppliers14 claims14 services$14.94 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 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
980 RICE ST
SAINT PAUL, MN 55117
Family Medicine
980 RICE ST
SAINT PAUL, MN 55117
Family Medicine
980 RICE ST
SAINT PAUL, MN 55117
Family Medicine
980 RICE ST
SAINT PAUL, MN 55117
Family Medicine
980 RICE ST
SAINT PAUL, MN 55117
Family Medicine
980 RICE ST
SAINT PAUL, MN 55117
Physician Assistant
980 RICE ST
SAINT PAUL, MN 55117
Family Medicine
980 RICE ST
SAINT PAUL, MN 55117

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 Tony Pelzel's NPI number?

The NPI number for Tony Pelzel is 1609806538. It was assigned to this individual provider in the NPPES registry on July 4, 2006.

Where is Tony Pelzel located?

Tony Pelzel practices at 980 Rice St, Saint Paul, MN 55117. The listed phone number is (651) 326-9020.

What is Tony Pelzel's specialty?

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

Is Tony Pelzel enrolled in Medicare?

Yes. Tony Pelzel 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 Tony Pelzel accept?

Health plans from Medica and Sanford Health Plan list Tony Pelzel 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 Tony Pelzel affiliated with any hospitals?

According to CMS data, Tony Pelzel is affiliated with M Health Fairview St John's Hospital.

When was this NPI record last updated?

The NPPES record for Tony Pelzel was last updated on July 9, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.