DR. PETER VASCONCELLOS DO
NPI 1750359915
Family Medicine in Grand Rapids, MN

Active since March 14, 2006PECOS EnrolledAccepts Medicare Assignment
1601 GOLF COURSE RD, GRAND RAPIDS, MN 55744(218) 326-3401 Get Directions Write a Review

NPPES record last updated: December 9, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 9, 2025, Aug 25, 2018, Aug 3, 2018 (3 updates tracked since 2018).

About Dr. Peter Vasconcellos Do NPPES

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

DR. PETER VASCONCELLOS DO (NPI 1750359915) is an individual family medicine provider in Grand Rapids, Minnesota, licensed in Texas (N9792) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Grand Itasca Clinic And Hospital, and is a graduate of Des Moines University Of Osteopathic Medicine And Health Sciences (1997).

NPPES Registry Identity

NPI1750359915
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. PETER VASCONCELLOSCredential: DO
Location Address1601 GOLF COURSE RDGrand Rapids, MN 55744-8648
Mailing Address1601 Golf Course RdGrand Rapids, MN 55744-8648 · (218) 326-3401
Sole ProprietorYes
Medical School CMSDes Moines University Of Osteopathic Medicine And Health SciencesGraduated 1997
Enumeration DateMarch 14, 2006
Last NPPES UpdateDecember 9, 20253 updates tracked since enumeration
NPPES CertifiedDecember 9, 2025
✔ NPI 1750359915 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in TX · N9792✔ Licensed in IA · 3288✔ Licensed in MN · 77374
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.
1601 GOLF COURSE RD, Grand Rapids, MN 55744

Other Identifiers 1

Medicaid1205666IA

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

Dr. Peter Vasconcellos Do 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 ID4587659917
PECOS Enrollment IDI20240826003826
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Peter Vasconcellos reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Acute Care Hospital
1601 GOLF COURSE RD
Grand Rapids, MN 55744
  • Reassigned Medicare billing, Minnesota enrollment
  • 555 clinicians in this Medicare group
Critical Access
1201 HWY 71 SOUTH
Hot Springs, SD 57747
  • Reassigned Medicare billing, South Dakota enrollment
  • 38 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

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 with moderate level of decision making, if using time, 30 minutes or more 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.
31 services28 patients

Hospital Affiliations CMS Care Compare

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

Grand Itasca Clinic And Hospital

Acute Care Hospitals · Grand Rapids, MN
OwnershipVoluntary non-profit - Private
CMS Certification Number240064
Location1601 Golf Course RoadGrand Rapids, MN 55744 · Itasca County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55744 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

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

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
1 supplier11 claims11 services$198.85 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.

Nurse Practitioner (Family)
1601 GOLF COURSE RD
GRAND RAPIDS, MN 55744
Non-Pharmacy Dispensing Site
1601 GOLF COURSE RD
GRAND RAPIDS, MN 55744
Student in an Organized Health Care Education/Training Program
1601 GOLF COURSE RD
GRAND RAPIDS, MN 55744
Nurse Practitioner (Psychiatric/Mental Health)
1601 GOLF COURSE RD
GRAND RAPIDS, MN 55744
Family Medicine
1601 GOLF COURSE RD
GRAND RAPIDS, MN 55744
Nurse Practitioner (Family)
1601 GOLF COURSE RD
GRAND RAPIDS, MN 55744
Nurse Practitioner (Family)
1601 GOLF COURSE RD
GRAND RAPIDS, MN 55744
Physician Assistant
1601 GOLF COURSE RD
GRAND RAPIDS, MN 55744

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 Peter Vasconcellos's NPI number?

The NPI number for Peter Vasconcellos is 1750359915. It was assigned to this individual provider in the NPPES registry on March 14, 2006.

Where is Peter Vasconcellos located?

Peter Vasconcellos practices at 1601 Golf Course Rd, Grand Rapids, MN 55744. The listed phone number is (218) 326-3401.

What is Peter Vasconcellos's specialty?

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

Is Peter Vasconcellos enrolled in Medicare?

Yes. Peter Vasconcellos 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 Peter Vasconcellos's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Peter Vasconcellos reassigns Medicare benefits to 2 organizations: Grand Itasca Clinic And Hospital (Grand Rapids, MN) and Fall River Health Services (Hot Springs, SD). 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 Peter Vasconcellos's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Peter Vasconcellos accept?

Health plans from Oscar Health, Oscar Insurance Company and Sanford Health Plan list Peter Vasconcellos 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 Peter Vasconcellos affiliated with any hospitals?

According to CMS data, Peter Vasconcellos is affiliated with Grand Itasca Clinic And Hospital.

When was this NPI record last updated?

The NPPES record for Peter Vasconcellos was last updated on December 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.