MARK LINDSTROM DO
NPI 1760580096
Family Medicine in Milwaukee, WI

Active since September 20, 2006PECOS Enrolled
4848 S 6TH ST, MILWAUKEE, WI 53221(414) 769-2540 Get Directions Write a Review

NPPES record last updated: June 12, 2012. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mark Lindstrom Do NPPES

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

MARK LINDSTROM DO (NPI 1760580096) is an individual family medicine provider in Milwaukee, Wisconsin, licensed in Wisconsin (33822) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1760580096
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMARK LINDSTROMCredential: DO
Location Address4848 S 6TH STMilwaukee, WI 53221-2462
Mailing Address4425 N Port Washington Rd, Attn: Clinic CredentialingGlendale, WI 53212-1082 · (414) 769-2540
Sole ProprietorNo
Enumeration DateSeptember 20, 2006
Last NPPES UpdateJune 12, 2012
✔ NPI 1760580096 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WI · 33822
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.
4848 S 6TH ST, Milwaukee, WI 53221

Other Identifiers 2

Medicaid30056400WI
Medicare UPINF44935WI

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mark Lindstrom Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Mark Lindstrom reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Multi-Specialty
2350 N LAKE DR
Milwaukee, WI 53211
  • Reassigned Medicare billing, Wisconsin enrollment
  • Medicare enrollment name: Columbia St Marys Hospital Milwaukee Inc
  • 856 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53221 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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 2

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

Nurse Practitioner
4848 S 6TH ST
MILWAUKEE, WI 53221
Family Medicine
4848 S 6TH ST
MILWAUKEE, WI 53221

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 Mark Lindstrom's NPI number?

The NPI number for Mark Lindstrom is 1760580096. It was assigned to this individual provider in the NPPES registry on September 20, 2006.

Where is Mark Lindstrom located?

Mark Lindstrom practices at 4848 S 6th St, Milwaukee, WI 53221. The listed phone number is (414) 769-2540.

What is Mark Lindstrom's specialty?

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

Is Mark Lindstrom enrolled in Medicare?

Yes. Mark Lindstrom is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Mark Lindstrom's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mark Lindstrom reassigns Medicare benefits to Columbia St. Mary's Hospital Milwaukee, Inc (Milwaukee, WI). The 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 Mark Lindstrom's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Mark Lindstrom was last updated on June 12, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.