MARK R BRUMM MD
NPI 1780674283
Family Medicine in La Crosse, WI

Active since October 26, 2005PECOS EnrolledAccepts Medicare Assignment
800 WEST AVE S, LA CROSSE, WI 54601(608) 392-9873 Get Directions Write a Review

NPPES record last updated: July 6, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 6, 2021, Sep 16, 2020, May 17, 2019 (3 updates tracked since 2019).

About Mark R Brumm Md NPPES

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

MARK R BRUMM MD (NPI 1780674283) is an individual family medicine provider in La Crosse, Wisconsin, licensed in Wisconsin (37349) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with Mayo Clinic Health System-franciscan Medical Center Inc, and is a graduate of University Of Wisconsin School Of Medicine (1993).

NPPES Registry Identity

NPI1780674283
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMARK R BRUMMCredential: MD
Location Address800 WEST AVE SLa Crosse, WI 54601-8806
Mailing Address200 1st St SwRochester, MN 55905-0002 · (608) 785-0940
Sole ProprietorNo
Medical School CMSUniversity Of Wisconsin School Of MedicineGraduated 1993
Enumeration DateOctober 26, 2005
Last NPPES UpdateJuly 6, 20213 updates tracked since enumeration
NPPES CertifiedJuly 6, 2021
NPI 1780674283 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 · 37349
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.

800 WEST AVE S, La Crosse, WI 54601

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

Mark R Brumm 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.

PECOS PAC ID143355834
PECOS Enrollment IDI20100319000609
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 5

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 low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
304 services212 patients
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.
268 services208 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
231 services231 patients
Transitional care management services for problem of at least moderate complexity 99495
Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.
16 services16 patients
Transitional care management services for problem of high complexity 99496
Transitional care management services are designed to ensure a smooth transition from a hospital to home or another care setting for patients with complex health issues. These services include medication management, patient education, and coordination with healthcare providers.
12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Mayo Clinic Health System-Franciscan Medical Center Inc

Acute Care Hospitals · La Crosse, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520004
Location700 West Avenue SouthLa Crosse, WI 54601 · La Crosse County
Emergency services Birthing friendly

Mayo Clinic Hlth Systm Franciscan Hlthcare Sparta

Critical Access Hospitals · Sparta, WI
OwnershipVoluntary non-profit - Church
CMS Certification Number521305
Location310 W Main StSparta, WI 54656 · Monroe County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54601 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.

Referred Medical Equipment & Supplies CMS DME claims 7

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
16 suppliers79 claims199 services$6.17 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
11 suppliers29 claims33 services$1.00 avg. paid by Medicare
Iv pole E0776
DME-Other DME · category DE000N
1 supplier12 claims12 services$6.71 avg. paid by Medicare
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 supplier27 claims27 services$104.36 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier26 claims26 services$33.40 avg. paid by Medicare
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620
DME-Drugs Administered Through DME · category DG006N
4 suppliers15 claims705 services$0.10 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.

Orthopaedic Surgery
800 WEST AVE S
LA CROSSE, WI 54601
Nurse Practitioner
800 WEST AVE S
LA CROSSE, WI 54601
Psychiatry & Neurology (Neurology)
800 WEST AVE S
LA CROSSE, WI 54601
Pediatrics
800 WEST AVE S
LA CROSSE, WI 54601
Pediatrics
800 WEST AVE S
LA CROSSE, WI 54601
Audiologist
800 WEST AVE S
LA CROSSE, WI 54601
Family Medicine
800 WEST AVE S
LA CROSSE, WI 54601
Pediatrics
800 WEST AVE S
LA CROSSE, WI 54601

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 Brumm's NPI number?

The NPI number for Mark Brumm is 1780674283. It was assigned to this individual provider in the NPPES registry on October 26, 2005.

Where is Mark Brumm located?

Mark Brumm practices at 800 West Ave S, La Crosse, WI 54601. The listed phone number is (608) 392-9873.

What is Mark Brumm's specialty?

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

Is Mark Brumm enrolled in Medicare?

Yes. Mark Brumm 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 Mark Brumm accept?

Health plans from Anthem Blue Cross and Blue Shield and Security Health Plan list Mark Brumm 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 Mark Brumm affiliated with any hospitals?

According to CMS data, Mark Brumm is affiliated with Mayo Clinic Health System-Franciscan Medical Center Inc and Mayo Clinic Hlth Systm Franciscan Hlthcare Sparta.

When was this NPI record last updated?

The NPPES record for Mark Brumm was last updated on July 6, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.