GUSTAVE L MELLGREN M.D.
NPI 1871562926
Family Medicine in Glenwood, MN

Q: What is Gustave Mellgren's NPI number?

The NPI number for Gustave Mellgren is 1871562926. It was assigned to this individual provider in the NPPES registry on March 14, 2006.

Q: What is Gustave Mellgren's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Gustave Mellgren was last updated on January 15, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since March 14, 2006PECOS EnrolledAccepts Medicare Assignment

10 4TH AVE SE, GLENWOOD, MN 56334(320) 634-5157(320) 634-2244 Get Directions Write a Review

NPPES record last updated: January 15, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Gustave L Mellgren M.d. NPPES

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

GUSTAVE L MELLGREN M.D. (NPI 1871562926) is an individual family medicine provider in Glenwood, Minnesota, licensed in Minnesota (47727) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Glacial Ridge Hospital, and is a graduate of University Of Minnesota Medical School (2004).

NPPES Registry Identity

NPI1871562926

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameGUSTAVE L MELLGRENCredential: M.D.

Location Address10 4TH AVE SEGlenwood, MN 56334-1820

Mailing Address10 4th Ave SeGlenwood, MN 56334-1820 · (320) 634-5157 · Fax (320) 634-2244

Phone(320) 634-5157

Fax(320) 634-2244

Sole ProprietorNo

Medical School CMSUniversity Of Minnesota Medical SchoolGraduated 2004

Enumeration DateMarch 14, 2006

Last NPPES UpdateJanuary 15, 2015

✔ NPI 1871562926 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 · 47727

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.

10 4TH AVE SE, Glenwood, MN 56334

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Other Identifiers 5

Medicaid026652300MN

Other01-21958MN · Medica

Medicare ID-Type Unspecified080014399MN

Other252P5MEMN · Bcbsmn

Medicare UPINI39928MN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Sanford Health Plan.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

Gustave L Mellgren 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 ID4082647615

PECOS Enrollment IDI20050914001085

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 2

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.

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

21 services21 patients

Biopsy of large bowel using a flexible endoscope 45380

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

19 services19 patients

Hospital Affiliations CMS Care Compare

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

Glacial Ridge Hospital

Critical Access Hospitals · Glenwood, MN

OwnershipGovernment - Hospital District or Authority

CMS Certification Number241376

Location10 4th Avenue SoutheastGlenwood, MN 56334 · Pope County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 56334 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.

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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.

MICALA SUE DANIELSON CNP

Nurse Practitioner (Family)