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JOHN M MAHOWALD MD
NPI 1952303570
Internal Medicine - Cardiovascular Disease in Saint Cloud, MN

Active since August 12, 2005PECOS EnrolledAccepts Medicare Assignment
1200 6TH AVE N, SAINT CLOUD, MN 56303(320) 252-5131(320) 240-2118 Get Directions Write a Review

NPPES record last updated: October 12, 2011. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About John M Mahowald Md NPPES

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

JOHN M MAHOWALD MD (NPI 1952303570) is an individual cardiovascular disease provider in Saint Cloud, Minnesota, licensed in Minnesota (25694) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Alomere Health, and is a graduate of University Of Minnesota Medical School (1977).

NPPES Registry Identity

NPI1952303570
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameJOHN M MAHOWALDCredential: MD
Location Address1200 6TH AVE NSaint Cloud, MN 56303-2735
Mailing Address1200 6th Ave NSaint Cloud, MN 56303-2735 · (320) 252-5131 · Fax (320) 240-2118
Phone(320) 252-5131
Fax(320) 240-2118
Sole ProprietorNo
Medical School CMSUniversity Of Minnesota Medical SchoolGraduated 1977
Enumeration DateAugust 12, 2005
Last NPPES UpdateOctober 12, 2011
✔ NPI 1952303570 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in MN · 25694
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
1200 6TH AVE N, Saint Cloud, MN 56303
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Other Identifiers 3

Medicaid736805400MN
Medicare ID-Type Unspecified069000176
Medicare UPIND48794

Accepted Insurance

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

John M Mahowald 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 ID42364788
PECOS Enrollment IDI20090814000589
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

4

Medicare enrollment records show John Mahowald reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Centracare Clinic
Same address
Primary Care
1200 6TH AVE N
Saint Cloud, MN 56303
  • Reassigned Medicare billing, Minnesota enrollment
  • 1,051 clinicians in this Medicare group
NPI 1538696323 (320) 252-5131
Centracare Health System-Nr LLC
27 mi
Critical Access
1013 HART BLVD
Monticello, MN 55362
  • Reassigned Medicare billing, Minnesota enrollment
  • 285 clinicians in this Medicare group
NPI 1275872772 (763) 295-2945
Mille Lacs Health System
28 mi
Chiropractor
150 10TH ST NW
Milaca, MN 56353
  • Reassigned Medicare billing, Minnesota enrollment
  • Also billed through NPI 1548212699 (Minnesota)
  • 97 clinicians in this Medicare group
NPI 1417108531 (320) 532-3154
Astera Health
65 mi
Rural Health
210 1ST ST NW
Bertha, MN 56437
  • Reassigned Medicare billing, Minnesota enrollment
  • Also billed through NPI 1477545333 (Minnesota)
  • 187 clinicians in this Medicare group
NPI 1134115942 (218) 924-2250

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 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 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.
274 services187 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
45 services45 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
20 services16 patients
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.
18 services18 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
16 services16 patients

Hospital Affiliations CMS Care Compare 5

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

Alomere Health

Acute Care Hospitals · Alexandria, MN
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number240030
Location111 17th Avenue EastAlexandria, MN 56308 · Douglas County
Emergency services Birthing friendly

St Cloud Hospital

Acute Care Hospitals · Saint Cloud, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240036
Location1406 6th Ave NorthSaint Cloud, MN 56303 · Stearns County
Emergency services Birthing friendly

Chippewa County Hospital

Critical Access Hospitals · Montevideo, MN
OwnershipGovernment - Local
CMS Certification Number241325
Location824 North 11th StreetMontevideo, MN 56265 · Chippewa County
Emergency services

Astera Health

Critical Access Hospitals · Wadena, MN
OwnershipVoluntary non-profit - Other
CMS Certification Number241354
Location421 11th Street NWWadena, MN 56482 · Wadena County
Emergency services Birthing friendly

Centracare - Benson

Critical Access Hospitals · Benson, MN
OwnershipGovernment - Hospital District or Authority
CMS Certification Number241365
Location1815 Wisconsin AvenueBenson, MN 56215 · Swift County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 56303 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
$127.61 typical visit price
range $56.00 – $168.28
Typical copayment $31.90 (range $14.00 – $42.07)
Most-billed visit code 99204
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
Most-billed visit code 99213
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 20

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

ELIZABETH RENDE
Pediatrics
1200 6TH AVE N
SAINT CLOUD, MN 56303
Stearns County (320) 251-2700
LYNN M WELLNER REGISTERED NURSE
Registered Nurse
1200 6TH AVE N
ST CLOUD, MN 56303
Stearns County (320) 240-2206
BHARATH MANU AKKARA VEETIL MBBS
Internal Medicine (Rheumatology)
1200 6TH AVE N
SAINT CLOUD, MN 56303
Stearns County (320) 252-5131
ABIGAIL HOLMBERG PA
Physician Assistant (Medical)
1200 6TH AVE N
SAINT CLOUD, MN 56303
Stearns County (320) 240-2829
JESSICA HOLLENKAMP CNP
Nurse Practitioner
1200 6TH AVE N
SAINT CLOUD, MN 56303
Stearns County (320) 252-5131
CHRISTINA K ANDERSON MD
Dermatology
1200 6TH AVE N
SAINT CLOUD, MN 56303
Stearns County (320) 252-5131
YAGA SAINE RN, CNP
Nurse Practitioner (Adult Health)
1200 6TH AVE N, CENTRACARE CLINIC
SAINT CLOUD, MN 56303
Stearns County (320) 656-7020
JYH-YAU TSAUR MD
Internal Medicine
1200 6TH AVE N
SAINT CLOUD, MN 56303
Stearns County (320) 252-5131

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 John Mahowald's NPI number?

The NPI number for John Mahowald is 1952303570. It was assigned to this individual provider in the NPPES registry on August 12, 2005.

Where is John Mahowald located?

John Mahowald practices at 1200 6th Ave N, Saint Cloud, MN 56303. The listed phone number is (320) 252-5131.

What is John Mahowald's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is John Mahowald enrolled in Medicare?

Yes. John Mahowald 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 John Mahowald's services?

According to the CMS Revalidation Reassignment List (October 2026 release), John Mahowald reassigns Medicare benefits to 4 organizations: Centracare Clinic (Saint Cloud, MN), Centracare Health System-Nr LLC (Monticello, MN), Mille Lacs Health System (Milaca, MN) and Astera Health (Bertha, MN). 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 John Mahowald's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does John Mahowald accept?

Health plans from HealthPartners, Medica and Sanford Health Plan list John Mahowald 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 John Mahowald affiliated with any hospitals?

According to CMS data, John Mahowald is affiliated with Alomere Health, St Cloud Hospital, Chippewa County Hospital, Astera Health and Centracare - Benson.

When was this NPI record last updated?

The NPPES record for John Mahowald was last updated on October 12, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.