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Mark Stanley Mellstrom, M.D.

NPI 1346302106ActiveIndividual· Family Medicine· Red Wing, MN

Family Medicine (M.D.) in Red Wing, Minnesota, licensed in MN, with an NPI issued in December 2006. Their prescriptions cost Medicare Part D more than their services did: $459,780 for 15,408 claims, against $34,711 paid for services in 2024.

Overview

NPI1346302106
StatusActive
Entity typeIndividual
CredentialM.D.
Sole proprietorYes
NPI issuedDec 15, 2006
Last updated in NPPESFeb 5, 2025
Certified by providerFeb 5, 2025

Specialties and licenses

TaxonomyCodeLicenseState
Family Medicine Primary207Q00000X27926MN

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Family Practice (MN); Practitioner - Family Practice (WI)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients196
Services billed318 across 4 procedure codes
Paid by Medicare$34,711

Part D prescriptions in 2024

Prescriptions (claims)15,408 · 15,429 30-day fills
Patients252
Total drug cost$459,780
Generic share89% of claims

Medicare sources and data years

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other family medicine physicians in Red Wing

All 16 family medicine physicians in Red Wing · All family medicine physicians in Minnesota