Active NPI 1699759647 Individual Practitioner Male Practitioner

Dr. Paul Lundstrom , MD

Dermatology • Baxter, MN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Paul Lundstrom, MD is a certified Dermatology practicing in Baxter, MN. With approximately 31 years of clinical experience since graduating from University Of North Dakota School Of Medicine in 1995, Dr. Lundstrom delivers high-quality medical care to the local community at 13359 ISLE DR.

Dr. Lundstrom is affiliated with Dermatology Professionals, Pa and accepts Medicare assignment.

Frequently performed procedures and clinical services include destruction of precancer skin growth, 2-14 growths, established patient outpatient office visit, destruction of skin growth. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

13359 Isle Dr
Suite 3

Baxter, MN 564252222

Telephone 2184547546

Associated Practice Facility / Clinic

🏢 Advanced Specialty Associates, Ltd Facility NPI 1265583652

Medicare Profile & Education

Medical School

University Of North Dakota School Of Medicine

Graduation Year

1995

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Dermatology in Baxter, MN

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

31 Yrs Matches City Avg

City Avg: 31.0 Yrs

State Avg: 20.4 Yrs

Regional Practice Density

1 Specialists

Practicing in Baxter, MN (337 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

69.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Lundstrom (31 Years) 31 Yrs

Baxter Specialty Average (31.0 Years) 31.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	578	152	$20.04	$7.09
99213 Established patient office or other outpatient visit, typically 15 minutes	462	403	$264.55	$92.97
17000 Destruction of skin growth	251	219	$199.59	$57.58
17110 Destruction of up to 14 skin growths	118	105	$338.56	$117.26
11102 Tangential biopsy of single skin lesion	101	98	$297.45	$98.35
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	68	24	$2.94	$0.98
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	64	61	$372.94	$131.40
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	43	41	$165.04	$58.16
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	32	32	$321.32	$113.17
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	21	21	$892.69	$270.20
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	17	17	$812.97	$186.41
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	13	11	$527.18	$172.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	636	162	$19.25	$6.88
99213 Established patient office or other outpatient visit, typically 15 minutes	513	443	$250.20	$89.36
17000 Destruction of skin growth	278	236	$189.43	$54.59
17110 Destruction of up to 14 skin growths	129	120	$323.65	$111.22
11102 Tangential biopsy of single skin lesion	105	102	$287.67	$92.14
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	76	17	$2.97	$1.05
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	54	50	$355.46	$124.56
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	43	43	$156.13	$56.25
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	30	27	$777.76	$158.47
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	30	30	$308.11	$110.18
12034 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 7.6-12.5 cm	23	21	$932.66	$336.47
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	21	21	$502.27	$180.22
11103 Biopsy of related skin growth, each additional growth	20	16	$143.61	$51.08
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	18	17	$870.40	$307.56
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	12	12	$701.06	$154.19

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	741	219	$19.11	$7.00
99213 Established patient office or other outpatient visit, typically 15 minutes	662	562	$247.01	$90.17
17000 Destruction of skin growth	360	314	$185.69	$55.30
11102 Tangential biopsy of single skin lesion	166	148	$286.74	$99.07
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	131	31	$3.18	$1.15
17110 Destruction of up to 14 skin growths	125	115	$316.10	$110.87
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	59	52	$153.88	$56.36
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	52	46	$348.81	$127.77
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	50	50	$301.65	$110.76
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	42	40	$765.07	$184.76
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	32	31	$845.25	$292.04
12034 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 7.6-12.5 cm	27	27	$927.69	$340.07
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	25	23	$678.12	$158.94
11103 Biopsy of related skin growth, each additional growth	24	21	$141.98	$52.31
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	24	23	$499.15	$177.55
69100 Biopsy of ear	16	15	$268.03	$83.13
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	12	12	$740.65	$146.88
11900 Injection into skin growth, 1-7 growths	11	11	$156.45	$55.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,028	274	$19.68	$6.77
99213 Established patient office or other outpatient visit, typically 15 minutes	749	637	$266.13	$91.68
17000 Destruction of skin growth	463	398	$195.83	$56.55
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	233	50	$3.77	$1.28
11102 Tangential biopsy of single skin lesion	200	180	$311.81	$102.11
17110 Destruction of up to 14 skin growths	141	129	$340.07	$116.40
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	119	115	$164.80	$56.63
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	113	113	$325.80	$111.23
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	78	61	$377.94	$128.62
11103 Biopsy of related skin growth, each additional growth	53	37	$157.59	$54.33
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	36	34	$918.45	$308.04
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	34	33	$530.54	$174.65
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	31	30	$937.45	$323.76
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	27	26	$798.95	$138.00
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	26	24	$733.03	$146.09
11901 Injection into skin growth, more than 7 growths	22	17	$206.17	$63.01
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	21	15	$41.95	$14.29
69100 Biopsy of ear	18	18	$294.30	$84.63
99202 New patient office or other outpatient visit, typically 20 minutes	14	14	$213.00	$72.99
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	14	14	$830.13	$194.59
11900 Injection into skin growth, 1-7 growths	13	12	$166.80	$44.30
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	13	12	$440.12	$134.50
11104 Punch biopsy, first skin growth	12	11	$388.46	$134.03
11622 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	12	12	$756.00	$141.46
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	11	11	$923.01	$318.63

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	890	246	$17.63	$6.24
99213 Established patient office or other outpatient visit, typically 15 minutes	466	385	$212.73	$75.08
17000 Destruction of skin growth	407	357	$187.57	$58.53
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	310	277	$308.88	$109.04
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	266	51	$4.21	$1.47
11102 Tangential biopsy of single skin lesion	161	150	$288.92	$98.67
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	82	72	$129.16	$44.93
17110 Destruction of up to 14 skin growths	68	65	$323.15	$114.40
99202 New patient office or other outpatient visit, typically 20 minutes	58	58	$215.04	$76.12
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	58	58	$304.67	$107.78
11103 Biopsy of related skin growth, each additional growth	49	33	$153.07	$54.26
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	33	25	$872.00	$306.66
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	31	27	$509.03	$162.80
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	22	18	$40.76	$14.43
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	20	17	$710.33	$144.89
11901 Injection into skin growth, more than 7 growths	20	17	$197.81	$70.05
11622 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	19	19	$733.07	$157.09
69100 Biopsy of ear	17	17	$282.82	$91.35
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	15	14	$774.03	$146.07
12034 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 7.6-12.5 cm	14	14	$927.00	$316.63
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	13	13	$875.92	$309.98
99201 New patient office or other outpatient visit, typically 10 minutes	11	11	$130.05	$45.96
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	11	11	$863.77	$306.60

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	906	259	$15.74	$5.57
99213 Established patient office or other outpatient visit, typically 15 minutes	535	453	$209.23	$73.91
17000 Destruction of skin growth	436	365	$184.12	$56.62
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	316	263	$306.14	$108.44
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	276	58	$4.55	$1.59
11102 Tangential biopsy of single skin lesion	215	187	$281.01	$97.23
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	118	103	$127.32	$45.10
99202 New patient office or other outpatient visit, typically 20 minutes	89	89	$214.60	$76.02
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	66	66	$302.56	$107.17
17110 Destruction of up to 14 skin growths	63	59	$314.88	$108.47
11103 Biopsy of related skin growth, each additional growth	48	34	$151.43	$53.63
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	45	39	$764.28	$171.44
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	41	29	$497.79	$152.66
11901 Injection into skin growth, more than 7 growths	41	25	$192.21	$67.26
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	34	34	$860.89	$300.42
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	25	16	$47.43	$16.80
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	21	21	$700.43	$147.68
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	17	15	$797.67	$199.43
11622 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	16	16	$722.96	$144.03
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	16	14	$847.58	$300.19
12051 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less	15	15	$750.06	$194.81
69100 Biopsy of ear	15	15	$278.50	$85.50
99201 New patient office or other outpatient visit, typically 10 minutes	15	15	$128.70	$45.60
11900 Injection into skin growth, 1-7 growths	14	12	$153.04	$50.35
11104 Punch biopsy, first skin growth	14	13	$353.49	$125.21
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	13	13	$1351.37	$478.62
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	12	12	$833.96	$270.75
12034 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 7.6-12.5 cm	11	11	$898.25	$289.21
10060 Simple or single drainage of skin abscess	11	11	$336.31	$113.74

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	593	160	$14.43	$5.11
99213 Established patient office or other outpatient visit, typically 15 minutes	425	347	$205.28	$71.97
17000 Destruction of skin growth	278	229	$183.47	$57.71
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	162	27	$5.06	$1.79
11100 Biopsy of single growth of skin and/or tissue	153	136	$293.60	$101.46
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	81	66	$121.63	$43.41
99202 New patient office or other outpatient visit, typically 20 minutes	63	63	$206.65	$73.99
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	53	44	$297.88	$106.12
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	47	47	$295.62	$102.16
11101 Biopsy of each additional growth of skin and/or tissue	40	27	$89.12	$31.77
17110 Destruction of up to 14 skin growths	36	36	$313.45	$110.18
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	25	21	$750.74	$138.83
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	23	20	$840.34	$279.37
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	20	18	$815.29	$289.47
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	16	14	$689.16	$153.26
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	14	13	$488.82	$154.79

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	540	151	$17.20	$5.49
99213 Established patient office or other outpatient visit, typically 15 minutes	412	324	$199.76	$71.88
17000 Destruction of skin growth	271	226	$198.42	$58.56
11100 Biopsy of single growth of skin and/or tissue	120	110	$285.89	$100.10
99202 New patient office or other outpatient visit, typically 20 minutes	93	93	$203.43	$72.94
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	83	25	$4.27	$1.80
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	74	61	$119.04	$42.98
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	56	42	$293.56	$105.68
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	48	48	$295.20	$105.36
17110 Destruction of up to 14 skin growths	45	38	$306.49	$110.36
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	25	22	$739.01	$148.81
11101 Biopsy of each additional growth of skin and/or tissue	20	16	$90.73	$31.71
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	16	14	$806.51	$260.75

Medical Specialties & State Licenses

CMS Verified: 2024-06-12

Dermatology Primary Specialty

NUCC Taxonomy Code: 207N00000X

State License MN 45453

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

741720900 (MN)

Hospital & Practice Group Affiliations

Dermatology Professionals, Pa

15167 Edgewood Dr, Brainerd, MN 564016948

Phone: 2184547546

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners

Rebekah White , CNP

Nurse Practitioner - Family

NPI 1598744997

Certified Nurse Practitioner

Nicole Manecke , PA

Physician Assistant - Medical

NPI 1821180712

Physician Assistant

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active February 24, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location February 24, 2011

Registered at 13359 ISLE DR, SUITE 3, BAXTER, MN 564252222 (Tel: 2184547546)

📍

Updated Business Mailing Address February 24, 2011

Registered at 13359 ISLE DR, SUITE 3, BAXTER, MN 564252222 (Tel: 2184547546)

👤

Provider Name / Credentials Updated February 24, 2011

Recorded as PAUL LUNDSTROM, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 24, 2011

Dermatology (License #45453 in MN)

🟢

Initial NPI Registration & Enumeration December 02, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1699759647

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: December 02, 2005

Last Update: June 12, 2024

Sole Proprietor: No

Update or Correct Profile

Mailing Address

13359 Isle Dr, Suite 3

Baxter, MN 564252222

Phone: 2184547546

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

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