Active NPI 1902803539 Individual Practitioner Male Practitioner

Dr. Mark Wildgen , MD

Specialist • Bemidji, MN

Professional Overview & Biography Verified Profile Summary

Dr. Mark Wildgen, MD is a registered healthcare professional specializing in Specialist in Bemidji, MN. Practice services are available at 1526 30TH ST NW under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1526 30th St Nw

Bemidji, MN 566014133

Telephone 2187510887

Associated Practice Facility / Clinic

🏢 Jmd Psychiatric Nursing Services, Inc. Facility NPI 1982882247

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Bemidji, MN

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 34.7 Yrs

Regional Practice Density

12 Specialists

Practicing in Bemidji, MN (877 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

86.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	18	14	$648.56	$88.25

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	48	23	$617.31	$89.42
99213 Established patient office or other outpatient visit, typically 15 minutes	18	12	$90.00	$64.76
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	11	$133.00	$96.07

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	75	32	$516.87	$90.78
99213 Established patient office or other outpatient visit, typically 15 minutes	29	17	$90.00	$66.03

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	390	140	$196.51	$60.21
99213 Established patient office or other outpatient visit, typically 15 minutes	38	23	$79.89	$50.44
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	26	18	$150.00	$87.91

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	532	161	$168.42	$73.14
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	80	45	$150.00	$106.96
99213 Established patient office or other outpatient visit, typically 15 minutes	30	15	$74.00	$49.72

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	521	167	$172.46	$69.57
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	57	33	$200.82	$102.64
99213 Established patient office or other outpatient visit, typically 15 minutes	30	17	$74.80	$53.27

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	456	154	$162.69	$68.04
99213 Established patient office or other outpatient visit, typically 15 minutes	37	23	$78.30	$47.98
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	27	19	$141.11	$101.37

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License MN 27217

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

031530800 (MN)

Practice Associates & Co-Workers

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

13 Associated Practitioners

Cynthia Schackman , ARNP OR PFMHNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1154419877

ARNPORPFMHNP

Dr. James Jarmuskewicz , MD

Specialist

NPI 1225035850

Doctor of Medicine (M.D.)

Dr. Charles Chmielewski , PhD, LP

Psychologist - Clinical

NPI 1245236819

Doctor of Philosophy (Ph.D.), Licensed Psychologist

Robin Hewitt , MS, LMFT

Marriage & Family Therapist

NPI 1255430633

Master of Science, Licensed Marriage and Family Therapist

Laura Hansen , MSW, LICSW

Social Worker - Clinical

NPI 1265565642

Master of Social Work, Licensed Independent Clinical Social Worker

Stephanie Bumgardner , MSW, LICSW

Social Worker - Clinical

NPI 1306080197

Master of Social Work, Licensed Independent Clinical Social Worker

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 1526 30TH ST NW, BEMIDJI, MN 566014133 (Tel: 2187510887)

📍

Updated Business Mailing Address July 08, 2007

Registered at 1526 30TH ST NW, BEMIDJI, MN 566014133 (Tel: 2187510887)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as MARK WILDGEN, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Specialist (License #27217 in MN)

🟢

Initial NPI Registration & Enumeration June 28, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1902803539

Entity Type:

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

Enumeration Date: June 28, 2005

Last Update: July 08, 2007

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1526 30th St Nw

Bemidji, MN 566014133

Phone: 2187510887

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

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.