Active NPI 1497773030 Individual Practitioner Male Practitioner

Dr. Mitchell B Goldstein , MD

Surgery • Detroit Lakes, MN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Mitchell Goldstein, MD is a certified Surgery practicing in Detroit Lakes, MN. With approximately 36 years of clinical experience since graduating from University Of Minnesota Medical School in 1990, Dr. Goldstein delivers high-quality medical care to the local community at 1245 WASHINGTON AVE.

Dr. Goldstein is affiliated with Sanford Medical Center Fargo and accepts Medicare assignment.

Frequently performed procedures and clinical services include removal of polyps or growths of large bowel using an endoscope with mechanical snare, biopsy of large bowel using an endoscope, moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1245 Washington Ave

Detroit Lakes, MN 565013905

Telephone 2188462000

Fax 2188462114

Associated Practice Facility / Clinic

🏢 Sanford Clinic North Facility NPI 1235170747

Medicare Profile & Education

Medical School

University Of Minnesota Medical School

Graduation Year

1990

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Detroit Lakes, MN

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

36 Yrs +8.3 yrs vs City Avg

City Avg: 27.7 Yrs

State Avg: 23.0 Yrs

Regional Practice Density

5 Specialists

Practicing in Detroit Lakes, MN (770 Statewide)

Telehealth Adoption Rate

20.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

85.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Goldstein (36 Years) 36 Yrs

Detroit Lakes Specialty Average (27.7 Years) 27.7 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
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	84	84	$1389.19	$234.82
45380 Biopsy of large bowel using an endoscope	82	82	$1332.85	$84.53
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito	69	69	$168.81	$4.90
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	61	59	$1162.05	$82.02
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	35	35	$320.51	$105.58
99213 Established patient office or other outpatient visit, typically 15 minutes	27	24	$255.30	$88.40
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	17	17	$1037.94	$170.03
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	16	13	$161.63	$55.29

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito	147	145	$165.35	$5.00
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	78	73	$1128.85	$88.35
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	71	71	$1352.90	$242.00
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	52	52	$1445.52	$140.77
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	32	32	$304.75	$110.20
45380 Biopsy of large bowel using an endoscope	30	30	$1315.60	$91.70
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	21	21	$1006.14	$171.53
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	21	21	$346.81	$126.64
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	20	17	$150.05	$56.26

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito	171	171	$163.10	$5.12
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	91	91	$1308.31	$246.79
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	91	91	$1410.23	$117.35
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	82	77	$1090.08	$93.84
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	49	49	$294.24	$110.79
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	28	27	$969.18	$167.76
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	27	24	$145.00	$56.44
99213 Established patient office or other outpatient visit, typically 15 minutes	25	24	$237.68	$90.45
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	15	$335.20	$128.07
45380 Biopsy of large bowel using an endoscope	11	11	$1240.91	$97.37
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	11	11	$827.36	$110.84

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito	191	188	$161.58	$5.20
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	110	110	$1332.37	$116.37
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	100	97	$1040.22	$92.52
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	99	99	$1278.73	$249.76
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	56	44	$120.21	$56.35
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	51	51	$288.43	$109.07
99213 Established patient office or other outpatient visit, typically 15 minutes	34	29	$199.18	$89.64
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	33	31	$287.27	$130.01
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	19	19	$948.84	$172.53
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$435.67	$167.32
47562 Removal of gallbladder using an endoscope	17	17	$1927.04	$633.69
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	16	15	$787.88	$116.84
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	13	13	$950.92	$182.23
45380 Biopsy of large bowel using an endoscope	12	12	$1195.50	$136.81

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito	143	141	$160.08	$5.33
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	84	77	$995.00	$93.42
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	70	58	$116.29	$45.84
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	67	67	$1273.00	$254.29
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	67	67	$1286.06	$128.19
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	54	54	$281.83	$107.09
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	28	27	$281.43	$109.77
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	22	22	$57.18	$23.14
99213 Established patient office or other outpatient visit, typically 15 minutes	22	17	$190.50	$73.79
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	21	21	$946.00	$186.36
47562 Removal of gallbladder using an endoscope	14	14	$1835.29	$642.10
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	13	13	$773.00	$104.59

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito	157	155	$153.54	$5.27
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	96	86	$987.00	$103.27
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	94	94	$1278.00	$115.67
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	81	81	$1273.00	$255.05
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	75	61	$111.17	$45.09
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	58	58	$274.09	$105.83
87081 Screening test for pathogenic organisms	46	42	$52.00	$7.21
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	43	41	$272.58	$108.43
99213 Established patient office or other outpatient visit, typically 15 minutes	18	17	$185.00	$71.78
36415 Insertion of needle into vein for collection of blood sample	12	12	$18.00	$2.76
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	12	12	$946.00	$177.06

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito	113	111	$146.96	$5.23
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	64	63	$1278.00	$135.95
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	51	51	$1273.00	$252.08
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	50	47	$987.00	$85.34
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	44	44	$270.61	$105.27
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	33	28	$108.91	$43.37
87081 Screening test for pathogenic organisms	21	21	$52.00	$8.02
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	16	15	$268.81	$106.10
99213 Established patient office or other outpatient visit, typically 15 minutes	13	13	$182.85	$71.79
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	13	13	$946.00	$171.51
99202 New patient office or other outpatient visit, typically 20 minutes	11	11	$186.73	$73.94

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito	108	105	$145.00	$5.21
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	61	60	$1195.51	$133.41
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	49	49	$1273.00	$251.25
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	46	41	$984.61	$96.56
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	37	22	$105.27	$42.95
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	32	32	$260.38	$103.47
99213 Established patient office or other outpatient visit, typically 15 minutes	19	17	$174.37	$71.69
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	12	12	$261.00	$105.71
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	11	11	$770.45	$105.06

Medical Specialties & State Licenses

CMS Verified: 2022-03-29

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License MN 35264

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

10974 (ND)

Hospital & Practice Group Affiliations

Sanford Medical Center Fargo

1000 Coney St W, Perham, MN 565732102

Phone: 2183471200

Sanford Medical Center Fargo

1245 Washington Ave, Detroit Lakes, MN 565013905

Phone: 2188462000

Sanford Medical Center Fargo

1000 Coney St W, Perham, MN 565732102

Phone: 2183471200

Sanford Medical Center Fargo

1412 Main St, Hawley, MN 56549

Phone: 2184833564

Practice Associates & Co-Workers

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

40 Associated Practitioners

Dr. Nicole Berg , PT, DPT

Physical Therapist

NPI 1003692427

Physical Therapist, Doctor of Physical Therapy

Erin Volden , NP

Nurse Practitioner

NPI 1003838590

Nurse Practitioner

Susan Cariveau , NP

Nurse Practitioner

NPI 1023115805

Nurse Practitioner

Dr. Brian Gatheridge , PhD

Psychologist

NPI 1043465644

Doctor of Philosophy (Ph.D.)

Susan Martodam , LRD

Dietitian, Registered

NPI 1073531646

Dr. Max Disse , MD

Dermatology

NPI 1073975462

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events

📍

Updated Business Mailing Address March 22, 2021

Registered at PO BOX 5074, SIOUX FALLS, SD 571175074

✅

NPI Profile Active January 19, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location January 19, 2012

Registered at 1245 WASHINGTON AVE, DETROIT LAKES, MN 565013905 (Tel: 2188462000)

📍

Updated Business Mailing Address January 19, 2012

Registered at 1245 WASHINGTON AVE, DETROIT LAKES, MN 565013905 (Tel: 2188462000)

👤

Provider Name / Credentials Updated January 19, 2012

Recorded as MITCHELL GOLDSTEIN, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 19, 2012

Surgery (License #35264 in MN)

🟢

Initial NPI Registration & Enumeration July 18, 2006

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: 1497773030

Entity Type:

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

Enumeration Date: July 18, 2006

Last Update: March 29, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 5074

Sioux Falls, SD 571175074

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.