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Active NPI 1124131073 Individual Practitioner Male Practitioner

Dr. Douglas Neal Mellinger , DO

Thoracic Surgery (Cardiothoracic Vascular Surgery) • Saint Cloud, MN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Douglas Mellinger, DO is a certified Thoracic Surgery (Cardiothoracic Vascular Surgery) practicing in Saint Cloud, MN. With approximately 29 years of clinical experience since graduating from University Of New England, College Of Osteo Medicine in 1997, Dr. Mellinger delivers high-quality medical care to the local community at 1200 6TH AVE N.

Dr. Mellinger is affiliated with Centracare Clinic and accepts Medicare assignment.

Frequently performed procedures and clinical services include replacement of aortic valve through the skin and femoral artery, new patient outpatient office visit, initial hospital care with moderate level of medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1200 6th Ave N

Saint Cloud, MN 563032736

Telephone 3206567020
Fax 3202555943
Associated Practice Facility / Clinic
🏢 Centracare Clinic Facility NPI 1538696323

Medicare Profile & Education

Medical School

University Of New England, College Of Osteo Medicine

Graduation Year

1997

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Thoracic Surgery (Cardiothoracic Vascular Surgery) in Saint Cloud, MN

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
29 Yrs Matches City Avg
City Avg: 29.0 Yrs
State Avg: 25.7 Yrs
Regional Practice Density
3 Specialists

Practicing in Saint Cloud, MN (167 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
79.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Mellinger (29 Years) 29 Yrs
Saint Cloud Specialty Average (29.0 Years) 29.0 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
33361 Replacement of aortic valve through the skin and femoral artery
55 55 $4692.72 $650.87
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more
19 19 $666.22 $210.49
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes
13 13 $612.77 $162.71
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more
13 13 $671.46 $169.96
33508 Harvest of veins for coronary artery bypass procedure using an endoscope
13 13 $59.37 $13.81
33533 Coronary artery bypass using artery graft, 1 graft
11 11 $6604.07 $1476.61

Medical Specialties & State Licenses

CMS Verified: 2021-03-26
Thoracic Surgery (Cardiothoracic Vascular Surgery) Primary Specialty

NUCC Taxonomy Code: 208G00000X

State License MN 68816

A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.

Thoracic Surgery (Cardiothoracic Vascular Surgery)

NUCC Taxonomy Code: 208G00000X

State License CA 20A8396

A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
00AX83960 (CA)

Hospital & Practice Group Affiliations

Centracare Clinic

1200 6th Ave N, Saint Cloud, MN 563032735

Phone: 3202525131

Practice Associates & Co-Workers

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

32 Associated Practitioners
Becca Barry , PA-C

Physician Assistant

NPI 1013794817

Physician Assistant (Certified)

Yaga Saine , RN, CNP

Nurse Practitioner - Adult Health

NPI 1053731752

Registered Nurse, Certified Nurse Practitioner

Courtney Brever , PA-C

Physician Assistant

NPI 1093120131

Physician Assistant (Certified)

Sarah Babst , APRN, CNP

Nurse Practitioner - Family

NPI 1154799781

Advanced Practice Registered Nurse, Certified Nurse Practitioner

Dr. Juliette Power , MD

Internal Medicine - Interventional Cardiology

NPI 1194102806

Doctor of Medicine (M.D.)

Tyler Liska

Physician Assistant

NPI 1194594556

Career & Practice History Timeline

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

11 Historical Events
📍
Updated Practice Location March 26, 2021

Registered at 1200 6TH AVE N, SAINT CLOUD, MN 563032736 (Tel: 3206567020)

📍
Updated Business Mailing Address March 26, 2021

Registered at 1200 6TH AVE N, SAINT CLOUD, MN 563032736 (Tel: 3206567020)

👤
Provider Name / Credentials Updated March 26, 2021

Recorded as DOUGLAS MELLINGER, DO

📍
Updated Practice Location October 09, 2019

Registered at 9898 GENESEE AVE, LA JOLLA, CA 920371205 (Tel: 8588245363)

📍
Updated Business Mailing Address October 09, 2019

Registered at 10790 RANCHO BERNARDO RD, SAN DIEGO, CA 921275705 (Tel: 8588245363)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 200 W ARBOR DR, UCSD MEDICAL CENTER, SAN DIEGO, CA 921039001 (Tel: 6195431899)

📍
Updated Business Mailing Address July 08, 2007

Registered at 200 WEST ARBOR DRIVE, UCSD MEDICAL CENTER, SAN DIEGO, CA 921038201 (Tel: 6195431899)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as DOUG MELLINGER, MD

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

Thoracic Surgery (Cardiothoracic Vascular Surgery) (License #20A8396 in CA)

🟢
Initial NPI Registration & Enumeration August 16, 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: 1124131073
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 16, 2006
Last Update: March 26, 2021
Sole Proprietor: No

Mailing Address

1200 6th Ave N

Saint Cloud, MN 563032736

Phone: 3206567020

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.