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Active NPI 1750637013 Individual Practitioner Male Practitioner

Dr. Gary Douglas Mellum , DC

Chiropractor • Fargo, ND

Professional Overview & Biography Verified Profile Summary

Dr. Gary Mellum, DC is a registered healthcare professional specializing in Chiropractor in Fargo, ND. Practice services are available at 5621 36TH AVE S under active NPI credentials.

Frequently performed procedures and clinical services include chiropractic manipulative treatment, 3-4 spinal regions, chiropractic manipulative treatment, 1-2 spinal regions. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

5621 36th Ave S
Suite 200

Fargo, ND 581045269

Telephone 7014297001
Associated Practice Facility / Clinic
🏢 Northstar Chiropractic Facility NPI 1053850552

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in Fargo, ND

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 19.4 Yrs
State Avg: 20.4 Yrs
Regional Practice Density
136 Specialists

Practicing in Fargo, ND (512 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
46.9% 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
98941 Chiropractic manipulative treatment, 3-4 spinal regions
121 18 $75.00 $39.17
98940 Chiropractic manipulative treatment, 1-2 spinal regions
45 12 $50.00 $27.17

Medical Specialties & State Licenses

Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

State License ND 1039

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

Career & Practice History Timeline

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

14 Historical Events
NPI Profile Active May 08, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location May 08, 2017

Registered at 5621 36TH AVE S, SUITE 200, FARGO, ND 581045269 (Tel: 7014297001)

📍
Updated Business Mailing Address May 08, 2017

Registered at 5621 36TH AVE S, SUITE 200, FARGO, ND 581045269 (Tel: 7014297001)

👤
Provider Name / Credentials Updated May 08, 2017

Recorded as GARY MELLUM, D.C.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 08, 2017

Chiropractor (License #1039 in ND)

📍
Updated Practice Location February 15, 2017

Registered at 3587 45TH ST S, FARGO, ND 581048962 (Tel: 7014297001)

📍
Updated Business Mailing Address February 15, 2017

Registered at 3587 45TH ST S, FARGO, ND 581048962 (Tel: 7014297001)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 15, 2017

Chiropractor (License #1039 in ND)

NPI Profile Active June 24, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location June 24, 2013

Registered at 784 N RIDGEVIEW RD, OLATHE, KS 660612900 (Tel: 7013068152)

📍
Updated Business Mailing Address June 24, 2013

Registered at 784 N RIDGEVIEW RD, OLATHE, KS 660612900 (Tel: 7013068152)

👤
Provider Name / Credentials Updated June 24, 2013

Recorded as GARY MELLUM, D.C.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 24, 2013

Chiropractor (License #01-05488 in KS)

🟢
Initial NPI Registration & Enumeration July 24, 2012

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: 1750637013
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 24, 2012
Last Update: May 08, 2017
Sole Proprietor: Yes

Mailing Address

5621 36th Ave S, Suite 200

Fargo, ND 581045269

Phone: 7014297001

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.