BRIAN LUNDSTROM (PHD) – Epilepsy Physician, NPI 1255630182

BRIAN LUNDSTROM (PHD) is a healthcare provider. based in Rochester, Minnesota. specializing in EPILEPTOLOGISTS. They hold the professional credentials PHD. They hold a License No. 58970 (MN). The NPI Number for BRIAN LUNDSTROM (PHD) is 1255630182

Main info

Male
15 Years Of Experience
Accepts Medicare Assignment
Name
BRIAN LUNDSTROM (PHD)
NPI
1255630182
Phone
(507) 284-2511
Address
200 1ST ST SW
Enumeration Date
17 March 2011
Last Update Date
17 July 2024

Doctor Profile

Medical School Name
UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Secondary Phone
5072842511
Graduation Year
2011 (15 years ago)
PAC ID
4981916202
Group Practice PAC ID
6507778255
Professional Enrollment ID
I20150630000067
Address ID
MN559050001RO200XXSWXX400
Telehealth
Yes

Contacts

Secure Messaging
blundstrom137335@ehrdirect.mayoclinicmsg.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:15State licenses:1Other namesUpdated within 12 months

25 EPILEPTOLOGISTS in MN

Provider Addresses for BRIAN LUNDSTROM (PHD)

  • 200 1ST ST SW

    ROCHESTER, MN 559050001

    Phone: (507) 284-2511

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 25 Open Payments records for all available years, with a total value of $21,359.

Total Amount is formed as General ($6,629) + Research ($14,729) + Ownership ($0) = $21,359.

Last reported payment date: 2024-09-30 • Largest payer in this snapshot: NEUROPACE, INC. ($17,926).

Total Amount

$21,359

General + Research + Ownership

Payments

25

Total payment records

General Amount

$6,629

General payments

Research Amount

$14,729

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-30

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
NEUROPACE, INC.$17,926
Medtronic, Inc.$3,432
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2016-06-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20150630000067IEpileptologistsMNTBD
I20160608001178INeurologyWITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55905)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6507778255View full group profile

Reviews

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Frequently asked questions

Does BRIAN LUNDSTROM (PHD) have a public NPI I can cite?
Public records show BRIAN LUNDSTROM (PHD) under NPI 1255630182.
Is BRIAN LUNDSTROM (PHD)'s NPI status active today?
Active status means BRIAN LUNDSTROM (PHD)'s NPI record is not deactivated in the public file.
Which specialty label fits BRIAN LUNDSTROM (PHD)?
NPPES ties BRIAN LUNDSTROM (PHD) to Epilepsy Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is BRIAN LUNDSTROM (PHD) tied to Rochester, Minnesota?
If you are local to Rochester, Minnesota, BRIAN LUNDSTROM (PHD) may be relevant to your search.
Why is information missing for BRIAN LUNDSTROM (PHD)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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