MARY LUNDGREN (D.O.) – Orthopaedic Surgery Physician, NPI 1386061844
Orthopaedic Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
628 ORTHOPEDIC SURGERY in WI
Provider Addresses for MARY LUNDGREN (D.O.)
3033 W Layton Ave
Greenfield, WI 532212628
Phone: (414) 647-0033
Fax: (414) 817-3928
Type: Location
3601 W 13 Mile Rd
Royal Oak, MI 48073
Phone: (248) 898-5000
Type: Location
3033 W LAYTON AVE
GREENFIELD, WI 532212628
Phone: (414) 817-3936
Fax: (414) 817-3928
Type: Mailing
3530 E SPAULDING AVE
PUEBLO, CO 810082209
Phone: (719) 296-9000
Fax: (719) 296-9001
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 18 Open Payments records for all available years, with a total value of $1,837.
Total Amount is formed as General ($1,837) + Research ($0) + Ownership ($0) = $1,837.
Last reported payment date: 2024-12-06 • Largest payer in this snapshot: Stryker Corporation ($1,452).
Total Amount
$1,837
General + Research + Ownership
Payments
18
Total payment records
General Amount
$1,837
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-06
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Stryker Corporation | $1,452 |
| Medtronic, Inc. | $342 |
| VERTEX PHARMACEUTICALS INCORPORATED | $25 |
| SI-BONE, INC. | $18 |
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: 2022-04-05
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20220405003133 | I | Orthopedic Surgery | CO | TBD |
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.
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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 124 | 75 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 57 | 57 | $0 |
| 72114 | X-ray lower and sacral spine, minimum of 6 views | 22 | 21 | $0 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 17 | 17 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 16 | 16 | $0 |
Insurance plans in this area (ZIP 53221)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Pain Management, Anesthesiology | CO | |
| Orthopedic Surgery | CO | |
| - | CO | |
| Orthopedic Surgery | CO |
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