DR. THOMAS DAVID BIEDERMAN (DO) – Family Medicine Physician, NPI 1639794803

DR. THOMAS DAVID BIEDERMAN (DO) is a healthcare provider. based in La grange park, Illinois. specializing in FAMILY PRACTICE. They hold the professional credentials DO. They hold a License No. 74392 (MN). The NPI Number for DR. THOMAS DAVID BIEDERMAN (DO) is 1639794803

Main info

Male
6 Years Of Experience
Accepts Medicare Assignment
Name
DR. THOMAS DAVID BIEDERMAN (DO)
NPI
1639794803
Phone
(641) 832-7352
Address
485 HOMESTEAD RD APT 1
Enumeration Date
12 June 2020
Last Update Date
8 August 2023

Doctor Profile

Medical School Name
DES MOINES UNIVERSITY OF OSTEOPATHIC MEDICINE AND HEALTH SCIENCES
Secondary Phone
5072883443
Graduation Year
2020 (6 years ago)
PAC ID
4284057928
Group Practice PAC ID
8527970060
Professional Enrollment ID
I20230810001263
Address ID
MN559046425RO210XXSEXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:6State licenses:2Digital endpointsOther names

1,659 FAMILY PRACTICE in IA

Provider Addresses for DR. THOMAS DAVID BIEDERMAN (DO)

  • 485 HOMESTEAD RD APT 1

    LA GRANGE PARK, IL 605262169

    Phone: (641) 832-7352

    Type: Mailing

  • 1801 HICKMAN RD

    DES MOINES, IA 503141548

    Phone: (641) 832-7352

    Type: Location

  • 5067 55TH ST NW

    ROCHESTER, MN 559013809

    Phone: (507) 292-7070

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2023-08-10

PECOS data refreshed: 2026-06-15

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230810001263IFamily PracticeMNTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes5544$0
99214Established patient office or other outpatient visit, 30-39 minutes2924$0
View full utilization report →

Insurance plans in this area (ZIP 60526)

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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: 8527970060View full group profile
NameSpecialtyState
Nurse PractitionerMN
Family PracticeMN
Family PracticeMN
Family PracticeMN
P A T H O L O G YMN
Physical Therapist In Private PracticeMN
D E R M A T O L O G YTN
Certified Registered Nurse Anesthetist (Crna)MN
Physician AssistantMN
Clinical PsychologistMN

Reviews

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Frequently asked questions

What unique ID ties claims to DR. THOMAS DAVID BIEDERMAN (DO)?
NPI 1639794803 is assigned to DR. THOMAS DAVID BIEDERMAN (DO) under the national enumeration system.
Is DR. THOMAS DAVID BIEDERMAN (DO) currently active in the NPI registry?
CMS-published data lists DR. THOMAS DAVID BIEDERMAN (DO) as an active registrant.
Can you summarize DR. THOMAS DAVID BIEDERMAN (DO)'s specialty in plain language?
Clinically, the directory lists DR. THOMAS DAVID BIEDERMAN (DO) with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What location shows for DR. THOMAS DAVID BIEDERMAN (DO)?
We surface La Grange Park, Illinois for DR. THOMAS DAVID BIEDERMAN (DO) based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.