DR. DJONGGI W SITUMEANG (MD) – Family Medicine Physician, NPI 1396824165
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,656 FAMILY PRACTICE in IA
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Provider Addresses for DR. DJONGGI W SITUMEANG (MD)
Family Medicine Center of Mount Pleasant, 501, South White Street, Mount Pleasant, Henry County, Iowa, 52641, United States
SUITE 1
MT PLEASANT, IA 526412600
Phone: (319) 385-6700
Fax: (319) 385-6703
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)
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: 2009-12-11
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 |
|---|---|---|---|---|
| I20091211000562 | I | Family Practice | IA | 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 |
|---|---|---|---|---|
| 99490 | Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | 1,646 | 198 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 1,043 | 395 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 476 | 291 | $0 |
| 83036 | Hemoglobin a1c level | 319 | 138 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 184 | 184 | $0 |
Insurance plans in this area (ZIP 52641)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | IA | |
| Family Practice | IA | |
| Physician Assistant | IA | |
| Family Practice | IA | |
| Physician Assistant | IA | |
| - | IA | |
| Physician Assistant | IA | |
| Family Practice | IA | |
| Physician Assistant | IA | |
| Family Practice | IA |
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