SUSAN A HORNBACK (DO) – Family Medicine Physician, NPI 1871554857

SUSAN A HORNBACK (DO) is a healthcare provider. based in Lake city, Iowa. specializing in FAMILY PRACTICE. They hold the professional credentials DO. They hold a License No. 3650 (IA). The NPI Number for SUSAN A HORNBACK (DO) is 1871554857

Main info

Female
22 Years Of Experience
Accepts Medicare Assignment
Name
SUSAN A HORNBACK (DO)
NPI
1871554857
Phone
(712) 464-3194
Address
1351 W MAIN ST
Enumeration Date
30 March 2006
Last Update Date
12 October 2011

Doctor Profile

Medical School Name
UNIVERSITY OF IOWA, RJ & L CARVER COLLEGE OF MEDICINE
Secondary Phone
7124643171
Graduation Year
2004 (22 years ago)
PAC ID
7315962693
Group Practice PAC ID
4486563707
Professional Enrollment ID
I20051006000473
Address ID
IA514491585LA1301XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,656 FAMILY PRACTICE in IA

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Provider Addresses for SUSAN A HORNBACK (DO)

  • 1351, West Main Street, Lake City, Calhoun County, Iowa, 51449, United States

    LAKE CITY, IA 514491585

    Phone: (712) 464-3194

    Fax: (712) 464-7412

    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 1 Open Payments records for all available years, with a total value of $18.

Total Amount is formed as General ($18) + Research ($0) + Ownership ($0) = $18.

Last reported payment date: 2024-12-16 • Largest payer in this snapshot: Novo Nordisk Inc ($18).

Total Amount

$18

General + Research + Ownership

Payments

1

Total payment records

General Amount

$18

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-16

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Novo Nordisk Inc$18
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: 2005-10-06

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20051006000473IFamily PracticeIATBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes10251$0
99239Hospital discharge day management, more than 30 minutes4236$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes2617$0
99238Hospital discharge day management, 30 minutes or less1313$0
View full utilization report →

Insurance plans in this area (ZIP 51449)

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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: 4486563707View full group profile
NameSpecialtyState
General SurgeryMO
Emergency MedicineIA
Nurse PractitionerIA
Physician AssistantIA
Clinical Social WorkerIA
Nurse PractitionerIA
Nurse PractitionerIA
General SurgeryIA
-IL
Physician AssistantIA

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Can I verify SUSAN A HORNBACK (DO) with an NPI only?
You can start verification with NPI 1871554857 for SUSAN A HORNBACK (DO), then check state licensing separately.
Is SUSAN A HORNBACK (DO) still practicing?
SUSAN A HORNBACK (DO) is currently listed as active in the public NPI registry.
What is SUSAN A HORNBACK (DO) best known for clinically?
Directory data describes SUSAN A HORNBACK (DO) with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What address line appears for SUSAN A HORNBACK (DO)?
SUSAN A HORNBACK (DO)'s geographic hint is Lake City, Iowa in our summary view.
Why does SUSAN A HORNBACK (DO) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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