DR. SANDY POPHAM (MD) – Nephrology Physician, NPI 1043269228
Nephrology Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
274 NEPHROLOGY in MN
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Provider Addresses for DR. SANDY POPHAM (MD)
East Superior Street, Lester Park, Duluth, Saint Louis County, Minnesota, 55804, United States
DULUTH, MN 558022207
Phone: (218) 249-7980
Fax: (218) 249-7911
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 3 Open Payments records for all available years, with a total value of $24.
Total Amount is formed as General ($24) + Research ($0) + Ownership ($0) = $24.
Last reported payment date: 2024-04-10 • Largest payer in this snapshot: Travere Therapeutics, Inc. ($24).
Total Amount
$24
General + Research + Ownership
Payments
3
Total payment records
General Amount
$24
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-04-10
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Travere Therapeutics, Inc. | $24 |
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: 2004-11-22
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20041005000223 | I | Nephrology | MN | TBD |
| I20041122000091 | I | Nephrology | WI | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 250 | 181 | $0 |
| 90962 | Dialysis services, 1 physician visit per month (20 years or older) | 232 | 60 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 54 | 43 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 51 | 46 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 39 | 19 | $0 |
Insurance plans in this area (ZIP 55802)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| NEPHROLOGY | MN | 81002 | Urinalysis, manual test | 97 | 97 |
| NEPHROLOGY | MN | 90670 | Pneumococcal vaccine for injection into muscle | 30 | 30 |
| NEPHROLOGY | MN | 90935 | Hemodialysis procedure with one physician evaluation | 145 | 51 |
| NEPHROLOGY | MN | 90966 | Home dialysis services per month, patient 20 years of age or older | 84 | 11 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Certified Registered Nurse Anesthetist (Crna) | MN | |
| - | MN | |
| Vascular Surgery | IL | |
| Physician Assistant | MN | |
| Emergency Medicine | MN | |
| - | MN | |
| Emergency Medicine | MN | |
| - | MN | |
| Physician Assistant | MN | |
| Hematology/Oncology, Internal Medicine | MN |
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