SANDRA K BIRCHEM (D.O.) – Cardiovascular Disease Physician, NPI 1902888241
Cardiovascular Disease Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
822 CARDIOVASCULAR DISEASE (CARDIOLOGY) in MN
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Provider Addresses for SANDRA K BIRCHEM (D.O.)
1st Street Southwest, Rochester, Olmsted County, Minnesota, 55903, United States
ROCHESTER, MN 559050001
Phone: (507) 284-2511
Type: Location
1000 4th St SW
Mason City, IA 504012800
Phone: (641) 428-6999
Fax: (641) 428-6678
Type: Location
Mercy Family Clinic - Regency, 621, South Illinois Avenue, Regency, Mason City, Cerro Gordo County, Iowa, 50401, United States
SUITE 103
MASON CITY, IA 504015489
Phone: (641) 428-6999
Fax: (641) 428-6678
Type: Mailing
3801 S National Ave
Springfield, MO 658075210
Phone: (417) 875-3000
Type: Location
404 W Fountain St
Albert Lea, MN 560072437
Phone: (507) 373-2384
Type: Location
200 1st St SW
ROCHESTER, MN 559050001
Phone: (507) 284-2511
Type: Location
PO BOX 802843
KANSAS CITY, MO 641802843
Phone:
Type: Mailing
3800 S NATIONAL AVE STE 400
SPRINGFIELD, MO 658075272
Phone: (417) 875-3000
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 32 Open Payments records for all available years, with a total value of $1,033.
Total Amount is formed as General ($1,033) + Research ($0) + Ownership ($0) = $1,033.
Last reported payment date: 2024-12-09 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($236).
Total Amount
$1,033
General + Research + Ownership
Payments
32
Total payment records
General Amount
$1,033
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-09
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Janssen Pharmaceuticals, Inc | $236 |
| E.R. Squibb & Sons, L.L.C. | $205 |
| Abbott Laboratories | $139 |
| Amgen Inc. | $116 |
| Medtronic, Inc. | $102 |
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: 2022-11-16
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20050401000721 | I | Internal Medicine | IA | TBD |
| I20200508000758 | I | Cardiovascular Disease (Cardiology) | MO | TBD |
| I20221116002234 | I | Cardiovascular Disease (Cardiology) | OR | 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 | 191 | 186 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 153 | 152 | $0 |
| 93306 | Ultrasound of heart with color-depicted blood flow, rate, direction and valve function | 137 | 136 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 130 | 130 | $0 |
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 81 | 80 | $0 |
Insurance plans in this area (ZIP 55905)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| INTERNAL MEDICINE | MN | 93010 | Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report | 495 | 359 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Interventional Radiology | SD | |
| Nurse Practitioner | IA | |
| Nurse Practitioner | IA | |
| P S Y C H I A T R Y | CO | |
| A N E S T H E S I O L O G Y | FL | |
| Internal Medicine | IA | |
| Emergency Medicine | IA | |
| - | IA | |
| Pulmonary Disease, Internal Medicine | TX | |
| Critical Care (Intensivists), Internal Medicine, Pulmonary Disease | IA |
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