MRS. ERICA LYNNE IBENDAHL (M.D.) – Surgery Physician, NPI 1134483514

MRS. ERICA LYNNE IBENDAHL (M.D.) is a healthcare provider. based in Columbia, Missouri. specializing in GENERAL SURGERY. They hold the professional credentials M.D.. They hold a License No. 2012017823 (MO). The NPI Number for MRS. ERICA LYNNE IBENDAHL (M.D.) is 1134483514

Main info

Female
Sole Proprietor
14 Years Of Experience
Accepts Medicare Assignment
Name
MRS. ERICA LYNNE IBENDAHL (M.D.)
NPI
1134483514
Phone
(573) 882-5609
Address
ONE HOSPITAL DRIVE
Enumeration Date
29 June 2012
Last Update Date
22 October 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6183278236
Graduation Year
2012 (14 years ago)
PAC ID
5698909885
Group Practice PAC ID
9234022567
Professional Enrollment ID
I20180926000543
Address ID
IL622631534NA705XXSTXX400

Contacts

Secure Messaging
eibendahl249201@direct-ehr-ssmhc.com
FHIR Endpoint
https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness85
Years active:13State licenses:1Other namesUpdated within 12 months

785 GENERAL SURGERY in MO

Provider Addresses for MRS. ERICA LYNNE IBENDAHL (M.D.)

  • ONE HOSPITAL DRIVE

    MC 414 MCHANEY HALL

    COLUMBIA, MO 65212

    Phone: (573) 882-5609

    Fax: (573) 884-4611

    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 $958.

Total Amount is formed as General ($958) + Research ($0) + Ownership ($0) = $958.

Last reported payment date: 2023-11-02 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($958).

Total Amount

$958

General + Research + Ownership

Payments

3

Total payment records

General Amount

$958

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-11-02

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Intuitive Surgical, Inc.$958
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: 2018-09-26

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
I20180926000543IGeneral SurgeryILTBD

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
43239Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope6355$0
45380Biopsy of large bowel using a flexible endoscope4141$0
99213Established patient office or other outpatient visit, 20-29 minutes3733$0
45385Removal of polyps or growths of large bowel using an endoscope with mechanical snare2121$0
99204New patient office or other outpatient visit, 45-59 minutes1616$0
View full utilization report →

Insurance plans in this area (ZIP 65212)

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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: 9234022567View full group profile
NameSpecialtyState
Vascular SurgeryIL
P A T H O L O G YIL
P O D I A T R YMO
Nurse PractitionerMO
Nurse PractitionerIL
Nurse PractitionerIL
Nurse PractitionerIL
-IL
Nurse PractitionerIL
-IL

Reviews

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Frequently asked questions

What is the registry number for MRS. ERICA LYNNE IBENDAHL (M.D.)?
The registry entry for MRS. ERICA LYNNE IBENDAHL (M.D.) shows NPI 1134483514.
Is MRS. ERICA LYNNE IBENDAHL (M.D.)'s NPI status active today?
Active status means MRS. ERICA LYNNE IBENDAHL (M.D.)'s NPI record is not deactivated in the public file.
What does the directory say MRS. ERICA LYNNE IBENDAHL (M.D.) does?
Insurance directories may phrase it differently, but here MRS. ERICA LYNNE IBENDAHL (M.D.) maps to Surgery Physician. Clinical services aligned with this taxonomy classification.
Is MRS. ERICA LYNNE IBENDAHL (M.D.) tied to Columbia, Missouri?
If you are local to Columbia, Missouri, MRS. ERICA LYNNE IBENDAHL (M.D.) may be relevant to your search.
Who maintains MRS. ERICA LYNNE IBENDAHL (M.D.)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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