THOMAS E DAHLBERG MD
NPI 1013013093
Family Medicine in Springfield, MO

Q: What is Thomas Dahlberg's NPI number?

The NPI number for Thomas Dahlberg is 1013013093. It was assigned to this individual provider in the NPPES registry on September 16, 2006.

Q: What is Thomas Dahlberg's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Thomas Dahlberg was last updated on January 22, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since September 16, 2006PECOS EnrolledAccepts Medicare Assignment

3322 S CAMPBELL AVE STE T-1, SPRINGFIELD, MO 65807(417) 220-4480(417) 414-0017 Get Directions Write a Review

NPPES record last updated: January 22, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 17, 2023, Jul 28, 2022, Jan 15, 2019 (3 updates tracked since 2019).

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About Thomas E Dahlberg Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THOMAS E DAHLBERG MD (NPI 1013013093) is an individual family medicine provider in Springfield, Missouri, licensed in Missouri (MD104392) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Mercy Hospital Springfield, and is a graduate of Un Of California, Irvine, College Of Medicine (1981).

NPPES Registry Identity

NPI1013013093

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameTHOMAS E DAHLBERGCredential: MD

Location Address3322 S CAMPBELL AVE STE T-1Springfield, MO 65807-4980

Mailing Address3322 S Campbell Ave Ste T-1Springfield, MO 65807-4980 · (417) 220-4480 · Fax (417) 900-2992

Phone(417) 220-4480

Fax(417) 414-0017

Sole ProprietorNo

Medical School CMSUn Of California, Irvine, College Of MedicineGraduated 1981

Enumeration DateSeptember 16, 2006

Last NPPES UpdateJanuary 22, 20243 updates tracked since enumeration

NPPES CertifiedJanuary 22, 2024

✔ NPI 1013013093 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in MO · MD104392

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedFamily Medicine · Hospice and Palliative MedicineTaxonomy 207QH0002X · License MD104392 (MO)

3322 S CAMPBELL AVE STE T-1, Springfield, MO 65807

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Other Identifiers 4

Medicaid500128969MO

Other080170409Rr Medicare

Medicaid1013013093MO

Medicaid207984428MO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Thomas E Dahlberg Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6406919604

PECOS Enrollment IDI20090114000594

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 15

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490

Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.

718 services222 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.

375 services206 patients

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490

332 services117 patients

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

275 services170 patients

Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439

Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.

227 services92 patients

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

193 services127 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

179 services123 patients

Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306

An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.

108 services101 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

93 services93 patients

Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439

90 services54 patients

Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305

An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.

56 services52 patients

Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306

54 services53 patients

Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305

26 services25 patients

Nursing facility discharge management, more than 30 minutes 99316

Nursing facility discharge management over 30 minutes is a comprehensive process where a healthcare team prepares you for leaving the facility. It involves creating a tailored plan, coordinating care, and ensuring a smooth transition to your next care setting.

18 services18 patients

Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99304

An initial nursing facility visit is a daily check-up to monitor your health status. This service, lasting typically 25 minutes, involves a nurse assessing your overall wellbeing, discussing concerns, and updating your care plan as needed.

14 services12 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mercy Hospital Springfield

Acute Care Hospitals · Springfield, MO

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number260065

Location1235 E CherokeeSpringfield, MO 65804 · Greene County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 65807 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$81.64 typical visit price

range $52.28 – $161.24

Typical copayment $20.41 (range $13.07 – $40.31)

Most-billed visit code 99203

Established Patient

$93.24 typical visit price

range $16.30 – $131.05

Typical copayment $23.31 (range $4.07 – $32.76)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Standard wheelchair K0001

DME-Wheelchairs · category DD000N

1 supplier12 claims12 services$21.55 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JENNIFER MARIE STOREY FNP-BC

Nurse Practitioner (Family)