DR. SANDY POPHAM MD
NPI 1043269228
Internal Medicine - Nephrology in Duluth, MN

Active since May 08, 2006PECOS EnrolledAccepts Medicare Assignment
1001 E SUPERIOR ST STE L201, DULUTH, MN 55802(218) 249-7980(218) 249-7911 Get Directions Write a Review

NPPES record last updated: January 20, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 20, 2021, Apr 10, 2018 (2 updates tracked since 2018).

About Dr. Sandy Popham Md NPPES

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

DR. SANDY POPHAM MD (NPI 1043269228) is an individual nephrology provider in Duluth, Minnesota, licensed in Minnesota (35304) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS, is affiliated with St Lukes Hospital, and is a graduate of University Of Minnesota Medical School (1989).

NPPES Registry Identity

NPI1043269228
Entity TypeIndividualFemale
Primary Taxonomy207RN0300X
Provider Legal NameDR. SANDY POPHAMCredential: MD
Location Address1001 E SUPERIOR ST STE L201Duluth, MN 55802-2207
Mailing Address1001 E Superior St Ste L201Duluth, MN 55802-2207 · (218) 249-7980 · Fax (218) 249-7911
Fax(218) 249-7911
Sole ProprietorYes
Medical School CMSUniversity Of Minnesota Medical SchoolGraduated 1989
Enumeration DateMay 8, 2006
Last NPPES UpdateJanuary 20, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 20, 2021
NPI 1043269228 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License Licensed in MN · 35304
Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

Also ListedSpecialistTaxonomy 174400000X · License 35304 (MN)
1001 E SUPERIOR ST STE L201, Duluth, MN 55802

Other Identifiers 4

Other04N96P0MN · Blue Cross Blue Shield
Other3100318MN · Medica
Medicaid32439700WI
Medicaid476323800MN

Accepted 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

Dr. Sandy Popham 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 ID9537128764
PECOS Enrollment IDI20041005000223, I20041122000091
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 5

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.

Dialysis services, 1 physician visit per month (20 years or older) 90962
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can’t do their job. A physician visit once a month ensures your treatment is working effectively and adjusts it if necessary. This service is available for individuals aged 20 years and older.
264 services51 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
130 services99 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
118 services82 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
30 services26 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
26 services22 patients

Hospital Affiliations CMS Care Compare

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

St Lukes Hospital

Acute Care Hospitals · Duluth, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240047
Location915 East 1st StreetDuluth, MN 55805 · St. Louis County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55802 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
$127.61 typical visit price
range $56.00 – $168.28
Typical copayment $31.90 (range $14.00 – $42.07)
Most-billed visit code 99204
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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 6

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

Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
4 suppliers25 claims1,635 services$0.31 avg. paid by Medicare
Prednisone, immediate release or delayed release, oral, 1 mg J7512
Treatment-Treatment - Miscellaneous · category RX029N
5 suppliers33 claims3,540 services$0.01 avg. paid by Medicare
Cyclosporine, oral, 25 mg J7515
Treatment-Treatment - Miscellaneous · category RX029N
3 suppliers18 claims2,010 services$0.60 avg. paid by Medicare
Mycophenolate mofetil, oral, 250 mg J7517
Treatment-Treatment - Miscellaneous · category RX029N
7 suppliers62 claims8,460 services$0.19 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
9 suppliers64 claims64 services$17.27 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
8 suppliers77 claims98 services$11.39 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

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

Internal Medicine
1001 E SUPERIOR ST STE L201
DULUTH, MN 55802
Internal Medicine (Nephrology)
1001 E SUPERIOR ST STE L201
DULUTH, MN 55802
Nurse Practitioner
1001 E SUPERIOR ST STE L201
DULUTH, MN 55802
Internal Medicine (Nephrology)
1001 E SUPERIOR ST STE L201
DULUTH, MN 55802

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sandy Popham's NPI number?

The NPI number for Sandy Popham is 1043269228. It was assigned to this individual provider in the NPPES registry on May 8, 2006.

Where is Sandy Popham located?

Sandy Popham practices at 1001 E Superior St Ste L201, Duluth, MN 55802. The listed phone number is (218) 249-7980.

What is Sandy Popham's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Sandy Popham enrolled in Medicare?

Yes. Sandy Popham is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Sandy Popham accept?

Health plans from HealthPartners, Medica and Security Health Plan list Sandy Popham as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Sandy Popham affiliated with any hospitals?

According to CMS data, Sandy Popham is affiliated with St Lukes Hospital.

When was this NPI record last updated?

The NPPES record for Sandy Popham was last updated on January 20, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.