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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

TAMARA W CONGDON MD
NPI 1144219056
Internal Medicine in Saint Cloud, MN

Active since October 14, 2005PECOS EnrolledAccepts Medicare Assignment
1200 6TH AVE N, SAINT CLOUD, MN 56303(320) 252-5131(320) 240-2118 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Tamara W Congdon Md NPPES

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

TAMARA W CONGDON MD (NPI 1144219056) is an individual internal medicine provider in Saint Cloud, Minnesota, licensed in Minnesota (43888) and active in the NPI registry since October 2005. She is enrolled in Medicare PECOS, is affiliated with Centracare Health System - Long Prairie, and is a graduate of Boston University School Of Medicine (1998).

NPPES Registry Identity

NPI1144219056
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameTAMARA W CONGDONCredential: MD
Location Address1200 6TH AVE NSaint Cloud, MN 56303-2735
Mailing Address1200 6th Ave NSaint Cloud, MN 56303-2735 · (320) 252-5131 · Fax (320) 240-2118
Phone(320) 252-5131
Fax(320) 240-2118
Sole ProprietorNo
Medical School CMSBoston University School Of MedicineGraduated 1998
Enumeration DateOctober 14, 2005
Last NPPES UpdateJuly 13, 2026
✔ NPI 1144219056 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MN · 43888
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1200 6TH AVE N, Saint Cloud, MN 56303
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Other Identifiers 8

Other151693Ucare
Medicaid64767800MN
Other43F35COBlue Cross Blue Shield
Other1027347Preferred One
Other2114112First Health Plan
OtherHP32991Health Partners
Other0402865Medica Health Plans
Other1285470Araz Group Americas Ppo

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, Medica, Sanford Health Plan.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

Tamara W Congdon 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 ID4688685787
PECOS Enrollment IDI20060602000179
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 7

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.

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.
191 services82 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
87 services54 patients
Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
68 services36 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.
52 services50 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.
51 services50 patients
Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes 99350
An established patient home visit is a service where a healthcare professional visits a patient's home for a check-up or treatment. The visit typically lasts for about an hour. This service is especially beneficial for patients who may have difficulty traveling to a healthcare facility.
36 services18 patients

Hospital Affiliations CMS Care Compare 2

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

Centracare Health System - Long Prairie

Critical Access Hospitals · Long Prairie, MN
OwnershipVoluntary non-profit - Private
CMS Certification Number241326
Location50 Centracare DriveLong Prairie, MN 56347 · Todd County
Emergency services Birthing friendly

Centracare Health Paynesville Hospital

Critical Access Hospitals · Paynesville, MN
OwnershipVoluntary non-profit - Private
CMS Certification Number241349
Location200 1st Street WestPaynesville, MN 56362 · Stearns County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 56303 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 4

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

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
2 suppliers12 claims12 services$48.17 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$109.33 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$35.00 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
2 suppliers23 claims23 services$19.94 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 20

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

ELIZABETH RENDE
Pediatrics
1200 6TH AVE N
SAINT CLOUD, MN 56303
Stearns County (320) 251-2700
LYNN M WELLNER REGISTERED NURSE
Registered Nurse
1200 6TH AVE N
ST CLOUD, MN 56303
Stearns County (320) 240-2206
BHARATH MANU AKKARA VEETIL MBBS
Internal Medicine (Rheumatology)
1200 6TH AVE N
SAINT CLOUD, MN 56303
Stearns County (320) 252-5131
ABIGAIL HOLMBERG PA
Physician Assistant (Medical)
1200 6TH AVE N
SAINT CLOUD, MN 56303
Stearns County (320) 240-2829
JESSICA HOLLENKAMP CNP
Nurse Practitioner
1200 6TH AVE N
SAINT CLOUD, MN 56303
Stearns County (320) 252-5131
CHRISTINA K ANDERSON MD
Dermatology
1200 6TH AVE N
SAINT CLOUD, MN 56303
Stearns County (320) 252-5131
YAGA SAINE RN, CNP
Nurse Practitioner (Adult Health)
1200 6TH AVE N, CENTRACARE CLINIC
SAINT CLOUD, MN 56303
Stearns County (320) 656-7020
JYH-YAU TSAUR MD
Internal Medicine
1200 6TH AVE N
SAINT CLOUD, MN 56303
Stearns County (320) 252-5131

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 Tamara Congdon's NPI number?

The NPI number for Tamara Congdon is 1144219056. It was assigned to this individual provider in the NPPES registry on October 14, 2005.

Where is Tamara Congdon located?

Tamara Congdon practices at 1200 6th Ave N, Saint Cloud, MN 56303. The listed phone number is (320) 252-5131.

What is Tamara Congdon's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Tamara Congdon enrolled in Medicare?

Yes. Tamara Congdon 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 Tamara Congdon accept?

Health plans from HealthPartners, Medica and Sanford Health Plan list Tamara Congdon 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 Tamara Congdon affiliated with any hospitals?

According to CMS data, Tamara Congdon is affiliated with Centracare Health System - Long Prairie and Centracare Health Paynesville Hospital.

When was this NPI record last updated?

The NPPES record for Tamara Congdon was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 43 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.