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AMBER BILLUPS M.D.
NPI 1144755786
Family Medicine in Spencer, IA

Active since April 20, 2017PECOS Enrolled
101 E 10TH ST, SPENCER, IA 51301(712) 264-3500 Get Directions Write a Review

NPPES record last updated: August 18, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 18, 2026, Apr 11, 2022, Apr 20, 2017 (3 updates tracked since 2017).

About Amber Billups M.d. NPPES

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

AMBER BILLUPS M.D. (NPI 1144755786) is an individual family medicine provider in Spencer, Iowa, licensed in South Dakota (12196) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS, is affiliated with Spencer Municipal Hospital, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1144755786
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameAMBER BILLUPSCredential: M.D.
Location Address101 E 10TH STSpencer, IA 51301-4307
Mailing Address101 E 10th StSpencer, IA 51301-4307 · (712) 264-3500
Phone(712) 264-3500
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateApril 20, 2017
Last NPPES UpdateAugust 18, 20263 updates tracked since enumeration
NPPES CertifiedAugust 18, 2026
✔ NPI 1144755786 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in SD · 12196✔ Licensed in IA · MD-46575
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 ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
101 E 10TH ST, Spencer, IA 51301
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amber Billups M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID941667257
PECOS Enrollment IDI20230601000584
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.

Medicare Billing Reassignment

Medicare enrollment records show Amber Billups reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Spencer Municipal Hospital
0.1 mi
Family Medicine
101 E 10TH ST, SUITE 101
Spencer, IA 51301
  • Reassigned Medicare billing, Iowa enrollment
  • 176 clinicians in this Medicare group
NPI 1780062273 (712) 264-3500

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 6

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.

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.
387 services160 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
68 services51 patients
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit G0438
An annual wellness visit is a yearly appointment with your doctor to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's an opportunity to discuss your health status and goals and get a plan tailored for you.
43 services43 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.
41 services41 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
21 services20 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.
18 services18 patients

Hospital Affiliations CMS Care Compare 2

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

Spencer Municipal Hospital

Acute Care Hospitals · Spencer, IA
5/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number160112
Location1200 1st Avenue EastSpencer, IA 51301 · Clay County
Emergency services Birthing friendly

Avera Mckennan Hospital & University Health Center

Acute Care Hospitals · Sioux Falls, SD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number430016
Location1325 S Cliff AveSioux Falls, SD 57117 · Minnehaha County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 51301 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
$81.84 typical visit price
range $52.96 – $161.40
Typical copayment $20.46 (range $13.24 – $40.35)
Most-billed visit code 99203
Established Patient
$94.05 typical visit price
range $16.91 – $131.98
Typical copayment $23.51 (range $4.22 – $32.99)
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.

Other Providers at the Same Location NPPES 5

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

SPENCER MUNICIPAL HOSPITAL
Family Medicine
101 E 10TH ST, SUITE 101
SPENCER, IA 51301
Clay County (712) 264-3500
DR. CHRISTIAN LYNN KLADSTRUP DO
Family Medicine
101 E 10TH ST
SPENCER, IA 51301
Clay County (712) 264-3591
SPENCER MUNICIPAL HOSPITAL
Home Health
101 E 10TH ST
SPENCER, IA 51301
Clay County (712) 264-6380
SPENCER MUNICIPAL HOSPITAL
Clinic/Center
101 E 10TH ST, SUITE 208
SPENCER, IA 51301
Clay County (712) 264-6189
SPENCER MUNICIPAL HOSPITAL
Hospice Care, Community Based
101 E 10TH ST
SPENCER, IA 51301
Clay County (712) 264-6380

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 Amber Billups's NPI number?

The NPI number for Amber Billups is 1144755786. It was assigned to this individual provider in the NPPES registry on April 20, 2017.

Where is Amber Billups located?

Amber Billups practices at 101 E 10th St, Spencer, IA 51301. The listed phone number is (712) 264-3500.

What is Amber Billups's specialty?

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

Is Amber Billups enrolled in Medicare?

Yes. Amber Billups is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Amber Billups's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amber Billups reassigns Medicare benefits to Spencer Municipal Hospital (Spencer, IA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Amber Billups's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Amber Billups accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and Avera Health Plans and 2 other insurers list Amber Billups 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 Amber Billups affiliated with any hospitals?

According to CMS data, Amber Billups is affiliated with Spencer Municipal Hospital and Avera Mckennan Hospital & University Health Center.

When was this NPI record last updated?

The NPPES record for Amber Billups was last updated on August 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.