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AMY MARGRETA BADBERG M.D.
NPI 1588746515
Family Medicine in Sheldon, IA

Active since October 19, 2006PECOS EnrolledAccepts Medicare Assignment
82.28/100
CMS Quality Rating
800 OAK ST, SHELDON, IA 51201(712) 324-5356(712) 324-6515 Get Directions Write a Review

NPPES record last updated: March 25, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 15, 2021, Sep 14, 2020 (2 updates tracked since 2020).

About Amy Margreta Badberg M.d. NPPES

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

AMY MARGRETA BADBERG M.D. (NPI 1588746515) is an individual family medicine provider in Sheldon, Iowa, licensed in Iowa (33639) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS, is affiliated with Sanford Sheldon Medical Center, and is a graduate of University Of Nebraska College Of Medicine (1999).

NPPES Registry Identity

NPI1588746515
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameAMY MARGRETA BADBERGCredential: M.D.
Location Address800 OAK STSheldon, IA 51201-1242
Mailing AddressPo Box 5074Sioux Falls, SD 57117-5074 · (605) 328-6585 · Fax (605) 328-9802
Phone(712) 324-5356
Fax(712) 324-6515
Sole ProprietorNo
Medical School CMSUniversity Of Nebraska College Of MedicineGraduated 1999
Enumeration DateOctober 19, 2006
Last NPPES UpdateMarch 25, 20222 updates tracked since enumeration
NPPES CertifiedMarch 25, 2022
✔ NPI 1588746515 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IA · 33639
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.
800 OAK ST, Sheldon, IA 51201
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Other Identifiers 3

Medicaid0638593IA
Medicaid0254656IA
Medicaid2197764IA

Accepted Insurance

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

Amy Margreta Badberg M.d. 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 ID4183723588
PECOS Enrollment IDI20070626000603
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 hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
78 services19 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.
39 services28 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
27 services23 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
23 services19 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
17 services15 patients
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180
This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.
13 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Sanford Sheldon Medical Center

Critical Access Hospitals · Sheldon, IA
OwnershipVoluntary non-profit - Private
CMS Certification Number161381
Location118 North 7th AvenueSheldon, IA 51201 · Obrien County
Emergency services

Sanford Usd Medical Center

Acute Care Hospitals · Sioux Falls, SD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number430027
Location1305 W 18th St Post Office Box 5039Sioux Falls, SD 57117 · Minnehaha County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 51201 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

82.28/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality88.81
Promoting Interoperability99
Improvement Activities40
Cost52.95

Referred Medical Equipment & Supplies CMS DME claims 8

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
7 suppliers73 claims107 services$5.89 avg. paid by Medicare
Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4035
Other-Enteral and Parenteral · category OB006N
1 supplier23 claims697 services$7.56 avg. paid by Medicare
Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4150
Other-Enteral and Parenteral · category OB006N
1 supplier11 claims4,763 services$0.48 avg. paid by Medicare
Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4152
Other-Enteral and Parenteral · category OB006N
1 supplier12 claims5,445 services$0.39 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
2 suppliers11 claims11 services$57.73 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 supplier19 claims19 services$119.33 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.

DR. SCOTT ALAN LICHTY M.D.
Family Medicine
800 OAK ST
SHELDON, IA 51201
O'Brien County (712) 324-5356
JOSEPHINE MARTINA DUNN JUNIUS MD
Family Medicine
800 OAK ST
SHELDON, IA 51201
O'Brien County (712) 324-5356
MIA I TURGEON APRN
Nurse Practitioner (Family)
800 OAK ST
SHELDON, IA 51201
O'Brien County (712) 324-5356
NICOLE VOIGT
Nurse Practitioner (Family)
800 OAK ST
SHELDON, IA 51201
O'Brien County (712) 324-5356
RACHEL MARIE ACKERMAN NP
Nurse Practitioner (Family)
800 OAK ST
SHELDON, IA 51201
O'Brien County (712) 324-5356
JACK EDWARD MYERS P.A.
Physician Assistant
800 OAK ST
SHELDON, IA 51201
O'Brien County (712) 324-5356
MR. DAVID R MONTNEY CRNA
Nurse Anesthetist, Certified Registered
800 OAK ST
SHELDON, IA 51201
O'Brien County (712) 324-5356
KENDRA CHIANNE BOS PA-C
Physician Assistant
800 OAK ST
SHELDON, IA 51201
O'Brien County (712) 324-5356

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 Amy Badberg's NPI number?

The NPI number for Amy Badberg is 1588746515. It was assigned to this individual provider in the NPPES registry on October 19, 2006.

Where is Amy Badberg located?

Amy Badberg practices at 800 Oak St, Sheldon, IA 51201. The listed phone number is (712) 324-5356.

What is Amy Badberg's specialty?

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

Is Amy Badberg enrolled in Medicare?

Yes. Amy Badberg 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 Amy Badberg accept?

Health plans from HealthPartners, Medica, Sanford Health Plan and Security Health Plan list Amy Badberg 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 Amy Badberg affiliated with any hospitals?

According to CMS data, Amy Badberg is affiliated with Sanford Sheldon Medical Center and Sanford Usd Medical Center.

When was this NPI record last updated?

The NPPES record for Amy Badberg was last updated on March 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.