MS. KRISTA BREE BIRKELO DO
NPI 1649435165
Emergency Medicine in Spearfish, SD

Active since July 24, 2008PECOS EnrolledAccepts Medicare Assignment
1440 N MAIN ST, SPEARFISH, SD 57783(605) 644-4004(605) 644-4006 Get Directions Write a Review

NPPES record last updated: June 15, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Ms. Krista Bree Birkelo Do NPPES

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

MS. KRISTA BREE BIRKELO DO (NPI 1649435165) is an individual emergency medicine provider in Spearfish, South Dakota, licensed in South Dakota (1359) and active in the NPI registry since July 2008. She is enrolled in Medicare PECOS, is affiliated with Steele Memorial Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1649435165
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameMS. KRISTA BREE BIRKELOCredential: DO
Location Address1440 N MAIN STSpearfish, SD 57783-1505
Mailing Address353 Fairmont Blvd, Atten Medical Staff ServicesRapid City, SD 57701-6000 · (605) 719-7109 · Fax (605) 719-1027
Fax(605) 644-4006
Sole ProprietorNo
Medical School CMSWest Virginia School Of Osteopathic MedicineGraduated 2008
Enumeration DateJuly 24, 2008
Last NPPES UpdateJune 15, 2023
NPPES CertifiedJune 15, 2023
NPI 1649435165 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses Licensed in SD · 1359 Licensed in MT · MED-PHYS-LIC-91650
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 0116020853 (VA)
1440 N MAIN ST, Spearfish, SD 57783

Secondary Practice Locations 2

Location 1500 W Broadway StMissoula, MT 59802-4008 · Phone (406) 329-5635
Location 26 13th Ave EPolson, MT 59860-5315 · Phone (406) 883-5680

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

Ms. Krista Bree Birkelo Do 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 ID2163695842
PECOS Enrollment IDI20210907002078
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 4

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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
35 services34 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.
25 services25 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
20 services20 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
13 services13 patients

Hospital Affiliations CMS Care Compare 5

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

Steele Memorial Medical Center

Critical Access Hospitals · Salmon, ID
OwnershipGovernment - Local
CMS Certification Number131305
LocationP O Box 700Salmon, ID 83467 · Lemhi County
Emergency services

St James Healthcare

Acute Care Hospitals · Butte, MT
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number270017
Location400 S Clark StButte, MT 59701 · Silver Bow County
Emergency services Birthing friendly

Great Falls Clinic Hospital

Acute Care Hospitals · Great Falls, MT
5/5 CMS rating
OwnershipProprietary
CMS Certification Number270086
Location3010 15th Avenue SouthGreat Falls, MT 59405 · Cascade County
Emergency services

Providence St Joseph Medical Center

Critical Access Hospitals · Polson, MT
OwnershipVoluntary non-profit - Private
CMS Certification Number271343
Location6 13th Ave EPolson, MT 59860 · Lake County
Emergency services Birthing friendly

Holy Rosary Healthcare

Critical Access Hospitals · Miles City, MT
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number271347
Location2600 Wilson StMiles City, MT 59301 · Custer County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57783 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
$85.21 typical visit price
range $55.52 – $167.23
Typical copayment $21.30 (range $13.88 – $41.80)
Most-billed visit code 99203
Established Patient
$97.88 typical visit price
range $18.08 – $137.08
Typical copayment $24.47 (range $4.52 – $34.27)
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 20

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

Physical Therapist
1440 N MAIN ST
SPEARFISH, SD 57783
General Acute Care Hospital
1440 N MAIN ST
SPEARFISH, SD 57783
Dietitian, Registered
1440 N MAIN ST
SPEARFISH, SD 57783
Nurse Anesthetist, Certified Registered
1440 N MAIN ST
SPEARFISH, SD 57783
Registered Nurse (Lactation Consultant)
1440 N MAIN ST
SPEARFISH, SD 57783
Physical Therapist
1440 N MAIN ST
SPEARFISH, SD 57783
Dietitian, Registered
1440 N MAIN ST
SPEARFISH, SD 57783
Physical Therapist
1440 N MAIN ST
SPEARFISH, SD 57783

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 Krista Birkelo's NPI number?

The NPI number for Krista Birkelo is 1649435165. It was assigned to this individual provider in the NPPES registry on July 24, 2008.

Where is Krista Birkelo located?

Krista Birkelo practices at 1440 N Main St, Spearfish, SD 57783. The listed phone number is (605) 644-4004.

What is Krista Birkelo's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Krista Birkelo enrolled in Medicare?

Yes. Krista Birkelo 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 Krista Birkelo accept?

Health plans from Avera Health Plans, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Montana, Medica and Oscar Insurance Company and 2 other insurers list Krista Birkelo 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 Krista Birkelo affiliated with any hospitals?

According to CMS data, Krista Birkelo is affiliated with Steele Memorial Medical Center, St James Healthcare, Great Falls Clinic Hospital, Providence St Joseph Medical Center and Holy Rosary Healthcare.

When was this NPI record last updated?

The NPPES record for Krista Birkelo was last updated on June 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.