SANDRA K BIRCHEM D.O.
NPI 1902888241
Internal Medicine - Cardiovascular Disease in Springfield, MO
About Sandra K Birchem D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SANDRA K BIRCHEM D.O. (NPI 1902888241) is an individual cardiovascular disease provider in Springfield, Missouri, licensed in Missouri (2020012043) and active in the NPI registry since November 2005. She is enrolled in Medicare PECOS, is affiliated with St Lukes Regional Medical Center, and maintains 4 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 4
Other Identifiers 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Sandra K Birchem D.o. 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.
Medicare Billing Reassignments
5Medicare enrollment records show Sandra Birchem reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Sioux City, IA 51104
- Reassigned Medicare billing, Iowa enrollment
- 281 clinicians in this Medicare group
Albert Lea, MN 56007
- Reassigned Medicare billing, Iowa enrollment
- 7 clinicians in this Medicare group
Rochester, MN 55905
- Reassigned Medicare billing, Iowa enrollment
- 14 clinicians in this Medicare group
Ashland, OR 97520
- Reassigned Medicare billing, Oregon enrollment
- 181 clinicians in this Medicare group
Medford, OR 97504
- Reassigned Medicare billing, Oregon enrollment
- 311 clinicians in this Medicare group
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 11
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.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
St Lukes Regional Medical Center
Acute Care Hospitals · Sioux City, IABuena Vista Regional Medical Center
Critical Access Hospitals · Storm Lake, IACox Medical Centers
Acute Care Hospitals · Springfield, MOAsante Rogue Regional Medical Center
Acute Care Hospitals · Medford, ORProvidence Medford Medical Center
Acute Care Hospitals · Medford, ORPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 65807 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 12
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SPRINGFIELD, MO 65807
SPRINGFIELD, MO 65807
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 Sandra Birchem's NPI number?
The NPI number for Sandra Birchem is 1902888241. It was assigned to this individual provider in the NPPES registry on November 14, 2005.
Where is Sandra Birchem located?
Sandra Birchem practices at 3800 S National Ave Ste 400, Springfield, MO 65807. The listed phone number is (417) 875-3000.
What is Sandra Birchem's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.
Is Sandra Birchem enrolled in Medicare?
Yes. Sandra Birchem 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.
Which organizations bill Medicare for Sandra Birchem's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sandra Birchem reassigns Medicare benefits to 5 organizations: Northwest Iowa Hospital Corporation (Sioux City, IA), Mayo Clinic Health System-Southeast Minnesota Region (Albert Lea, MN), Mayo Clinic (Rochester, MN), Providence Health & Services - Oregon (Ashland, OR) and Providence Health & Services - Oregon (Medford, OR). Each 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 Sandra Birchem's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Sandra Birchem accept?
Health plans from Oscar Health, Oscar Insurance Company, Sanford Health Plan and Wellmark Health Plan of Iowa, Inc. list Sandra Birchem 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 Sandra Birchem affiliated with any hospitals?
According to CMS data, Sandra Birchem is affiliated with St Lukes Regional Medical Center, Buena Vista Regional Medical Center, Cox Medical Centers, Asante Rogue Regional Medical Center and Providence Medford Medical Center.
When was this NPI record last updated?
The NPPES record for Sandra Birchem was last updated on January 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Sandra K Birchem, D.O. · NPI 1902888241
Cardiovascular Disease physician in Springfield, Missouri. Individual provider, active in the CMS NPPES registry since November 14, 2005.
## Identity
- **NPI:** 1902888241 (Entity type: Individual)
- **Enumerated:** November 14, 2005
- **Primary specialty:** Internal Medicine - Cardiovascular Disease · taxonomy 207RC0000X
- **State license:** 2020012043 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 3800 S NATIONAL AVE STE 400, Springfield, MO 65807-5272
- **Phone:** (417) 875-3000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): Northwest Iowa Hospital Corporation (NPI 1215962550, Sioux City, IA); Mayo Clinic Health System-Southeast Minnesota Region (NPI 1891701637, Albert Lea, MN); Mayo Clinic (NPI 1922074434, Rochester, MN); Providence Health & Services - Oregon (NPI 1174969778, Ashland, OR); Providence Health & Services - Oregon (NPI 1093976243, Medford, OR) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1996
## Record status
- **NPPES last updated:** January 30, 2024
- **Other identifiers:** Other P00224506 (IA); Medicaid 8162016 (IA); Medicaid 200083026 (MO)
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Source: [NPI Profile](https://npiprofile.com/npi/1902888241) · Data from the CMS NPPES public registry.