SANDRA K BIRCHEM D.O.
NPI 1902888241
Internal Medicine - Cardiovascular Disease in Springfield, MO

Active since November 14, 2005PECOS EnrolledAccepts Medicare Assignment
3800 S NATIONAL AVE STE 400, SPRINGFIELD, MO 65807(417) 875-3000 Get Directions Write a Review

NPPES record last updated: January 30, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 7, 2022, Jul 7, 2021, Oct 26, 2020 and 3 more (6 updates tracked since 2019).

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

NPI1902888241
Entity TypeIndividualFemale
Primary Taxonomy207RC0000X
Provider Legal NameSANDRA K BIRCHEMCredential: D.O.
Location Address3800 S NATIONAL AVE STE 400Springfield, MO 65807-5272
Mailing AddressPo Box 802843Kansas City, MO 64180-2843
Sole ProprietorNo
Medical School CMSOtherGraduated 1996
Enumeration DateNovember 14, 2005
Last NPPES UpdateJanuary 30, 20246 updates tracked since enumeration
NPPES CertifiedJanuary 30, 2024
NPI 1902888241 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
Licenses Licensed in MO · 2020012043 Licensed in MN · 48571
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Also ListedFamily MedicineTaxonomy 207Q00000X · License 03102 (IA)
3800 S NATIONAL AVE STE 400, Springfield, MO 65807

Secondary Practice Locations 4

Location 11000 4th St SWMason City, IA 50401-2800 · Phone (641) 428-6999 · Fax (641) 428-6678
Location 23801 S National AveSpringfield, MO 65807-5210 · Phone (417) 875-3000
Location 3200 1st St SWROCHESTER, MN 55905-0001 · Phone (507) 284-2511
Location 4404 W Fountain StAlbert Lea, MN 56007-2437 · Phone (507) 373-2384

Other Identifiers 3

OtherP00224506IA · Railroad Medicare
Medicaid8162016IA
Medicaid200083026MO

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

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.

PECOS PAC ID3779530720
PECOS Enrollment IDI20050401000721, I20221116002234
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 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.

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.
198 services187 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
126 services125 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.
60 services60 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
34 services34 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
33 services33 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.
29 services29 patients

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, IA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number160146
Location2720 Stone Park BoulevardSioux City, IA 51104 · Woodbury County
Emergency services Birthing friendly

Cox Medical Centers

Acute Care Hospitals · Springfield, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260040
Location3801 South National AvenueSpringfield, MO 65807 · Greene County
Emergency services Birthing friendly

Cox Barton County Hospital

Critical Access Hospitals · Lamar, MO
OwnershipGovernment - Local
CMS Certification Number261325
Location29 NW 1st LaneLamar, MO 64759 · Barton County
Emergency services

Cox Monett Hospital

Critical Access Hospitals · Monett, MO
OwnershipVoluntary non-profit - Private
CMS Certification Number261329
Location1000 E Us Highway 60Monett, MO 65708 · Barry County
Emergency services Birthing friendly

Providence Medford Medical Center

Acute Care Hospitals · Medford, OR
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number380075
Location1111 Crater Lake AvenueMedford, OR 97504 · Jackson County
Emergency services Birthing friendly

Physician 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.

New Patient
$121.96 typical visit price
range $52.28 – $161.24
Typical copayment $30.49 (range $13.07 – $40.31)
Most-billed visit code 99204
Established Patient
$65.71 typical visit price
range $16.30 – $131.05
Typical copayment $16.42 (range $4.07 – $32.76)
Most-billed visit code 99213
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 13

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

Nurse Practitioner (Family)
3800 S NATIONAL AVE STE 400
SPRINGFIELD, MO 65807
Thoracic Surgery (Cardiothoracic Vascular Surgery)
3800 S NATIONAL AVE STE 400
SPRINGFIELD, MO 65807
Nurse Practitioner
3800 S NATIONAL AVE STE 400
SPRINGFIELD, MO 65807
Physician Assistant
3800 S NATIONAL AVE STE 400
SPRINGFIELD, MO 65807
Internal Medicine
3800 S NATIONAL AVE STE 400
SPRINGFIELD, MO 65807
Thoracic Surgery (Cardiothoracic Vascular Surgery)
3800 S NATIONAL AVE STE 400
SPRINGFIELD, MO 65807
Nurse Practitioner (Family)
3800 S NATIONAL AVE STE 400
SPRINGFIELD, MO 65807
Nurse Practitioner
3800 S NATIONAL AVE STE 400
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.

What insurance does Sandra Birchem accept?

Health plans from Avera Health Plans, BridgeSpan Health Company, Cox HealthPlans, Medica and Oscar Insurance Company and 2 other insurers 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, Cox Medical Centers, Cox Barton County Hospital, Cox Monett Hospital 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.