Krista Birkelo, DO
NPI 1649435165 · Emergency Medicine Physician · Spearfish, SD
Enrolled with Medicare as Practitioner - Emergency Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Krista Birkelo, DO is a Emergency Medicine Physician provider in Spearfish, SD (NPI 1649435165).
Provider details
- NPI number
- 1649435165
- Entity type
- Individual
- Primary specialty
- Emergency Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Female
- Sole proprietor
- No
- License
- MED-PHYS-LIC-91650 (MT)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Student, Health Care
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
17 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
3 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
93 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Emergency Department Visit With Moderate Level of Medical Decision Making99284 | 35 | $114 |
| Routine Electrocardiogram (ecg) Using at Least 12 Leads With Interpretation and Report Only93010 | 25 | $8 |
| Emergency Department Visit With Low Level of Medical Decision Making99283 | 20 | $67 |
| Emergency Department Visit With High Level of Medical Decision Making99285 | 13 | $164 |
Typical Medicare-allowed amounts for these services range $8–$164 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 3 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Hydrocodone/Acetaminophenbrand: Hydrocodone-Acetaminophen | 14 | 14 |
| Methylprednisolone | 11 | 11 |
| Ondansetronbrand: Ondansetron Odt | 11 | — |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means no Part D record, never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$20 across 1 record (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (2)
- 500 W Broadway StMissoula, MT 59802-4008Phone: (406) 329-5635
- 6 13th Ave EPolson, MT 59860-5315Phone: (406) 883-5680
Registry dates
- Enumerated
- 2008-07-24
- Last updated
- 2023-06-15
- Certified
- 2023-06-15
Frequently asked questions
- What is Krista Birkelo's NPI number?
- Krista Birkelo's National Provider Identifier (NPI) is 1649435165, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Krista Birkelo's specialty?
- Krista Birkelo is listed in the NPPES registry with a primary specialty of Emergency Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Krista Birkelo located?
- Krista Birkelo's practice location on file with NPPES is 1440 N Main St, Spearfish, SD 57783-1505.
- What is Krista Birkelo's phone number?
- The practice phone number listed in the NPPES registry for Krista Birkelo is (605) 644-4004.
- Does Krista Birkelo accept Medicare?
- Krista Birkelo is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Krista Birkelo's NPI active?
- Yes — Krista Birkelo's NPI (1649435165) is active in the NPPES registry as of the last update on 2023-06-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.