2026 NPPES data Emergency Medicine Physician NPI 1649435165 DO
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KRISTA BIRKELO, DO

Emergency Medicine Physician in SPEARFISH, South Dakota. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
69
Medicare Part D claims · 51 beneficiaries · Emergency Medicine Physician avg: 352
Industry payments
$19.94
1 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: KRISTA BIRKELO, DO is a Emergency Medicine Physician ([object Object]) practicing in SPEARFISH, South Dakota with a Medicare Part D prescribing footprint of 69 claims across 51 beneficiaries . Industry payments of $19.94 across 1 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: KRISTA BIRKELO, DO filed 69 Medicare Part D claims in 2023 across SPEARFISH, South Dakota. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

KRISTA BIRKELO, DO practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 2 hospital affiliations — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

KRISTA BIRKELO, DO at a glance

Quality data not reported

NPI registry status

Active

Issued 07/24/2008

NPI 1649435165

Primary specialty

Emergency Medicine Physician

High-volume

64,398 US NPIs in this specialty

Medicare Part D claims

69 80% vs specialty avg

2023 prescription claims

Specialty avg: 352

Specialty distribution in South Dakota

How Emergency Medicine Physician compares to other specialties among South Dakota providers

South Dakota providers

Emergency Medicine Physician share within South Dakota

1. Emergency Medicine Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Emergency Medicine Physician share within South Dakota

Specialty board-certification context

Estimated specialty board-certified rate — Emergency Medicine Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Emergency Medicine Physician ABMS/AOA estimate

Est. board-certified rate (Emergency Medicine Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Emergency Medicine Physician) — ABMS / AOA estimate

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

KRISTA BIRKELO, DO is a Emergency Medicine Physician provider practicing in SPEARFISH, South Dakota, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: DO. NPI: 1649435165. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

KRISTA BIRKELO, DO appears in the CMS NPPES registry as a Emergency Medicine Physician provider holding DO credentials at 1440 N MAIN ST, SPEARFISH, SD, 57783, with a listed phone of (605) 644-4004. NPI 1649435165 was issued on 07/24/2008. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BIRKELO most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 69 prescription claims written by this provider, covering 51 Medicare beneficiaries and totaling roughly $977 in drug spend, with an opioid prescribing rate of 15.9%. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy.

Emergency Medicine Physician is a high-volume specialty nationwide, with 64,398 enrolled providers across 56 states and an average of 352 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

1440 N MAIN ST
SPEARFISH, SD 57783

Provider Details

NPI 1649435165
Specialty Emergency Medicine Physician
Credentials DO
Gender Female
NPI Issued 07/24/2008

Hospital and facility affiliations

Facilities where KRISTA BIRKELO, DO bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

CMSC LLC
GREAT FALLS, MT
SCL HEALTH MEDICAL GROUP-BUTTE LLC
BUTTE, MT

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Industry payments received (2024) — CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for KRISTA BIRKELO, DO. Source: openpaymentsdata.cms.gov.

Total received

$20

Largest payer

Nevro Corp.

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias — they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

69
Total Claims
$977
Total Drug Cost
51
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
73
Total Day Supply
852
Generic Drug Cost
$799
Opioid Claims
11 (15.9% rate)
Antibiotic Claims
24

Patient Demographics

Average Patient Age
72.8 years
Avg HCC Risk Score
1.23
Gender Split
59% female / 41% male

Emergency Medicine Physician Overview

How KRISTA BIRKELO, DO fits within the Emergency Medicine Physician landscape nationally.

64,398
Emergency Medicine Physician Providers in US
56
States with Emergency Medicine Physician
352
Avg Claims per Provider

KRISTA BIRKELO, DO's 69 claims are below the specialty average of 352.

Nearby Emergency Medicine Physician Providers in South Dakota

Other clinicians with the same primary specialty enrolled in South Dakota, drawn from the same CMS NPPES roster as BIRKELO.

Compare Emergency Medicine Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is KRISTA BIRKELO, DO's specialty?
KRISTA BIRKELO, DO specializes in Emergency Medicine Physician and practices in SPEARFISH, South Dakota. Credentials: DO.
How much does KRISTA BIRKELO, DO prescribe under Medicare Part D?
In 2023, KRISTA BIRKELO, DO wrote 69 Medicare Part D claims totaling $977 in drug costs for 51 beneficiaries.
Where is KRISTA BIRKELO, DO located?
KRISTA BIRKELO, DO is located at 1440 N MAIN ST, SPEARFISH, SD, 57783. Phone: (605) 644-4004.
What is KRISTA BIRKELO, DO's NPI number?
KRISTA BIRKELO, DO's National Provider Identifier (NPI) is 1649435165, issued on 07/24/2008.
Does KRISTA BIRKELO, DO prescribe opioids?
Yes, KRISTA BIRKELO, DO had 11 opioid claims in 2023 with an opioid prescribing rate of 15.9%.
How many Emergency Medicine Physician providers are there in the US?
There are 64,398 Emergency Medicine Physician providers across 56 states in the US. The average Emergency Medicine Physician provider writes 352 Medicare Part D claims per year.
Does KRISTA BIRKELO, DO accept Medicare?
KRISTA BIRKELO, DO appears in CMS Medicare data with 69 Part D claims and 51 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify KRISTA BIRKELO, DO's credentials?
KRISTA BIRKELO, DO's NPI is 1649435165 with credentials DO. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology