NPI registry status
Active
2026 NPPES data Emergency Medicine Physician NPI 1649435165 DO
Verify on CMS → Krista Birkelo, DO
Emergency Medicine Physician in Spearfish, South Dakota.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 64,463 in Emergency Medicine Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
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)
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Krista Birkelo, DO filed 69 Medicare Part D claims in 2023 as a Emergency Medicine Physician in Spearfish, South Dakota.
- 69
- Part D claims, 2023
- Likely
- board-certified (heuristic)
Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) - no proprietary rating or editorial opinion is applied.
Krista Birkelo, DO's Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2023, across all CMS prescribers nationally
69 0th percentile higher than 0% of 1,370,886 prescribers
Each bar is a band; taller bars hold more prescribers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.
Source CMS Medicare Part D Prescriber Public Use File · 2023
✓
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).
What does the federal data show about Krista Birkelo, DO?
Quality data not reportedPrimary specialty
Emergency Medicine Physician
Medicare Part D claims
69 80% vs specialty avg
Specialty distribution in South Dakota
How Emergency Medicine Physician compares to other specialties among South Dakota providers
Board certification
Not published by CMS
CMS does not publish a per-provider board-certification field in NPPES. PlainDoctor does not have a reliable per-specialty certification rate to show for Emergency Medicine Physician. Verify directly:
How MIPS and board certification work
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 appears in the CMS NPPES registry as an 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.
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%.
Emergency Medicine Physician is a high-volume specialty nationwide, with 64,463 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
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.
64,463
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.
Dr. Benjamin Aaker
MD
Yankton, SD
Dr. Joseph Alex
MD
Sioux Falls, SD
Dr. Reid Allred
M.D.
Madison, SD
Dr. Jeffrey Anderson
MD
Rapid City, SD
Dr. Kevin Aston
DO
Aberdeen, SD
Compare Emergency Medicine Physician nationally: see state-by-state distribution →
Before you book an appointment
Use this federal record as your verification checklist, not as a recommendation.
- Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
- Check the active license and any disciplinary history with the South Dakota medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Emergency Medicine Physician peer on Medicare volume and prescribing patterns. Compare providers
Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.
Healthcare Guides
Learn more about finding, verifying, and understanding healthcare providers.
How to Find a Doctor
Step-by-step guide to choosing a provider
Verify Credentials
Check NPI, board certification & license status
Medical Specialties Explained
Who treats what and how specialties differ
Understanding Medicare Claims Data
What prescribing data reveals about a provider
In-Network vs Out-of-Network
How insurance networks affect your costs
Telehealth Guide
Virtual care options and coverage in 2026
Explore South Dakota
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 64,463 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
View source datasets and methodology notes
- 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
Compiled from official public sources by the PlainDoctor editorial team.
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of May 2026.