Mindy Baccam Southammavong, PA-C
Medical Physician Assistant · Pella, IA
Mindy Baccam Southammavong, PA-C is a medical physician assistant with a practice address in Pella, Iowa, and NPI 1528434859, issued on Aug 20, 2015. Check the license (Iowa 078982, as entered in NPPES) with the Iowa board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Mindy Baccam Southammavong
- Credential
- PA-C
- Primary taxonomy
- Medical Physician Assistant 363AM0700X
- License number
- 078982 IA
Self-reported in NPPES; status is on the state search - Practice location
- 405 Monroe St, Pella, IA 50219
- Phone
- (641) 621-2200
- Enumerated
- Aug 20, 2015
- Record last updated
- May 1, 2017 (not updated in 9 years: call before relying on the address or phone)
- Fax
- (641) 621-2335
- Medicare enrollment
- Enrolled (PECOS I20151027002678); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest medical physician assistant records → All 235 in Iowa → Look up another NPI →
Also registered at 405 Monroe St
A shared address usually means a shared clinic or building; it does not show who employs whom.
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- Russell Bandstra, M.D.Urology Physician1619948098
- Stephen Barnes, D.O.Emergency Medicine Physician1609197573
- Brenda Birdsell, OTROccupational Therapist1780952846
- Mitchell Blom, D.O.Family Medicine Physician1558341917
Verify Mindy Baccam Southammavong in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Iowa board licenses this profession
Search for license 078982Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
81% fewer Medicare Part D claims than the average medical physician assistant in 2024
213 Medicare Part D claims for 171 beneficiaries, against an average of 1,148 among the 23,801 providers of this specialty who prescribed in Part D. Brand-name drugs were 7% of claims.
Most prescribed
- Cephalexin29 claims
- Amoxicillin-Clavulanate Potass27 claims
- Prednisone25 claims
- Doxycycline Monohydrate19 claims
- Nitrofurantoin Mono-Macro18 claims
- Cyclobenzaprine Hcl11 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
The practice group's MIPS final score for 2023 (Medicare payment program): 81.6 of 100
The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).
2 hospitals and group practices
- Pella Regional Health CenterPella, IA · Critical Access Hospitals4 of 5 stars
- Iowa Physicians Clinic Medical FoundationDes Moines, IA
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through); hospitals matched to CMS Hospital General Information (Care Compare) (data.cms.gov). Star ratings are CMS hospital ratings, not ratings of this provider.
Mindy Baccam Southammavong among 235 medical physician assistant records in Iowa
Mindy Baccam Southammavong, PA-C is one of 235 medical physician assistant records with a practice address in Iowa. 77% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2015, is newer than 70% of them.
- NPI issued2015 · 70% of these records are older, 27% newer
- In a Medicare fileYes · 77% of these records are
- In the CMS Doctors and Clinicians fileYes · 61% of these records are
- Graduated2015 · median 2012 among the 144 with a school on file
- Record last updated2017 · 60% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363AM0700X and a Iowa practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
5 medical physician assistant records list a practice address in Pella
They are 5 of the 318 NPPES records with a practice address in Pella, and 235 medical physician assistant records in Iowa.
All 235 in Iowa → Every provider in Pella → Medical Physician Assistant nationwide →
The 8 medical physician assistant records with the nearest ZIP codes
- Karen Emmert, PHYSICIAN ASSISTANTPella, IA 502191720058423
- Jordan Greiner, PA-CPella, IA 502191962885707
- Heather Opseth, PHYSICIAN ASSISTANTPella, IA 502191588928428
- Jennifer Wadle, PA-CPella, IA 502191558339267
- Amy Crane, PACNorwalk, IA 502111255320081
- Jyl Wonnell, PA-CNevada, IA 502011316933856
- Chelsey Pyle, PA-CWest Des Moines, IA 502651942632989
- Laura Alison, PA-CWest Des Moines, IA 502661518343755
Common questions
What is Mindy Baccam Southammavong, PA-C's NPI number?
Mindy Baccam Southammavong, PA-C's National Provider Identifier (NPI) is 1528434859, issued on Aug 20, 2015. An NPI identifies a provider in billing; it is not a license.
Where is Mindy Baccam Southammavong, PA-C located?
The NPPES record lists a practice address at 405 Monroe St, Pella, IA, 50219. Phone: (641) 621-2200. Providers update this record themselves, so call before visiting.
How can I verify Mindy Baccam Southammavong, PA-C's license?
NPPES lists Iowa license number 078982, as entered by the provider. Search the Iowa board that licenses this profession; the NPPES record confirms identity only.
How much does Mindy Baccam Southammavong, PA-C prescribe under Medicare Part D?
In 2024, Mindy Baccam Southammavong, PA-C had 213 Medicare Part D claims for 171 beneficiaries; the average among medical physician assistant prescribers was 1,148. Part D covers Medicare prescriptions only.
What is Mindy Baccam Southammavong, PA-C's MIPS final score?
The 2023 MIPS final score is 81.6 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.