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Mr. David P Sundberg

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NPI Number Detailed Information

Provider Information:

Name: Mr. David P Sundberg
Gender: M
Provider License Number If Given: R 143972-2

NPI Information:

NPI: 1750693784
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 7/7/2010

Last Update Date: 7/22/2022

Provider Business Mailing Address:

Address: 212 S 4TH ST; STE 200
Grand Forks, ND 58201
Phone Number: 7017572100
Fax Number: 2187454215

Provider Business Practice Location Address:

Address: 212 S 4TH ST; STE 301 - SPECTRA HEALTH
Grand Forks, ND 58201
Phone Number: 7017572100
Fax Number: 2187454215

Provider Taxonomy:

Primary: 363LP2300X
Secondary (if any): 363LP2300X
State: ND

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About Mr. David P Sundberg

Mr. David P Sundberg (MR. DAVID P SUNDBERG ) is Definition Nurse Practitioner Physician in Grand Forks, ND. The NPI Number for Mr. David P Sundberg is 1750693784.
The current location address for Mr. David P Sundberg is 212 S 4TH ST; STE 301 - SPECTRA HEALTH Grand Forks, ND 58201 and the contact number is 7017572100 and fax number is 2187454215. The mailing address for Mr. David P Sundberg is 212 S 4TH ST; STE 200 Grand Forks, ND 58201- 7017572100 (mailing address contact number - 7017572100).
Definition to come...

Provider Business Location on Map

FAQs:

What is the NPI Number for Mr. David P Sundberg ?


Answer: The NPI Number for Mr. David P Sundberg is 1750693784

Where is Mr. David P Sundberg located?


Answer: Mr. David P Sundberg is located at 212 S 4TH ST; STE 301 - SPECTRA HEALTH Grand Forks, ND 58201.

What is the specialty for Mr. David P Sundberg ?


Answer: The Specialty of Mr. David P Sundberg is Definition Nurse Practitioner Physician.

Are there any online reviews for Mr. David P Sundberg ?


Answer: Not yet!

Are there any other health care providers in Grand Forks, ND?


Answer: Yes, there are given below...

Medicare Physician & Other Practitioners

Information on services and procedures provided to Original Medicare (fee-for-service) Part B (Medical Insurance) beneficiaries by Mr. David P Sundberg

Number of HCPCS 27
Number of Medicare Beneficiaries 417
Number of Services 1136
Total Submitted Charge Amount 130742.51
Total Medicare Allowed Amount 35562.08
Total Medicare Payment Amount 24293.93
Total Medicare Standardized Payment Amount 24325.07
Drug Suppress Indicator
Number of HCPCS Associated With Drug Services 0
Number of Medicare Beneficiaries With Drug Services 0
Number of Drug Services 0
Total Drug Submitted Charge Amount 0
Total Drug Medicare Allowed Amount 0
Total Drug Medicare Payment Amount 0
Total Drug Medicare Standardized Payment Amount 0
Medical Suppress Indicator
Number of HCPCS Associated With Medical Services 27
Number of Medicare Beneficiaries With Medical 417
Number of Medical Services 1136
Total Medical Submitted Charge Amount 130742.51
Total Medical Medicare Allowed Amount 35562.08
Total Medical Medicare Payment Amount 24293.93
Total Medical Medicare Standardized Payment Amount 24325.07
Average Age of Beneficiaries 73
Number of Beneficiaries Age Less 65 94
Number of Beneficiaries Age 65 to 74 142
Number of Beneficiaries Age 75 to 84 105
Number of Beneficiaries Age Greater 84 76
Number of Female Beneficiaries 219
Number of Male Beneficiaries 198
Number of Non-Hispanic White Beneficiaries 374
Number of Black or African American Beneficiaries
Number of Asian Pacific Islander Beneficiaries
Number of Hispanic Beneficiaries
Number of American Indian/Alaska Native Beneficiaries 27
Number of Beneficiaries With Race Not Elsewhere Classified
Number of Beneficiaries With Medicare & Medicaid Entitlement 152
Number of Beneficiaries With Medicare Only Entitlement 265
Percent (%) of Beneficiaries Identified With Atrial Fibrillation 0.13
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia 0.14
Percent (%) of Beneficiaries Identified With Asthma 0.06
Percent (%) of Beneficiaries Identified With Cancer 0.1
Percent (%) of Beneficiaries Identified With Heart Failure 0.25
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease 0.45
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease 0.18
Percent (%) of Beneficiaries Identified With Depression 0.29
Percent (%) of Beneficiaries Identified With Diabetes 0.47
Percent (%) of Beneficiaries Identified With Hyperlipidemia 0.56
Percent (%) of Beneficiaries Identified With Hypertension 0.69
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease 0.34
Percent (%) of Beneficiaries Identified With Osteoporosis 0.08
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis 0.37
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders 0.07
Percent (%) of Beneficiaries Identified With Stroke 0.05
Average HCC Risk Score of Beneficiaries 1.6357

Medicare Part D Prescribers

Information on prescription drugs provided to Medicare beneficiaries enrolled in Part D (Prescription Drug Coverage), by physicians and other health care providers, aggregated by provider.

Provider Specialty Type Nurse Practitioner
Source of Provider Specialty
Number of Medicare Part D Claims, Including Refills 81
Number of Standardized 30-Day Fills 84
Aggregate Cost Paid for All Claims 1539.58
Number of Day's Supply for All Claims 1711
Number of Medicare Beneficiaries 46
Number of Claims, Including Refills, for Beneficiaries Age 65+ 55
Including Refills, for Beneficiaries Age 65+ 55
Beneficiaries Age 65+ 883.36
Number of Day's Supply for All Claims for Beneficaries Age 65+ 1010
Number of Medicare Beneficiaries Age 65+ 34
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst *
Total Claims of Brand-Name Drugs
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst
Total Claims of Generic Drugs, Including Refills 75
Aggregate Cost Paid for Generic Drugs 1320.44
Reason for Suppression of Othr_Tot_Clms and Othr_Tot_Drug_Cst #
Total Claims of Other Drugs, Including Refills
Aggregate Cost Paid for Other Drugs
Reason for Suppression of MAPD_Tot_Clmsand MAPD_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by MAPD Plans 21
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans 376
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans 60
Aggregate Cost Paid for Claims Filled by 1163.58
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy 42
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy 883.21
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy 39
by Low-Income Subsidy 656.37
Total Claims of Opioid Drugs, Including
Aggregate Cost Paid for Opioid Drugs
Opioid Claims
Opioid_Tot_Clms divided by the Tot_Clms
Total Claims of Long-Acting Opioid Drugs
Aggregate Cost Paid for Long-Acting Opioid
Number of Day's Supply of All Long-Acting
Long-Acting Opioid Claims
Opioid_LA_Tot_Clms divided by the
Total Claims of Antibiotic Drugs, Including 21
Aggregate Cost Paid for Antibiotic Drugs 259.68
Antibiotic Claims 18
Reason for Suppression of Antpsyct_GE65_Tot_Clms and Antpsyct_GE65_Tot_Drug_Cst
Including Refills, for Beneficiaries Age 65+ 0
Aggregate Cost Paid for AntipsychoticDrugs for Beneficiaries Age 65+ 0
Reason for Suppression of Antpsyct_GE65_Tot_Benes
Number of Medicare Beneficiaries Age 65+Filling Antipsychotic Claims 0
Average Age of Beneficiaries 69.152173913
Number of Beneficiaries Age Less Than 65 12
Number of Beneficiaries Age 65 to 74 21
Number of Beneficiaries Age 75 to 84 13
Number of Female Beneficiaries 25
Number of Male Beneficiaries 21
Number of Non-Hispanic White 42
Number of Black or African American 0
Number of Asian Pacific Islander 0
Number of Hispanic Beneficiaries
Number of American Indian/Alaskan NativeBeneficiaries
Number of Beneficiaries with Race Not 0
Only Entitlement 28
Average Hierarchical Condition Category 1.644664774

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Mr. David P Sundberg in Other Directories

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