Doctor profile · Federal record
Dr. KELSEY BIERDEMAN, MD
Family Medicine Physician (CMS: FAMILY PRACTICE) · Family Medicine Physician · Student in an Organized Health Care Education/Training Program · ROCKFORD, IL
- NPI 1902339591
- Accepts Medicare
- MIPS 75.0 / 100 · 2023
- 9 yrs in practice
- Licensed in 2 states
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
6824 NEWBURG RD
ROCKFORD, IL 611084330
(779) 696-7610 - Mailing address
-
PO BOX 78866
MILWAUKEE, WI 532788866
Credentials & registration
- NPI registered
- April 2017 — 9 yrs on file
- Profile last updated
- March 2, 2021
- Year of graduation
- 2017 — 9 yrs since
- Specialty taxonomy
- 207Q00000X — NUCC code
- State licenses (2)
- Illinois #036.151903 · Wisconsin #70434
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1902339591. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
1,004
Distinct HCPCS
10
Medicare allowed
$81,341
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 365 | 207 | $123 | |
36415 |
Insertion of needle into vein for collection of blood sample | 278 | 153 | $8 | |
G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 96 | 96 | $124 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 48 | 45 | $87 | |
G0008 |
Administration of influenza virus vaccine | 42 | 42 | $30 | |
90662 |
Influenza vaccine split virus, preservative free | 39 | 39 | $70 | |
99211 |
Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional | 25 | 18 | $22 | |
G0009 |
Administration of pneumococcal vaccine | 25 | 25 | $30 | |
99495 |
Transitional care management services for problem of at least moderate complexity | 24 | 23 | $196 | |
90677 |
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 22 | 22 | $281 |
In context: peer comparison
Among 33 peers in this city , average services per provider: 165. This provider delivers 6.1× the peer median.Open Payments
Industry payments received
All-time total
$125
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Lilly USA, LLC | 1 | $124.99 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
3,137
Patients
951
Total drug cost
$187,285
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Atorvastatin Calcium | Generic | 590 | 182 | $5,993 |
| Levothyroxine Sodium | Generic | 287 | 79 | $3,084 |
| Amlodipine Besylate | Generic | 285 | 87 | $2,338 |
| Losartan Potassium | Generic | 271 | 86 | $2,941 |
| Lisinopril | Generic | 258 | 75 | $1,944 |
| Metformin Hcl | Generic | 200 | 53 | $1,623 |
| Simvastatin | Generic | 185 | 51 | $1,720 |
| Omeprazole | Generic | 178 | 61 | $2,130 |
| Rosuvastatin Calcium | Generic | 162 | 48 | $2,639 |
| Hydrochlorothiazide | Generic | 152 | 51 | $812 |