Active NPI 1144219056 Individual Practitioner Female Practitioner

Dr. Tamara W Congdon , MD

Internal Medicine • Saint Cloud, MN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Tamara Congdon, MD is a certified Internal Medicine practicing in Saint Cloud, MN. With approximately 28 years of clinical experience since graduating from Boston University School Of Medicine in 1998, Dr. Congdon delivers high-quality medical care to the local community at 1200 6TH AVE N.

Dr. Congdon is affiliated with Centracare Clinic and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least, subsequent nursing facility care with high level of medical decision making, per day, if using time, at least, residence visit for established patient with moderate level of medical decision making, per day, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1200 6th Ave N

Saint Cloud, MN 563032735

Telephone 3202525131

Fax 3202402118

Associated Practice Facility / Clinic

🏢 Centracare Clinic Facility NPI 1538696323

Medicare Profile & Education

Medical School

Boston University School Of Medicine

Graduation Year

1998

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Saint Cloud, MN

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

28 Yrs +9.9 yrs vs City Avg

City Avg: 18.1 Yrs

State Avg: 23.6 Yrs

Regional Practice Density

48 Specialists

Practicing in Saint Cloud, MN (2726 Statewide)

Telehealth Adoption Rate

6.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

68.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Congdon (28 Years) 28 Yrs

Saint Cloud Specialty Average (18.1 Years) 18.1 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	191	82	$310.48	$102.83
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	87	54	$446.77	$146.32
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	68	36	$395.16	$121.54
99306 Initial nursing facility visit, typically 45 minutes per day	52	50	$537.31	$173.25
99316 Nursing facility discharge management, more than 30 minutes	51	50	$374.79	$124.53
99350 Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes	36	18	$568.14	$176.68
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	13	11	$230.79	$71.15

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	352	114	$264.19	$103.09
99306 Initial nursing facility visit, typically 45 minutes per day	79	74	$480.93	$175.65
99316 Nursing facility discharge management, more than 30 minutes	61	59	$298.00	$126.16
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	59	29	$388.50	$147.78
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	40	25	$198.09	$71.62

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	230	84	$376.38	$129.53
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	113	53	$255.60	$88.12
99316 Nursing facility discharge management, more than 30 minutes	48	48	$291.53	$100.61
99306 Initial nursing facility visit, typically 45 minutes per day	45	42	$461.69	$159.31

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	288	91	$402.25	$132.27
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	247	100	$270.50	$89.25
99316 Nursing facility discharge management, more than 30 minutes	93	90	$313.50	$102.54
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	79	43	$204.75	$67.39
99306 Initial nursing facility visit, typically 45 minutes per day	66	59	$493.00	$162.61
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	42	42	$385.50	$126.62

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	330	128	$402.25	$133.57
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	276	137	$270.50	$90.68
99316 Nursing facility discharge management, more than 30 minutes	128	121	$313.50	$104.51
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	104	100	$385.50	$128.65
99306 Initial nursing facility visit, typically 45 minutes per day	91	85	$493.00	$165.38
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	72	38	$204.75	$68.46

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	443	187	$261.83	$90.60
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	262	94	$401.77	$134.18
99316 Nursing facility discharge management, more than 30 minutes	165	143	$307.15	$104.52
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	109	104	$372.66	$128.73
99306 Initial nursing facility visit, typically 45 minutes per day	106	88	$491.08	$165.18
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	75	48	$199.25	$68.20
99497 Advance care planning, first 30 minutes	16	15	$248.13	$78.13

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	473	155	$238.40	$89.65
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	145	127	$339.89	$127.33
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	107	51	$181.05	$67.57
99315 Nursing facility discharge day management, 30 minutes or less	98	94	$190.88	$71.05
99316 Nursing facility discharge management, more than 30 minutes	37	35	$275.30	$103.71

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	544	177	$233.29	$89.34
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	153	136	$334.53	$127.18
99315 Nursing facility discharge day management, 30 minutes or less	119	113	$186.90	$71.66
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	102	52	$176.93	$67.42
99316 Nursing facility discharge management, more than 30 minutes	21	21	$270.90	$103.10

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License MN 43888

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

64767800 (MN)

Commercial Insurance / Payer ID Blue Cross Blue Shield

43F35CO

Commercial Insurance / Payer ID Preferred One

1027347

Commercial Insurance / Payer ID First Health Plan

2114112

Commercial Insurance / Payer ID Health Partners

HP32991

Commercial Insurance / Payer ID Medica Health Plans

0402865

Commercial Insurance / Payer ID Ucare

151693

Commercial Insurance / Payer ID Araz Group Americas Ppo

1285470

Hospital & Practice Group Affiliations

Centracare Clinic

1900 Centracare Cir, Saint Cloud, MN 563035000

Phone: 3206543630

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners

Tracy Cousin , CNP

Nurse Practitioner - Neonatal

NPI 1003891144

Certified Nurse Practitioner

Dr. Bharath Manu Akkara Veetil , MBBS

Internal Medicine - Rheumatology

NPI 1023174323

Bachelor of Medicine, Bachelor of Surgery (M.B.B.S.)

Dr. Viorel Gheorghe , MD

Internal Medicine

NPI 1033127287

Doctor of Medicine (M.D.)

Ashley Eisenschenk , FNP

Nurse Practitioner

NPI 1033695101

Family Nurse Practitioner

Jessica Hollenkamp , CNP

Nurse Practitioner

NPI 1043761190

Certified Nurse Practitioner

Dr. Christina Anderson , MD

Dermatology

NPI 1053313692

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 1200 6TH AVE N, SAINT CLOUD, MN 563032735 (Tel: 3202525131)

📍

Updated Business Mailing Address July 08, 2007

Registered at 1200 6TH AVE N, SAINT CLOUD, MN 563032735 (Tel: 3202525131)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as TAMARA CONGDON, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Internal Medicine (License #43888 in MN)

🟢

Initial NPI Registration & Enumeration October 14, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1144219056

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: October 14, 2005

Last Update: July 13, 2026

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1200 6th Ave N

Saint Cloud, MN 563032735

Phone: 3202525131

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.