Erica Lynne Ibendahl, M.D.
NPI 1134483514ActiveIndividual· Surgery· Columbia, MO
Surgery (M.D.) with Physician Services Corporation of Southern Illinois Inc, practicing in Columbia, Missouri. 173 Medicare patients in 2024, $48,492 paid; nearly all of their 54 Part D prescriptions were generic (94%). Lists Good Samaritan Regional Hlth Center and 1 other hospital as hospital affiliations.
Overview
| NPI | 1134483514 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | Yes |
| NPI issued | Jun 29, 2012 |
| Last updated in NPPES | Oct 22, 2020 |
| Certified by provider | Oct 22, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery Primary | 208600000X | 2012017823 | MO |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - General Surgery (IL) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 173 |
|---|---|
| Services billed | 338 across 50 procedure codes |
| Paid by Medicare | $48,492 |
Part D prescriptions in 2024
| Prescriptions (claims) | 54 · 64 30-day fills |
|---|---|
| Patients | 18 |
| Total drug cost | $1,298 |
| Generic share | 94% of claims |
Education and affiliations
| Graduation year | 2012 |
|---|---|
| Medicare specialty | General Surgery |
Medical group
- Physician Services Corporation of Southern Illinois IncSalem, IL · 120 clinicians
Hospital affiliations
- Good Samaritan Regional Hlth CenterMount Vernon, IL
- Ssm Health St Mary's Hospital -CentraliaCentralia, IL
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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