Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JOHN P REINSCHMIDT MD
NPI 1023064391
Radiology - Diagnostic Radiology in Sioux Falls, SD

Active since May 26, 2006PECOS EnrolledAccepts Medicare Assignment
77.99/100
CMS Quality Rating
1210 W 18TH ST STE LL03, SIOUX FALLS, SD 57104(605) 328-1410(605) 328-1412 Get Directions Write a Review

NPPES record last updated: October 8, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About John P Reinschmidt Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOHN P REINSCHMIDT MD (NPI 1023064391) is an individual diagnostic radiology provider in Sioux Falls, South Dakota, licensed in South Dakota (5539) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Sanford Sheldon Medical Center, and maintains 5 additional practice locations.

NPPES Registry Identity

NPI1023064391
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameJOHN P REINSCHMIDTCredential: MD
Location Address1210 W 18TH ST STE LL03Sioux Falls, SD 57104-4654
Mailing AddressPo Box 5074Sioux Falls, SD 57117-5074 · (605) 328-6525 · Fax (605) 328-6512
Fax(605) 328-1412
Sole ProprietorNo
Medical School CMSSanford School Of Medicine Of University Of South DakotaGraduated 1996
Enumeration DateMay 26, 2006
Last NPPES UpdateOctober 8, 2026
NPPES CertifiedOctober 8, 2026
✔ NPI 1023064391 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in SD · 5539
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
1210 W 18TH ST STE LL03, Sioux Falls, SD 57104

Secondary Practice Locations 5

Location 16110 S Minnesota AveSioux Falls, SD 57108-2549 · Phone (605) 328-5800 · Fax (605) 312-9031
Location 21309 W 17th St Ste G01Sioux Falls, SD 57104-4664 · Phone (605) 312-3400 · Fax (605) 312-3401
Location 35019 S Western Ave Ste 200Sioux Falls, SD 57108-5155 · Phone (605) 328-9700 · Fax (605) 328-7775
Location 42701 S Kiwanis AveSioux Falls, SD 57105-4252 · Phone (605) 332-2883 · Fax (605) 328-9101
Location 54405 E 26th StSioux Falls, SD 57103-4136 · Phone (605) 328-9000 · Fax (605) 328-9001

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

John P Reinschmidt Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5193764124
PECOS Enrollment IDI20050428001235
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show John Reinschmidt reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Same address
Neuromusculoskeletal Medicine & OMM
1210 W 18TH ST, STE 100
Sioux Falls, SD 57104
  • Reassigned Medicare billing, South Dakota enrollment
  • 826 clinicians in this Medicare group
Family Medicine
1420 W 22NDST STE 104
Sioux Falls, SD 57105
  • Reassigned Medicare billing, South Dakota enrollment
  • 1,097 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 27

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Screening 3d breast mammography 77063
Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.
422 services422 patients
Screening mammography 77067
Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.
422 services422 patients
Screening mammography 77067
Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.
360 services359 patients
Screening 3d breast mammography 77063
Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.
355 services354 patients
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) G0279
Diagnostic digital breast tomosynthesis is a 3D imaging test that allows doctors to examine your breast tissue layer by layer. It's performed on one or both sides. It helps in detecting abnormalities more accurately. It's often done in addition to other tests.
181 services179 patients
X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
165 services155 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Sanford Sheldon Medical Center

Critical Access Hospitals · Sheldon, IA
OwnershipVoluntary non-profit - Private
CMS Certification Number161381
Location118 North 7th AvenueSheldon, IA 51201 · Obrien County
Emergency services

Sanford Worthington Medical Center

Acute Care Hospitals · Worthington, MN
OwnershipVoluntary non-profit - Private
CMS Certification Number240022
Location1018 Sixth Avenue PO Box 997Worthington, MN 56187 · Nobles County
Emergency services Birthing friendly

United Hospital District

Critical Access Hospitals · Blue Earth, MN
OwnershipGovernment - Hospital District or Authority
CMS Certification Number241369
Location515 South Moore StreetBlue Earth, MN 56013 · Faribault County
Emergency services

Sanford Luverne Medical Center

Critical Access Hospitals · Luverne, MN
OwnershipVoluntary non-profit - Private
CMS Certification Number241371
Location1600 N Kniss AvenueLuverne, MN 56156 · Rock County
Emergency services

Sanford Usd Medical Center

Acute Care Hospitals · Sioux Falls, SD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number430027
Location1305 W 18th St Post Office Box 5039Sioux Falls, SD 57117 · Minnehaha County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57104 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.21 typical visit price
range $55.52 – $167.23
Typical copayment $21.30 (range $13.88 – $41.80)
Most-billed visit code 99203
Established Patient
$69.20 typical visit price
range $18.08 – $137.08
Typical copayment $17.30 (range $4.52 – $34.27)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

77.99/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.13
Promoting Interoperability99
Improvement Activities40
Cost47.35

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Radiology (Diagnostic Radiology)
1210 W 18TH ST STE LL03
SIOUX FALLS, SD 57104
Radiology (Diagnostic Radiology)
1210 W 18TH ST STE LL03
SIOUX FALLS, SD 57104
Radiology (Diagnostic Radiology)
1210 W 18TH ST STE LL03
SIOUX FALLS, SD 57104
Radiology (Neuroradiology)
1210 W 18TH ST STE LL03
SIOUX FALLS, SD 57104
Radiology (Diagnostic Radiology)
1210 W 18TH ST STE LL03
SIOUX FALLS, SD 57104
Radiology (Diagnostic Radiology)
1210 W 18TH ST STE LL03
SIOUX FALLS, SD 57104
Radiology (Vascular & Interventional Radiology)
1210 W 18TH ST STE LL03
SIOUX FALLS, SD 57104
Radiology (Neuroradiology)
1210 W 18TH ST STE LL03
SIOUX FALLS, SD 57104

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is John Reinschmidt's NPI number?

The NPI number for John Reinschmidt is 1023064391. It was assigned to this individual provider in the NPPES registry on May 26, 2006.

Where is John Reinschmidt located?

John Reinschmidt practices at 1210 W 18th St Ste Ll03, Sioux Falls, SD 57104. The listed phone number is (605) 328-1410.

What is John Reinschmidt's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is John Reinschmidt enrolled in Medicare?

Yes. John Reinschmidt is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for John Reinschmidt's services?

According to the CMS Revalidation Reassignment List (October 2026 release), John Reinschmidt reassigns Medicare benefits to 2 organizations: Sanford Clinic (Sioux Falls, SD) and Sanford Medical Center (Sioux Falls, SD). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for John Reinschmidt's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does John Reinschmidt accept?

Health plans from Wellmark Health Plan of Iowa, Inc. and Wellmark of South Dakota, Inc. list John Reinschmidt as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is John Reinschmidt affiliated with any hospitals?

According to CMS data, John Reinschmidt is affiliated with Sanford Sheldon Medical Center, Sanford Worthington Medical Center, United Hospital District, Sanford Luverne Medical Center and Sanford Usd Medical Center.

When was this NPI record last updated?

The NPPES record for John Reinschmidt was last updated on October 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.