DR. EMILY URBANIAK MD
NPI 1063031235
Family Medicine in Spearfish, SD
About Dr. Emily Urbaniak Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. EMILY URBANIAK MD (NPI 1063031235) is an individual family medicine provider in Spearfish, South Dakota, licensed in South Dakota (14555) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS, is affiliated with Monument Health Spearfish Hospital, and is a graduate of Sanford School Of Medicine Of University Of South Dakota (2019).
NPPES Registry Identity
Specialties & Licenses
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
Dr. Emily Urbaniak 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.
Medicare Billing Reassignment
Medicare enrollment records show Emily Urbaniak reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Spearfish, SD 57783
- Reassigned Medicare billing, South Dakota enrollment
- 321 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 7
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.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Monument Health Spearfish Hospital
Acute Care Hospitals · Spearfish, SDMonument Health Rapid City Hospital
Acute Care Hospitals · Rapid City, SDMonument Health Lead-Deadwood Hospital
Critical Access Hospitals · Deadwood, SDMonument Health Sturgis Hospital
Critical Access Hospitals · Sturgis, SDCampbell County Health
Acute Care Hospitals · Gillette, WYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 57783 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Emily Urbaniak's NPI number?
The NPI number for Emily Urbaniak is 1063031235. It was assigned to this individual provider in the NPPES registry on April 8, 2020.
Where is Emily Urbaniak located?
Emily Urbaniak practices at 1420 N 10th St, Spearfish, SD 57783. The listed phone number is (605) 717-8595.
What is Emily Urbaniak's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Emily Urbaniak enrolled in Medicare?
Yes. Emily Urbaniak 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 organization bills Medicare for Emily Urbaniak's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Emily Urbaniak reassigns Medicare benefits to Monument Health Network, Inc. (Spearfish, SD). The 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 Emily Urbaniak's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Emily Urbaniak accept?
Health plans from Avera Health Plans, Oscar Insurance Company, Sanford Health Plan, UnitedHealthcare and Wellmark of South Dakota, Inc. list Emily Urbaniak 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 Emily Urbaniak affiliated with any hospitals?
According to CMS data, Emily Urbaniak is affiliated with Monument Health Spearfish Hospital, Monument Health Rapid City Hospital, Monument Health Lead-Deadwood Hospital, Monument Health Sturgis Hospital and Campbell County Health.
When was this NPI record last updated?
The NPPES record for Emily Urbaniak was last updated on July 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.
# Dr. Emily Urbaniak, MD · NPI 1063031235
Family Medicine physician in Spearfish, South Dakota. Individual provider, active in the CMS NPPES registry since April 8, 2020.
## Identity
- **NPI:** 1063031235 (Entity type: Individual)
- **Enumerated:** April 8, 2020
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 14555 (South Dakota)
- **Sole proprietor:** No
## Practice location
- **Address:** 1420 N 10TH ST, Spearfish, SD 57783-1555
- **Phone:** (605) 717-8595
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Monument Health Network, Inc. (NPI 1578942496, Spearfish, SD), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Sanford School Of Medicine Of University Of South Dakota, class of 2019
## Record status
- **NPPES last updated:** July 14, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1063031235) · Data from the CMS NPPES public registry.