DR. CRAIG ROBERT NEMECHEK MD
NPI 1063508331
Surgery in Dakota Dunes, SD

Q: What is Craig Nemechek's NPI number?

The NPI number for Craig Nemechek is 1063508331. It was assigned to this individual provider in the NPPES registry on October 5, 2006.

Q: What is Craig Nemechek's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Q: When was this NPI record last updated?

The NPPES record for Craig Nemechek was last updated on December 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.

Active since October 05, 2006PECOS EnrolledAccepts Medicare Assignment

575 N SIOUX POINT ROAD, DAKOTA DUNES, SD 57049(605) 217-2667(605) 217-2900 Get Directions Write a Review

NPPES record last updated: December 10, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Dr. Craig Robert Nemechek Md NPPES

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

DR. CRAIG ROBERT NEMECHEK MD (NPI 1063508331) is an individual surgery provider in Dakota Dunes, South Dakota, licensed in South Dakota (8107) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with St Lukes Regional Medical Center, and maintains a secondary practice location in Dakota Dunes.

NPPES Registry Identity

NPI1063508331

Entity TypeIndividualMale

Primary Taxonomy208600000X

Provider Legal NameDR. CRAIG ROBERT NEMECHEKCredential: MD

Location Address575 N SIOUX POINT ROADDakota Dunes, SD 57049-5312

Mailing Address575 N Sioux Point RoadDakota Dunes, SD 57049-5312 · (605) 217-2667 · Fax (605) 217-2900

Phone(605) 217-2667

Fax(605) 217-2900

Sole ProprietorNo

Medical School CMSUniversity Of Nebraska College Of MedicineGraduated 2006

Enumeration DateOctober 5, 2006

Last NPPES UpdateDecember 10, 2025

NPPES CertifiedDecember 10, 2025

✔ NPI 1063508331 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

Licenses✔ Licensed in SD · 8107✔ Licensed in IA · MD-39504✔ Licensed in NE · 26672

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

575 N SIOUX POINT ROAD, Dakota Dunes, SD 57049

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Secondary Practice Location 1

Location 1705 N Sioux Point Rd, Suite 100Dakota Dunes, SD 57049-5091 · Phone (605) 217-5500 · Fax (605) 217-5515

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Sunflower Health Plan, Ambetter Health, Ambetter Health of Delaware and more.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. Craig Robert Nemechek 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 ID1456529940

PECOS Enrollment IDI20110728000345, I20110815000209, I20121130000557

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

Medicare enrollment records show Craig Nemechek reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Cnos PC

Same address

Orthopaedic Surgery

575 N SIOUX POINT RD
Dakota Dunes, SD 57049

Reassigned Medicare billing, Iowa, Nebraska and South Dakota enrollments
79 clinicians in this Medicare group

NPI 1881604320 (605) 217-2667

Burgess Health Center

32 mi

Rural Health

153 BLAIR ST
Whiting, IA 51063

Reassigned Medicare billing, Iowa enrollment
Also billed through NPI 1730253360 (Iowa)
24 clinicians in this Medicare group

NPI 1487022216 (712) 455-2431

Osceola Community Hospital Inc.

73 mi

Critical Access

600 9TH AVE N
Sibley, IA 51249

Reassigned Medicare billing, Iowa enrollment
25 clinicians in this Medicare group

NPI 1780751222 (712) 754-2574

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 13

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

44 services39 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

39 services39 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

34 services30 patients

Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121

Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.

25 services25 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

24 services24 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

23 services23 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

21 services21 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

21 services18 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

16 services13 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

13 services13 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

13 services13 patients

Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43235

This procedure, known as an upper endoscopy, involves inserting a thin, flexible tube with a camera down the throat to examine the esophagus, stomach, and upper small bowel. It helps diagnose conditions like ulcers or inflammation.

11 services11 patients

Repair of groin hernia (5 years or older) 49505

Repair of a groin hernia is a procedure aimed at fixing an abnormal bulge that can occur in the area between your abdomen and thigh. This condition happens when tissue pushes through a weak spot in your lower abdominal wall. The repair procedure returns this tissue back to its proper place.

11 services11 patients

Hospital Affiliations CMS Care Compare 4

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

St Lukes Regional Medical Center

Acute Care Hospitals · Sioux City, IA

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number160146

Location2720 Stone Park BoulevardSioux City, IA 51104 · Woodbury County

Emergency services Birthing friendly

Burgess Health Center

Critical Access Hospitals · Onawa, IA

OwnershipVoluntary non-profit - Private

CMS Certification Number161359

Location1600 Diamond StreetOnawa, IA 51040 · Monona County

Emergency services

Providence Medical Center

Critical Access Hospitals · Wayne, NE

OwnershipVoluntary non-profit - Private

CMS Certification Number281345

Location1200 Providence RdWayne, NE 68787 · Wayne County

Emergency services Birthing friendly

Dunes Surgical Hospital

Acute Care Hospitals · Dakota Dunes, SD

OwnershipProprietary

CMS Certification Number430089

Location600 N Sioux Point RoadDakota Dunes, SD 57049 · Union County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57049 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.

Other Providers at the Same Location NPPES 11

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

ANGIE KAY REINHARDT OT

Occupational Therapist