JOHN PALMER DO
NPI 1063510691
Internal Medicine - Endocrinology, Diabetes & Metabolism in Rapid City, SD

Active since September 20, 2006PECOS EnrolledAccepts Medicare Assignment
97.58/100
CMS Quality Rating
640 FLORMANN ST, RAPID CITY, SD 57701(605) 755-3300(605) 755-3129 Get Directions Write a Review

NPPES record last updated: October 31, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About John Palmer Do NPPES

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

JOHN PALMER DO (NPI 1063510691) is an individual endocrinology, diabetes & metabolism provider in Rapid City, South Dakota, licensed in South Dakota (7478) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Monument Health Spearfish Hospital, and is a graduate of University Of Missouri, Kansas City, School Of Medicine (2004).

NPPES Registry Identity

NPI1063510691
Entity TypeIndividualMale
Primary Taxonomy207RE0101X
Provider Legal NameJOHN PALMERCredential: DO
Location Address640 FLORMANN STRapid City, SD 57701-4679
Mailing Address640 Flormann StRapid City, SD 57701-4679 · (605) 755-3300 · Fax (605) 755-3129
Fax(605) 755-3129
Sole ProprietorNo
Medical School CMSUniversity Of Missouri, Kansas City, School Of MedicineGraduated 2004
Enumeration DateSeptember 20, 2006
Last NPPES UpdateOctober 31, 2019
NPI 1063510691 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License Licensed in SD · 7478
Definition

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

640 FLORMANN ST, Rapid City, SD 57701

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

John Palmer Do 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 ID5799839569
PECOS Enrollment IDI20090812000753, I20200407000118
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.

Areas of Expertise CMS Part B claims 10

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
929 services191 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
517 services379 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.
253 services86 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.
164 services150 patients
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.
135 services125 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
96 services69 patients

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, SD
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number430048
Location1440 N Main StSpearfish, SD 57783 · Lawrence County
Emergency services

Monument Health Rapid City Hospital

Acute Care Hospitals · Rapid City, SD
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number430077
Location353 Fairmont BlvdRapid City, SD 57701 · Pennington County
Emergency services Birthing friendly

Monument Health Lead-Deadwood Hospital

Critical Access Hospitals · Deadwood, SD
OwnershipVoluntary non-profit - Private
CMS Certification Number431320
Location61 Charles StreetDeadwood, SD 57732 · Lawrence County
Emergency services

Monument Health Sturgis Hospital

Critical Access Hospitals · Sturgis, SD
OwnershipVoluntary non-profit - Other
CMS Certification Number431321
Location2140 Junction AveSturgis, SD 57785 · Meade County
Emergency services

Monument Health Custer Hospital

Critical Access Hospitals · Custer, SD
OwnershipVoluntary non-profit - Private
CMS Certification Number431323
Location1220 Montgomery StreetCuster, SD 57730 · Custer County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57701 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
$126.78 typical visit price
range $55.52 – $167.23
Typical copayment $31.69 (range $13.88 – $41.80)
Most-billed visit code 99204
Established Patient
$97.88 typical visit price
range $18.08 – $137.08
Typical copayment $24.47 (range $4.52 – $34.27)
Most-billed visit code 99214
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.

97.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.53
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 9

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supplies for maintenance of insulin infusion catheter, per week A4224
DME-Other DME · category DE017N
12 suppliers96 claims1,259 services$18.54 avg. paid by Medicare
Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225
DME-Other DME · category DE017N
12 suppliers98 claims3,345 services$2.32 avg. paid by Medicare
Supply allowance for adjunctive continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service A4238
DME-Medical/Surgical Supplies · category DA000N
1 supplier11 claims11 services$169.17 avg. paid by Medicare
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
26 suppliers209 claims742 services$6.40 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
14 suppliers31 claims68 services$1.14 avg. paid by Medicare
External ambulatory infusion pump, insulin E0784
DME-Other DME · category DE017N
7 suppliers91 claims91 services$310.13 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Nurse Practitioner (Family)
640 FLORMANN ST
RAPID CITY, SD 57701
Family Medicine
640 FLORMANN ST
RAPID CITY, SD 57701
Internal Medicine
640 FLORMANN ST
RAPID CITY, SD 57701
640 FLORMANN ST
RAPID CITY, SD 57701
Physician Assistant
640 FLORMANN ST
RAPID CITY, SD 57701
Nurse Practitioner
640 FLORMANN ST
RAPID CITY, SD 57701
Family Medicine
640 FLORMANN ST
RAPID CITY, SD 57701
Nurse Practitioner
640 FLORMANN ST
RAPID CITY, SD 57701

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 Palmer's NPI number?

The NPI number for John Palmer is 1063510691. It was assigned to this individual provider in the NPPES registry on September 20, 2006.

Where is John Palmer located?

John Palmer practices at 640 Flormann St, Rapid City, SD 57701. The listed phone number is (605) 755-3300.

What is John Palmer's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is John Palmer enrolled in Medicare?

Yes. John Palmer 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.

What insurance does John Palmer accept?

Health plans from Avera Health Plans, Medica, Oscar Insurance Company and Sanford Health Plan list John Palmer 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 Palmer affiliated with any hospitals?

According to CMS data, John Palmer is affiliated with Monument Health Spearfish Hospital, Monument Health Rapid City Hospital, Monument Health Lead-Deadwood Hospital, Monument Health Sturgis Hospital and Monument Health Custer Hospital.

When was this NPI record last updated?

The NPPES record for John Palmer was last updated on October 31, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.