MRS. THERESA M CAMPBELL MD
Accepted Insurance for NPI 1073583621
Family Medicine in Mitchell, SD
Does Dr. Campbell take my insurance?
Avera Health Plans includes Dr. Campbell in 20 South Dakota plans sold on HealthCare.gov for 2027. The same insurer also lists Dr. Campbell in Iowa.
Call before you book: insurer directories can be out of date, so call the office at (605) 996-7900 to confirm your plan is accepted. These are Marketplace (ACA) plans only; employer, Medicare Advantage and Medicaid plans are not listed. The NPPES record lists a South Dakota Medicaid ID; ask the office which Medicaid plans it takes.
South Dakota plans 20 plans · 30 plan IDs
Plans sold to South Dakota residents. Costs are for the standard version of each plan. Insurers often sell the same plan under several plan IDs, one per service area; those share one row.
Avera Health Plans
Also listed in other states 10 plans · 1 state
Insurers sometimes list a provider in other states' networks, for example for telehealth or a practice near a state line. These plans are sold to residents of those states.
Avera Health Plans · Iowa
Questions about Dr. Campbell’s insurance
Does Dr. Campbell take Avera Health Plans?
For South Dakota Marketplace plans, yes: Avera Health Plans includes Dr. Campbell in 20 plans for 2027. Call the office at (605) 996-7900 to confirm your plan before booking.
Is Dr. Campbell accepting new patients?
The insurers that list Dr. Campbell report that Dr. Campbell is not accepting new patients. Call the office at (605) 996-7900 to confirm your plan before booking.
Do I need a referral to see Dr. Campbell?
Not under the South Dakota plans that list Dr. Campbell: the 2027 plan files say a specialist referral is not required.
Does Dr. Campbell accept Medicare?
CMS files show a PECOS enrollment but no Medicare assignment indicator. Ask the office.
About this data
This page combines public files from insurers and from CMS. NPI Profile does not contract with insurers and does not decide who is in network.
| Source | What it provides here | Source date |
|---|---|---|
| Insurer provider directory files | Which plans list this provider, network tier, accepting new patients, years listed. Insurers selling on HealthCare.gov must publish these files under CMS rules. | Avera Health Plans: Nov 4, 2026 |
| CMS Health Insurance Exchange public use files | Plan details and Summary of Benefits links for HealthCare.gov states. | Plan year 2027, Oct 20, 2026 |
- Only Marketplace (ACA) plans are covered. Employer, Medicare Advantage and Medicaid managed care networks are not in these files.
- Costs are for the standard version of each plan. People who qualify for cost-sharing reductions pay less on Silver plans.
- Accepting new patients and network tier are reported by each insurer, and can differ from what the practice tells you.
- Networks change during the year. Confirm with your insurer or the practice before booking.
