DR. MARK J PTACEK M.D.
NPI 1083611958
Family Medicine in Deadwood, SD
About Dr. Mark J Ptacek M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MARK J PTACEK M.D. (NPI 1083611958) is an individual family medicine provider in Deadwood, South Dakota, licensed in South Dakota (4872) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with Brookings Health System, and is a graduate of University Of Nebraska College Of Medicine (1984).
NPPES Registry Identity
Specialties & Licenses
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Other Identifiers 8
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
Dr. Mark J Ptacek M.d. 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.
Areas of Expertise CMS Part B claims 2
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 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Brookings Health System
Acute Care Hospitals · Brookings, SDPine Ridge Ihs Hospital
Acute Care Hospitals · Pine Ridge, SDMonument Health Custer Hospital
Critical Access Hospitals · Custer, SDPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 57732 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 3
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
DEADWOOD, SD 57732
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 Mark Ptacek's NPI number?
The NPI number for Mark Ptacek is 1083611958. It was assigned to this individual provider in the NPPES registry on July 7, 2005.
Where is Mark Ptacek located?
Mark Ptacek practices at 71 Charles St, Deadwood, SD 57732. The listed phone number is (605) 717-6431.
What is Mark Ptacek's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Mark Ptacek enrolled in Medicare?
Yes. Mark Ptacek 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 Mark Ptacek accept?
Health plans from Medica, Oscar Insurance Company and Sanford Health Plan list Mark Ptacek 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 Mark Ptacek affiliated with any hospitals?
According to CMS data, Mark Ptacek is affiliated with Brookings Health System, Pine Ridge Ihs Hospital and Monument Health Custer Hospital.
When was this NPI record last updated?
The NPPES record for Mark Ptacek was last updated on July 21, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.