DR. MARK J PTACEK M.D.
NPI 1083611958
Family Medicine in Deadwood, SD

Active since July 07, 2005PECOS EnrolledAccepts Medicare Assignment
71 CHARLES ST, DEADWOOD, SD 57732(605) 717-6431 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 21, 2022, Aug 24, 2017 (2 updates tracked since 2017).

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

NPI1083611958
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. MARK J PTACEKCredential: M.D.
Location Address71 CHARLES STDeadwood, SD 57732-1303
Mailing Address353 Fairmont Blvd, Attn MssRapid City, SD 57701-7375 · (605) 755-8107
Sole ProprietorNo
Medical School CMSUniversity Of Nebraska College Of MedicineGraduated 1984
Enumeration DateJuly 7, 2005
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
NPI 1083611958 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in SD · 4872 Licensed in NE · 16764
Definition

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.

71 CHARLES ST, Deadwood, SD 57732

Other Identifiers 8

Other3859NE · Midlands Choice
Other06676NE · Nebraska Bcbs
Other460423930NE · Tricare
Medicaid46042393011NE
Other9214155NE · Dakota Care
Other460423930NE · Humana
Other7988021NE · Aetna
Other0123937NE · Medica

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.

PECOS PAC ID5395654545
PECOS Enrollment IDI20080319000544
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 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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
26 services25 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
13 services13 patients

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, SD
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number430008
Location300 22nd AveBrookings, SD 57006 · Brookings County
Emergency services Birthing friendly

Pine Ridge Ihs Hospital

Acute Care Hospitals · Pine Ridge, SD
OwnershipGovernment - Federal
CMS Certification Number430098
LocationEast Highway 18Pine Ridge, SD 57770 · Oglala Lakota County County
Emergency services Birthing friendly

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 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.

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
$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.

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.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers33 claims33 services$115.75 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier22 claims22 services$38.22 avg. paid by Medicare
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738
DME-Oxygen and Supplies · category DC000N
1 supplier11 claims11 services$34.73 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.

Clinic/Center (Multi-Specialty)
71 CHARLES ST
DEADWOOD, SD 57732
Pharmacist
71 CHARLES ST
DEADWOOD, SD 57732
Internal Medicine
71 CHARLES ST
DEADWOOD, SD 57732
Dietitian, Registered
71 CHARLES ST
DEADWOOD, SD 57732
Registered Nurse (Diabetes Educator)
71 CHARLES ST
DEADWOOD, SD 57732
Physician Assistant
71 CHARLES ST
DEADWOOD, SD 57732
Durable Medical Equipment & Medical Supplies
71 CHARLES ST
DEADWOOD, SD 57732
Internal Medicine
71 CHARLES ST
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.