MICHAEL J VENER MD
NPI 1083638050
Orthopaedic Surgery in Watertown, SD

Active since July 26, 2006PECOS EnrolledAccepts Medicare Assignment
97.75/100
CMS Quality Rating
401 9TH AVE NW, WATERTOWN, SD 57201(605) 882-2630(605) 882-0447 Get Directions Write a Review

NPPES record last updated: December 19, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Michael J Vener Md NPPES

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

MICHAEL J VENER MD (NPI 1083638050) is an individual orthopaedic surgery provider in Watertown, South Dakota, licensed in South Dakota (3987) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Ortonville Area Health Services, and is a graduate of University Of Minnesota Medical School (1989).

NPPES Registry Identity

NPI1083638050
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameMICHAEL J VENERCredential: MD
Location Address401 9TH AVE NWWatertown, SD 57201-1548
Mailing AddressPo Box 170Watertown, SD 57201-0170 · (605) 882-2630 · Fax (605) 882-0447
Fax(605) 882-0447
Sole ProprietorNo
Medical School CMSUniversity Of Minnesota Medical SchoolGraduated 1989
Enumeration DateJuly 26, 2006
Last NPPES UpdateDecember 19, 2012
NPI 1083638050 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in SD · 3987
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
401 9TH AVE NW, Watertown, SD 57201

Other Identifiers 9

Other0004080SD · Bcbs
Medicaid6400722SD
Medicare UPINE62063
Medicare ID-Type Unspecified200046173SD · Railroad
Medicare NSC5218640001SD
Medicare PINS41212SD
Other8D999VEMN · Bcbs
Medicare ID-Type Unspecified200002067MN
Medicaid014505000MN

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

Michael J Vener 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 ID6103811179
PECOS Enrollment IDI20040428000356, I20111221000304
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 15

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.

Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
118 services84 patients
X-ray of knee, 3 views 73562
An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.
87 services69 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.
78 services68 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.
67 services47 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.
59 services59 patients
X-ray of shoulder, minimum of 2 views 73030
An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.
45 services31 patients

Hospital Affiliations CMS Care Compare 4

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

Ortonville Area Health Services

Critical Access Hospitals · Ortonville, MN
OwnershipGovernment - Local
CMS Certification Number241342
Location450 Eastvold AveOrtonville, MN 56278 · Big Stone County
Emergency services Birthing friendly

Sanford Canby Medical Center

Critical Access Hospitals · Canby, MN
OwnershipGovernment - Hospital District or Authority
CMS Certification Number241347
Location112 St Olaf Avenue SouthCanby, MN 56220 · Yellow Medcine County
Emergency services

Madison Hospital

Critical Access Hospitals · Madison, MN
OwnershipVoluntary non-profit - Private
CMS Certification Number241372
Location820 Third AvenueMadison, MN 56256 · Lac Qui Parle County
Emergency services

Prairie Lakes Healthcare System, Inc

Acute Care Hospitals · Watertown, SD
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number430005
Location401 9th Avenue NW Post Office Box 1210Watertown, SD 57201 · Codington County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57201 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.

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.

97.75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Promoting Interoperability99
Improvement Activities40
Cost93.34

Reported Quality Measures

Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
99%1,638 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
15%1,067 patients1/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 100% · 355 patients
Patients tobacco: 95% · 355 patients
77%71 patients4/55-star benchmark: 98%
Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents
Percentage of patients 3-17 years of age who had an outpatient visit with a Primary Care Physician (PCP) or Obstetrician/Gynecologist (OB/GYN) and who had evidence of the following during the measurement period. Three rates are reported.
89%81 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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 (Adult Health)
401 9TH AVE NW
WATERTOWN, SD 57201
Physician Assistant (Medical)
401 9TH AVE NW
WATERTOWN, SD 57201
Internal Medicine (Interventional Cardiology)
401 9TH AVE NW
WATERTOWN, SD 57201
Orthopaedic Surgery
401 9TH AVE NW
WATERTOWN, SD 57201
Nurse Anesthetist, Certified Registered
401 9TH AVE NW
WATERTOWN, SD 57201
Nurse Anesthetist, Certified Registered
401 9TH AVE NW
WATERTOWN, SD 57201
Nurse Anesthetist, Certified Registered
401 9TH AVE NW
WATERTOWN, SD 57201
Speech-Language Pathologist
401 9TH AVE NW
WATERTOWN, SD 57201

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 Michael Vener's NPI number?

The NPI number for Michael Vener is 1083638050. It was assigned to this individual provider in the NPPES registry on July 26, 2006.

Where is Michael Vener located?

Michael Vener practices at 401 9th Ave NW, Watertown, SD 57201. The listed phone number is (605) 882-2630.

What is Michael Vener's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Michael Vener enrolled in Medicare?

Yes. Michael Vener 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 Michael Vener accept?

Health plans from Avera Health Plans, Medica and Sanford Health Plan list Michael Vener 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 Michael Vener affiliated with any hospitals?

According to CMS data, Michael Vener is affiliated with Ortonville Area Health Services, Sanford Canby Medical Center, Madison Hospital and Prairie Lakes Healthcare System, Inc.

When was this NPI record last updated?

The NPPES record for Michael Vener was last updated on December 19, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years 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.