MONUMENT HEALTH ORTHOPEDICS AND SPORTS MEDICINE
NPI 1104205020
Orthopaedic Surgery in Spearfish, SD
About Monument Health Orthopedics And Sports Medicine NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MONUMENT HEALTH ORTHOPEDICS AND SPORTS MEDICINE (NPI 1104205020) is a healthcare organization registered as an orthopaedic surgery in Spearfish, South Dakota and active in the NPI registry since May 2015. The organization holds a CLIA Waiver certificate valid through November 4, 2026 and lists Thomas Worsley, President Spearfish Hospital, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Monument Health Orthopedics And Sports Medicine is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
324Medicare enrollment records show 324 clinicians reassign Medicare billing to Monument Health Orthopedics And Sports Medicine, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 66 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 36
Nearest to this location (20)
See all 324Spearfish, SD 57783
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 43D2157308
Monument Health Orthopedics And Sports Medicine · Spearfish, SDFrequently 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 Monument Health Network, Inc.'s NPI number?
The NPI number for Monument Health Network, Inc. is 1104205020. It was assigned to this organization in the NPPES registry on May 26, 2015. The provider is doing business as Monument Health Orthopedics And Sports Medicine.
Where is Monument Health Network, Inc. located?
Monument Health Network, Inc. is located at 2479 E Colorado Blvd, Spearfish, SD 57783. The listed phone number is (605) 644-4460.
What is Monument Health Network, Inc.'s specialty?
The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.
Is Monument Health Network, Inc. enrolled in Medicare?
Yes. Monument Health Network, Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Monument Health Network, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 324 clinicians in 36 Medicare specialties reassign their Medicare billing to Monument Health Network, Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (61), Family Practice (60) and Emergency Medicine (36). Of these, 4 practice at this address and 66 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Monument Health Network, Inc. hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 43D2157308) is associated with this NPI, valid through November 4, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Monument Health Network, Inc. accept?
Health plans from Avera Health Plans and Sanford Health Plan list Monument Health Network, Inc. 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.
When was this NPI record last updated?
The NPPES record for Monument Health Network, Inc. was last updated on March 31, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Monument Health Orthopedics And Sports Medicine · NPI 1104205020
Orthopaedic Surgery organization in Spearfish, South Dakota. Organization record, active in the CMS NPPES registry since May 26, 2015.
## Identity
- **NPI:** 1104205020 (Entity type: Organization)
- **Enumerated:** May 26, 2015
- **Primary specialty:** Orthopaedic Surgery · taxonomy 207X00000X
- **Legal business name:** Monument Health Network, Inc.
- **Organization subpart:** No
- **Authorized official:** Thomas Worsley, PRESIDENT SPEARFISH HOSPITAL
## Practice location
- **Address:** 2479 E COLORADO BLVD, Spearfish, SD 57783-3204
- **Phone:** (605) 644-4460 · **Fax:** (605) 644-4371
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 324 clinicians in 36 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (61), Family Practice (60), Emergency Medicine (36); 4 practice at this address and 66 within 10 miles; [full list](https://npiprofile.com/npi/1104205020/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 31, 2020
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1104205020) · Data from the CMS NPPES public registry.