WESLEY REID BADGER M.D.
NPI 1215373741
Surgery in Spearfish, SD
About Wesley Reid Badger M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WESLEY REID BADGER M.D. (NPI 1215373741) is an individual surgery provider in Spearfish, South Dakota, licensed in South Dakota (11005) and active in the NPI registry since May 2013. He is enrolled in Medicare PECOS, is affiliated with Monument Health Spearfish Hospital, and is a graduate of University Of Louisville School Of Medicine (2013).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Wesley Reid Badger 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.
Medicare Billing Reassignments
2Medicare enrollment records show Wesley Badger reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Spearfish, SD 57783
- Reassigned Medicare billing, South Dakota enrollment
- Also billed through NPI 1083681712 (South Dakota)
- 321 clinicians in this Medicare group
Spearfish, SD 57783
- Reassigned Medicare billing, South Dakota enrollment
- 831 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 13
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 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Monument Health Spearfish Hospital
Acute Care Hospitals · Spearfish, SDMonument Health Rapid City Hospital
Acute Care Hospitals · Rapid City, SDMonument Health Lead-Deadwood Hospital
Critical Access Hospitals · Deadwood, SDMonument Health Sturgis Hospital
Critical Access Hospitals · Sturgis, SDPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 57783 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
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 Wesley Badger's NPI number?
The NPI number for Wesley Badger is 1215373741. It was assigned to this individual provider in the NPPES registry on May 10, 2013.
Where is Wesley Badger located?
Wesley Badger practices at 1445 North Ave, Spearfish, SD 57783. The listed phone number is (605) 644-4170.
What is Wesley Badger's specialty?
The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.
Is Wesley Badger enrolled in Medicare?
Yes. Wesley Badger 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.
Which organizations bill Medicare for Wesley Badger's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Wesley Badger reassigns Medicare benefits to 2 organizations: Monument Health Network, Inc. (Spearfish, SD) and Monument Health Rapid City Hospital, Inc. (Spearfish, SD). Each 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 Wesley Badger's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Wesley Badger accept?
Health plans from Avera Health Plans, Oscar Insurance Company, Sanford Health Plan, UnitedHealthcare and Wellmark of South Dakota, Inc. list Wesley Badger 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 Wesley Badger affiliated with any hospitals?
According to CMS data, Wesley Badger is affiliated with Monument Health Spearfish Hospital, Monument Health Rapid City Hospital, Monument Health Lead-Deadwood Hospital and Monument Health Sturgis Hospital.
When was this NPI record last updated?
The NPPES record for Wesley Badger was last updated on August 21, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Wesley Reid Badger, M.D. · NPI 1215373741
Surgery physician in Spearfish, South Dakota. Individual provider, active in the CMS NPPES registry since May 10, 2013.
## Identity
- **NPI:** 1215373741 (Entity type: Individual)
- **Enumerated:** May 10, 2013
- **Primary specialty:** Surgery · taxonomy 208600000X
- **State license:** 11005 (South Dakota)
- **Sole proprietor:** No
## Practice location
- **Address:** 1445 NORTH AVE, Spearfish, SD 57783
- **Phone:** (605) 644-4170 · **Fax:** (605) 644-4198
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Monument Health Network, Inc. (NPI 1174569347, Spearfish, SD); Monument Health Rapid City Hospital, Inc. (NPI 1255415246, Spearfish, SD) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Louisville School Of Medicine, class of 2013
## Record status
- **NPPES last updated:** August 21, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1215373741) · Data from the CMS NPPES public registry.