WESLEY REID BADGER M.D.
NPI 1215373741
Surgery in Spearfish, SD

Q: 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.

Q: What is Wesley Badger's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Q: 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 7 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.

Active since May 10, 2013PECOS EnrolledAccepts Medicare Assignment

97.58/100

CMS Quality Rating

1445 NORTH AVE, SPEARFISH, SD 57783(605) 644-4170(605) 644-4198 Get Directions Write a Review

NPPES record last updated: August 21, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

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

NPI1215373741

Entity TypeIndividualMale

Primary Taxonomy208600000X

Provider Legal NameWESLEY REID BADGERCredential: M.D.

Location Address1445 NORTH AVESpearfish, SD 57783

Mailing Address1836 South AveLa Crosse, WI 54601-5429 · (608) 775-3349 · Fax (608) 775-1548

Phone(605) 644-4170

Fax(605) 644-4198

Sole ProprietorNo

Medical School CMSUniversity Of Louisville School Of MedicineGraduated 2013

Enumeration DateMay 10, 2013

Last NPPES UpdateAugust 21, 2018

✔ NPI 1215373741 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

License✔ Licensed in SD · 11005

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

1445 NORTH AVE, Spearfish, SD 57783

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Avera Health Plans, Medica, Oscar Insurance Company and more.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

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.

PECOS PAC ID648593558

PECOS Enrollment IDI20181126002002

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 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.

Biopsy of large bowel using a flexible endoscope 45380

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

102 services102 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

78 services78 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

45 services44 patients

Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito G0500

Moderate sedation is a method where a physician uses medication to help you relax during a gastrointestinal endoscopy. An independent trained observer will be present to monitor your vital signs and ensure your safety throughout the procedure. It's a common and safe practice.

32 services32 patients

Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121

Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.

29 services29 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.

27 services27 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.

24 services24 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

23 services23 patients

Colorectal cancer screening; colonoscopy on individual at high risk G0105

Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.

19 services19 patients

Study of esophageal sensation by balloon distension 91040

This procedure involves inflating a small balloon in the esophagus, the tube connecting your mouth to your stomach. It helps doctors understand how your esophagus responds to pressure changes, aiding in the diagnosis of certain digestive disorders.

18 services18 patients

Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43235

This procedure, known as an upper endoscopy, involves inserting a thin, flexible tube with a camera down the throat to examine the esophagus, stomach, and upper small bowel. It helps diagnose conditions like ulcers or inflammation.

15 services15 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

15 services15 patients

Removal of gallbladder with x-ray study of bile ducts using an endoscope 47563

This procedure, known as an endoscopic retrograde cholangiopancreatography (ERCP), involves using a flexible camera (endoscope) to examine your bile ducts. If gallstones are found, your gallbladder may be removed in a separate procedure. This helps prevent future complications.

11 services11 patients

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, SD

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number430048

Location1440 N Main StSpearfish, SD 57783 · Lawrence County

Emergency services

Monument Health Rapid City Hospital

Acute Care Hospitals · Rapid City, SD

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number430077

Location353 Fairmont BlvdRapid City, SD 57701 · Pennington County

Emergency services Birthing friendly

Monument Health Lead-Deadwood Hospital

Critical Access Hospitals · Deadwood, SD

OwnershipVoluntary non-profit - Private

CMS Certification Number431320

Location61 Charles StreetDeadwood, SD 57732 · Lawrence County

Emergency services

Monument Health Sturgis Hospital

Critical Access Hospitals · Sturgis, SD

OwnershipVoluntary non-profit - Other

CMS Certification Number431321

Location2140 Junction AveSturgis, SD 57785 · Meade County

Emergency services

Physician 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.

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.

97.58/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

86.53

Promoting Interoperability

100

Improvement Activities

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.

KATY JEAN JONES CNP

Nurse Practitioner (Family)

1445 NORTH AVE
SPEARFISH, SD 57783

Lawrence County (605) 644-4170

DENISE L BYRD AUD

Audiologist

1445 NORTH AVE
SPEARFISH, SD 57783

Lawrence County (605) 644-4170

WARREN GOLLIHER MD

Family Medicine

1445 NORTH AVE, SUITE 2
SPEARFISH, SD 57783

Lawrence County (605) 644-4170

HEATHER A BREWER MD

Obstetrics & Gynecology

1445 NORTH AVE
SPEARFISH, SD 57783

Lawrence County (605) 644-4170

SPEARFISH REGIONAL HOSPITAL

General Acute Care Hospital

1445 NORTH AVE
SPEARFISH, SD 57783

Lawrence County (605) 644-4170

DR. JESSICA LYNN DONNER MD

Obstetrics & Gynecology

1445 NORTH AVE
SPEARFISH, SD 57783

Lawrence County (605) 644-4170

ANGELA R ANDERSON MD

Pediatrics

1445 NORTH AVE
SPEARFISH, SD 57783

Lawrence County (605) 644-4170

KAYLA B HATTEN CNP

Nurse Practitioner (Family)

1445 NORTH AVE
SPEARFISH, SD 57783

Lawrence County (605) 644-4170

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.

What insurance does Wesley Badger accept?

Health plans from Avera Health Plans, Medica, Oscar Insurance Company and Sanford Health Plan 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 7 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.