TYLER ANTHONY PTACEK M.D.
NPI 1225324791
Pain Medicine - Interventional Pain Medicine in Rapid City, SD

Active since June 23, 2011PECOS Enrolled
97.58/100
CMS Quality Rating
101 E MINNESOTA ST STE 200, RAPID CITY, SD 57701(605) 342-3280 Get Directions Write a Review

NPPES record last updated: April 4, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 4, 2026, Oct 1, 2020, Sep 8, 2020 and 1 more (4 updates tracked since 2018).

About Tyler Anthony Ptacek M.d. NPPES

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

TYLER ANTHONY PTACEK M.D. (NPI 1225324791) is an individual interventional pain medicine provider in Rapid City, South Dakota, licensed in South Dakota (12138) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS, is affiliated with Monument Health Spearfish Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1225324791
Entity TypeIndividualMale
Primary Taxonomy208VP0014X
Provider Legal NameTYLER ANTHONY PTACEKCredential: M.D.
Location Address101 E MINNESOTA ST STE 200Rapid City, SD 57701-7758
Mailing Address3509 Dunham DrRapid City, SD 57702-0567 · (402) 340-4131
Sole ProprietorNo
Medical School CMSUniversity Of Nebraska College Of MedicineGraduated 2011
Enumeration DateJune 23, 2011
Last NPPES UpdateApril 4, 20264 updates tracked since enumeration
NPPES CertifiedApril 4, 2026
NPI 1225324791 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPain Medicine · Interventional Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code208VP0014X
Licenses Licensed in SD · 12138 Licensed in MO · 2016019592
Definition

Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.

Also ListedAnesthesiologyTaxonomy 207L00000X · License 6652 (NE)
Also ListedFamily MedicineTaxonomy 207Q00000X · License 7731 (KS)
101 E MINNESOTA ST STE 200, Rapid City, SD 57701

Secondary Practice Locations 2

Location 1984150 Nebraska Medical Ctr, UNMCOmaha, NE 68198-4150 · Phone (402) 559-6329 · Fax (402) 559-7372
Location 21723 Broadway St Ste 410Cape Girardeau, MO 63701-4556 · Phone (573) 332-7746 ext. 178 · Fax (573) 339-9709

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 (PECOS)

Tyler Anthony Ptacek M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID749598688
PECOS Enrollment IDI20201023002279
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 56

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection, onabotulinumtoxina, 1 unit J0585
Onabotulinumtoxina, also known as Botox, is a medication injected into muscles. It's used to treat various conditions by blocking nerve activity in the muscles, causing a temporary reduction in muscle activity. The units refer to the dosage.
6,500 services21 patients
Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
4,530 services295 patients
Hyaluronan or derivative, trivisc, for intra-articular injection, 1 mg J7329
Trivisc is a treatment involving injections of a substance called hyaluronan into your joint, typically the knee. This substance is similar to a natural fluid in your joints that helps cushion and lubricate them. Trivisc can help reduce pain and improve joint movement.
3,950 services31 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
971 services149 patients
Fluoroscopic guidance for needle placement 77002
Fluoroscopic guidance for needle placement is a medical procedure that uses a special X-ray technology to help accurately place a needle in the body. It's often used in biopsies, injections or other treatments to ensure precision and safety.
302 services151 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.
259 services160 patients

Hospital Affiliations CMS Care Compare 5

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

Black Hills Surgical Hospital LLP

Acute Care Hospitals · Rapid City, SD
OwnershipProprietary
CMS Certification Number430091
Location216 Anamaria DrRapid City, SD 57703 · Pennington County

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

Weston County Health Services

Critical Access Hospitals · Newcastle, WY
OwnershipGovernment - Hospital District or Authority
CMS Certification Number531303
Location1124 Washington BoulevardNewcastle, WY 82701 · Weston County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57701 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
$126.78 typical visit price
range $55.52 – $167.23
Typical copayment $31.69 (range $13.88 – $41.80)
Most-billed visit code 99204
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.

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
Quality86.53
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report
Percentage of patients with referrals, regardless of age, for which the referring provider receives a report from the provider to whom the patient was referred
74%99 patients4/55-star benchmark: 95%
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.
92%1,896 patients4/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
74%1,702 patients1/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
5%96 patients1/55-star benchmark: 88%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%804 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
42%1,080 patients2/55-star benchmark: 97%
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…
68%975 patients3/55-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% · 435 patients
Patients tobacco: 96% · 435 patients
83%106 patients4/55-star benchmark: 98%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
77%1,080 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
0%1,080 patients1/55-star benchmark: 89%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 1% · 445 patients
5%445 patients4/55-star benchmark: 100%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
4%1,080 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.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1225324791, enumerated as an "individual" on June 23, 2011.

The provider is located at 101 E MINNESOTA ST STE 200 RAPID CITY, SD 57701 and the phone number is (605) 342-3280.

Pain Medicine with taxonomy code 208VP0014X and a focus in Interventional Pain Medicine.

The provider might be accepting Accepts: Avera Health Plans, Medica, Oscar Insurance. Please consult your insurance carrier or call the provider to verify.

Tyler Ptacek is affiliated with: MONUMENT HEALTH SPEARFISH HOSPITAL, MONUMENT HEALTH RAPID CITY HOSPITAL, BLACK HILLS SURGICAL HOSPITAL LLP, MONUMENT HEALTH STURGIS HOSPITAL and WESTON COUNTY HEALTH SERVICES.