TYLER ANTHONY PTACEK M.D.
NPI 1225324791
Pain Medicine - Interventional Pain Medicine in Rapid City, SD
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
Specialties & Licenses 3
Secondary Practice Locations 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Tyler Anthony Ptacek M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Tyler Ptacek reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Rapid City, SD 57701
- Reassigned Medicare billing, South Dakota enrollment
- 831 clinicians in this Medicare group
Sikeston, MO 63801
- Reassigned Medicare billing, Missouri enrollment
- 33 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 56
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 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, SDMonument Health Rapid City Hospital
Acute Care Hospitals · Rapid City, SDBlack Hills Surgical Hospital LLP
Acute Care Hospitals · Rapid City, SDMonument Health Sturgis Hospital
Critical Access Hospitals · Sturgis, SDWeston County Health Services
Critical Access Hospitals · Newcastle, WYPhysician 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.
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.
Reported Quality Measures
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 Tyler Ptacek's NPI number?
The NPI number for Tyler Ptacek is 1225324791. It was assigned to this individual provider in the NPPES registry on June 23, 2011.
Where is Tyler Ptacek located?
Tyler Ptacek practices at 101 E Minnesota St Ste 200, Rapid City, SD 57701. The listed phone number is (605) 342-3280.
What is Tyler Ptacek's specialty?
The primary specialty registered for this NPI is Pain Medicine, specializing in Interventional Pain Medicine, with taxonomy code 208VP0014X.
Is Tyler Ptacek enrolled in Medicare?
Yes. Tyler Ptacek is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Tyler Ptacek's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tyler Ptacek reassigns Medicare benefits to 2 organizations: Monument Health Rapid City Hospital Inc (Rapid City, SD) and Resource Anesthesiology Associates Of Mo LLC (Sikeston, MO). 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 Tyler Ptacek's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Tyler Ptacek accept?
Health plans from Avera Health Plans, Oscar Insurance Company, Sanford Health Plan, UnitedHealthcare and Wellmark of South Dakota, Inc. list Tyler Ptacek 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 Tyler Ptacek affiliated with any hospitals?
According to CMS data, 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.
When was this NPI record last updated?
The NPPES record for Tyler Ptacek was last updated on April 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.