DR. MARC E BODDICKER MD
NPI 1235103060
Dermatology in Rapid City, SD

Q: What is Marc Boddicker's NPI number?

The NPI number for Marc Boddicker is 1235103060. It was assigned to this individual provider in the NPPES registry on February 16, 2006.

Q: What is Marc Boddicker's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Q: When was this NPI record last updated?

The NPPES record for Marc Boddicker was last updated on March 11, 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.

Active since February 16, 2006PECOS Enrolled

5410 SHERIDAN LAKE RD, RAPID CITY, SD 57702(605) 390-0900 Get Directions Write a Review

NPPES record last updated: March 11, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Mar 11, 2026, Mar 18, 2016 (2 updates tracked since 2016).

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About Dr. Marc E Boddicker Md NPPES

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

DR. MARC E BODDICKER MD (NPI 1235103060) is an individual dermatology provider in Rapid City, South Dakota, licensed in South Dakota (1485) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1235103060

Entity TypeIndividualMale

Primary Taxonomy207N00000X

Provider Legal NameDR. MARC E BODDICKERCredential: MD

Location Address5410 SHERIDAN LAKE RDRapid City, SD 57702-9208

Mailing AddressPo Box 20528Fountain Hills, AZ 85269-0528 · (605) 390-0900

Phone(605) 390-0900

Sole ProprietorYes

Enumeration DateFebruary 16, 2006

Last NPPES UpdateMarch 11, 20262 updates tracked since enumeration

NPPES CertifiedMarch 11, 2026

✔ NPI 1235103060 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians

Taxonomy Code207N00000X

License✔ Licensed in SD · 1485

Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Also ListedDermatology · MOHS-Micrographic SurgeryTaxonomy 207ND0101X · License 1485 (SD)

Also ListedDermatology · DermatopathologyTaxonomy 207ND0900X · License 1485 (SD)

Also ListedDermatology · Procedural DermatologyTaxonomy 207NS0135X · License 1485 (SD)

5410 SHERIDAN LAKE RD, Rapid City, SD 57702

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Marc E Boddicker Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57702 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.

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JEFFREY ANDERSON MD

Emergency Medicine