TRAVIS J PTACEK MD PLLC
NPI 1265113260
Family Medicine - Geriatric Medicine in Rapid City, SD
About Travis J Ptacek Md Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TRAVIS J PTACEK MD PLLC (NPI 1265113260) is a healthcare organization registered as a geriatric medicine in Rapid City, South Dakota and active in the NPI registry since July 2023. The organization maintains 2 additional practice locations and lists Travis Ptacek, Physician, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 2
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Travis J Ptacek Md Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
11Medicare enrollment records show 11 clinicians reassign Medicare billing to Travis J Ptacek MD PLLC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 4
Clinicians, nearest first (11)
Portsmouth, VA 23708
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Travis J Ptacek MD PLLC's NPI number?
The NPI number for Travis J Ptacek MD PLLC is 1265113260. It was assigned to this organization in the NPPES registry on July 31, 2023.
Where is Travis J Ptacek MD PLLC located?
Travis J Ptacek MD PLLC is located at 529 Kansas City St Ste 203, Rapid City, SD 57701. The listed phone number is (605) 223-0011.
What is Travis J Ptacek MD PLLC's specialty?
The primary specialty registered for this NPI is Family Medicine, specializing in Geriatric Medicine, with taxonomy code 207QG0300X.
Is Travis J Ptacek MD PLLC enrolled in Medicare?
Yes. Travis J Ptacek MD PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Travis J Ptacek MD PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 11 clinicians in 4 Medicare specialties reassign their Medicare billing to Travis J Ptacek MD PLLC. A 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 the clinician's services. The largest specialties are Nurse Practitioner (5), Family Practice (4) and Clinical Social Worker (1). Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Travis J Ptacek MD PLLC accept?
Health plans from Anthem Blue Cross and Blue Shield and Blue Cross and Blue Shield of Montana list Travis J Ptacek MD PLLC 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.
When was this NPI record last updated?
The NPPES record for Travis J Ptacek MD PLLC was last updated on October 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Travis J Ptacek Md Pllc · NPI 1265113260
Geriatric Medicine organization in Rapid City, South Dakota. Organization record, active in the CMS NPPES registry since July 31, 2023.
## Identity
- **NPI:** 1265113260 (Entity type: Organization)
- **Enumerated:** July 31, 2023
- **Primary specialty:** Family Medicine - Geriatric Medicine · taxonomy 207QG0300X
- **Organization subpart:** No
- **Authorized official:** Travis Ptacek, PHYSICIAN
## Practice location
- **Address:** 529 KANSAS CITY ST STE 203, Rapid City, SD 57701-3693
- **Phone:** (605) 223-0011
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 11 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (5), Family Practice (4), Clinical Social Worker (1); 2 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 16, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1265113260) · Data from the CMS NPPES public registry.