ROBERT D MACLACHLAN M.D.
NPI 1265491195
Psychiatry & Neurology - Neurology in Rapid City, SD

Active since March 20, 2006PECOS EnrolledAccepts Medicare Assignment
80.71/100
CMS Quality Rating
4141 5TH ST, RAPID CITY, SD 57701(605) 341-2424(605) 341-4547 Get Directions Write a Review

NPPES record last updated: January 14, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Robert D Maclachlan M.d. NPPES

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

ROBERT D MACLACHLAN M.D. (NPI 1265491195) is an individual neurology provider in Rapid City, South Dakota, licensed in South Dakota (4985) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1993).

NPPES Registry Identity

NPI1265491195
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameROBERT D MACLACHLANCredential: M.D.
Location Address4141 5TH STRapid City, SD 57701-6021
Mailing AddressPo Box 6850Rapid City, SD 57709-6850 · (605) 341-1414
Fax(605) 341-4547
Sole ProprietorNo
Medical School CMSOtherGraduated 1993
Enumeration DateMarch 20, 2006
Last NPPES UpdateJanuary 14, 2021
NPPES CertifiedJanuary 14, 2021
NPI 1265491195 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License Licensed in SD · 4985
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
4141 5TH ST, Rapid City, SD 57701

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 and accepts Medicare assignment

Robert D Maclachlan 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 ID1850388950
PECOS Enrollment IDI20040429000984, I20111209000257
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 8

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.

Needle measurement of electrical activity in arm or leg muscles, complete study 95886
This procedure, known as an electromyography (EMG), involves inserting a small needle into your arm or leg muscles to measure their electrical activity. This complete study helps diagnose issues with nerves or muscles, providing valuable data for your treatment plan.
640 services421 patients
Nerve conduction, 9-10 studies 95911
Nerve conduction studies involve sending small electrical shocks through the skin to measure how quickly nerves transmit signals. This helps detect nerve damage. 9-10 studies mean this process will be repeated on different nerves to gather comprehensive data.
173 services170 patients
Nerve conduction, 13 or more studies 95913
Nerve conduction studies involve 13 or more tests to check the speed and strength of signals traveling between your nerves and muscles. It helps diagnose conditions affecting nerves and muscles. The test involves small shocks and may cause minor discomfort.
135 services135 patients
Nerve conduction, 7-8 studies 95910
Nerve conduction studies involve testing the speed and strength of signals traveling through your nerves. This helps doctors identify nerve damage. In a 7-8 study procedure, 7-8 specific nerves are tested. You may feel a mild, brief tingling or shock during the test.
78 services76 patients
Nerve conduction, 5-6 studies 95909
Nerve conduction studies involve testing the speed and strength of signals traveling through your nerves. This helps identify any nerve damage or dysfunction. For 5-6 studies, this means multiple nerves will be tested. Small electrodes are placed on your skin to send and receive signals, causing minimal discomfort.
44 services44 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.
21 services16 patients

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.

80.71/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality75.89
Improvement Activities40
Cost79.91

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.

Neurological Surgery
4141 5TH ST
RAPID CITY, SD 57701
Physical Medicine & Rehabilitation
4141 5TH ST
RAPID CITY, SD 57701
Physical Therapist
4141 5TH ST
RAPID CITY, SD 57701
Physical Therapist
4141 5TH ST
RAPID CITY, SD 57701
Physical Therapist
4141 5TH ST
RAPID CITY, SD 57701
Physical Therapist
4141 5TH ST
RAPID CITY, SD 57701
Physician Assistant
4141 5TH ST
RAPID CITY, SD 57701
Physical Therapist
4141 5TH ST
RAPID CITY, SD 57701

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 Robert Maclachlan's NPI number?

The NPI number for Robert Maclachlan is 1265491195. It was assigned to this individual provider in the NPPES registry on March 20, 2006.

Where is Robert Maclachlan located?

Robert Maclachlan practices at 4141 5th St, Rapid City, SD 57701. The listed phone number is (605) 341-2424.

What is Robert Maclachlan's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Robert Maclachlan enrolled in Medicare?

Yes. Robert Maclachlan 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 Robert Maclachlan accept?

Health plans from Avera Health Plans, Blue Cross Blue Shield of Wyoming, Medica, Oscar Insurance Company and Sanford Health Plan list Robert Maclachlan 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 Robert Maclachlan was last updated on January 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.