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MR. CAREY CLAY BUHLER MD
NPI 1265590749
Radiology - Diagnostic Radiology in Mitchell, SD

Active since December 05, 2006PECOS EnrolledAccepts Medicare Assignment
80.77/100
CMS Quality Rating
2200 N KIMBALL ST 700, MITCHELL, SD 57301(605) 996-1159(605) 996-2978 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mr. Carey Clay Buhler Md NPPES

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

MR. CAREY CLAY BUHLER MD (NPI 1265590749) is an individual diagnostic radiology provider in Mitchell, South Dakota, licensed in Nebraska (23475) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS, is affiliated with Phs Indian Hospital At Rosebud, and is a graduate of Other (1988).

NPPES Registry Identity

NPI1265590749
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameMR. CAREY CLAY BUHLERCredential: MD
Location Address2200 N KIMBALL ST 700Mitchell, SD 57301
Mailing Address2200 N Kimball St 700 Po Box 975Mitchell, SD 57301 · (605) 996-1159 · Fax (605) 996-2978
Phone(605) 996-1159
Fax(605) 996-2978
Sole ProprietorNo
Medical School CMSOtherGraduated 1988
Enumeration DateDecember 5, 2006
Last NPPES UpdateSeptember 11, 2025
✔ NPI 1265590749 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Licenses✔ Licensed in NE · 23475✔ Licensed in ND · 6414
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Also ListedRadiology · Nuclear RadiologyTaxonomy 2085N0904X · License 1995 (SD)
2200 N KIMBALL ST 700, Mitchell, SD 57301
Open in Google Maps ↗

Other Identifiers 1

Medicaid7202702SD

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Wellmark of South Dakota, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Carey Clay Buhler Md 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 ID5991787137
PECOS Enrollment IDI20091109000467
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.

Medicare Billing Reassignments

4

Medicare enrollment records show Carey Buhler reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Wagner Community Memorial Hospital
47 mi
Critical Access
513 3RD ST SW
Wagner, SD 57380
  • Reassigned Medicare billing, South Dakota enrollment
  • 44 clinicians in this Medicare group
NPI 1326030974 (605) 384-3611
Winnebago Tribe Of Nebraska
130 mi
Mental Health (Including Community Mental Health Center)
225 BLUFF ST
Winnebago, NE 68071
  • Reassigned Medicare billing, Texas enrollment
  • 90 clinicians in this Medicare group
NPI 1710469234 (402) 745-3950
Rosebud Indian Health Service
146 mi
General Acute Care Hospital
400 SOLDIER CREEK ROAD
Rosebud, SD 57570
  • Reassigned Medicare billing, Texas enrollment
  • 386 clinicians in this Medicare group
NPI 1194757369 (605) 747-3245
Pine Ridge Indian Health Service Hospital
209 mi
Clinic/Center
1000 HEALTH CENTER RD
Kyle, SD 57752
  • Reassigned Medicare billing, Texas enrollment
  • 84 clinicians in this Medicare group
NPI 1003963497 (605) 455-2451

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

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.

Screening mammography 77067
Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.
21 services21 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Phs Indian Hospital At Rosebud

Acute Care Hospitals · Rosebud, SD
OwnershipGovernment - Federal
CMS Certification Number430084
Location400 Soldier Creek RoadRosebud, SD 57570 · Todd County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57301 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.

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.

80.77/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.4
Promoting Interoperability76
Improvement Activities40
Cost58.21

Reported Quality Measures

Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques
Percentage of final reports for patients aged 18 years and older undergoing CT with documentation that one or more of the following dose reduction techniques were used: - Automated exposure control - Adjustment of the mA and/or kV according to patient size -…
100%237 patients
Radiology: Reminder System for Screening Mammograms
Percentage of patients undergoing a screening mammogram whose information is entered into a reminder system with a target due date for the next mammogram
100%229 patients
Radiology: Stenosis Measurement in Carotid Imaging Reports
Percentage of final reports for carotid imaging studies (neck magnetic resonance angiography [MRA], neck computed tomography angiography [CTA], neck duplex ultrasound, carotid angiogram) performed that include direct or indirect reference to measurements of…
100%30 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 NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Carey Buhler's NPI number?

The NPI number for Carey Buhler is 1265590749. It was assigned to this individual provider in the NPPES registry on December 5, 2006.

Where is Carey Buhler located?

Carey Buhler practices at 2200 N Kimball St 700, Mitchell, SD 57301. The listed phone number is (605) 996-1159.

What is Carey Buhler's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Carey Buhler enrolled in Medicare?

Yes. Carey Buhler 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.

Which organizations bill Medicare for Carey Buhler's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carey Buhler reassigns Medicare benefits to 4 organizations: Wagner Community Memorial Hospital (Wagner, SD), Winnebago Tribe Of Nebraska (Winnebago, NE), Rosebud Indian Health Service (Rosebud, SD) and Pine Ridge Indian Health Service Hospital (Kyle, SD). 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 Carey Buhler's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Carey Buhler accept?

Health plans from Wellmark of South Dakota, Inc. list Carey Buhler 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 Carey Buhler affiliated with any hospitals?

According to CMS data, Carey Buhler is affiliated with Phs Indian Hospital At Rosebud.

When was this NPI record last updated?

The NPPES record for Carey Buhler was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.