DR. JAMES A KUZMAN M.D., PH.D.
NPI 1275760860
Internal Medicine - Hematology & Oncology in Rapid City, SD

Q: What is James Kuzman's NPI number?

The NPI number for James Kuzman is 1275760860. It was assigned to this individual provider in the NPPES registry on June 22, 2009.

Q: What is James Kuzman's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Q: When was this NPI record last updated?

The NPPES record for James Kuzman was last updated on February 13, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 22, 2009PECOS EnrolledAccepts Medicare Assignment

97.58/100

CMS Quality Rating

353 FAIRMONT BLVD, RAPID CITY, SD 57701(605) 755-2300(605) 755-2310 Get Directions Write a Review

NPPES record last updated: February 13, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Dr. James A Kuzman M.d., Ph.d. NPPES

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

DR. JAMES A KUZMAN M.D., PH.D. (NPI 1275760860) is an individual hematology & oncology provider in Rapid City, South Dakota, licensed in South Dakota (9941) and active in the NPI registry since June 2009. He is enrolled in Medicare PECOS, is affiliated with Monument Health Spearfish Hospital, and is a graduate of Sanford School Of Medicine Of University Of South Dakota (2009).

NPPES Registry Identity

NPI1275760860

Entity TypeIndividualMale

Primary Taxonomy207RH0003X

Provider Legal NameDR. JAMES A KUZMANCredential: M.D., PH.D.

Location Address353 FAIRMONT BLVDRapid City, SD 57701-7375

Mailing Address353 Fairmont BlvdRapid City, SD 57701-7375 · (605) 755-8107

Phone(605) 755-2300

Fax(605) 755-2310

Sole ProprietorNo

Medical School CMSSanford School Of Medicine Of University Of South DakotaGraduated 2009

Enumeration DateJune 22, 2009

Last NPPES UpdateFebruary 13, 2020

✔ NPI 1275760860 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians

Taxonomy Code207RH0003X

License✔ Licensed in SD · 9941

Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

353 FAIRMONT BLVD, Rapid City, SD 57701

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Avera Health Plans, Medica, Oscar Insurance Company and more.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

Dr. James A Kuzman M.d., Ph.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 ID2365673225

PECOS Enrollment IDI20160804002605

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 5

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

904 services313 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

84 services59 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

67 services67 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.

63 services55 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

52 services52 patients

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, SD

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number430048

Location1440 N Main StSpearfish, SD 57783 · Lawrence County

Emergency services

Monument Health Rapid City Hospital

Acute Care Hospitals · Rapid City, SD

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number430077

Location353 Fairmont BlvdRapid City, SD 57701 · Pennington County

Emergency services Birthing friendly

Hans P Peterson Memorial Hospital - Cah

Critical Access Hospitals · Philip, SD

OwnershipVoluntary non-profit - Private

CMS Certification Number431319

Location503 W Pine Post Office Box 790Philip, SD 57567 · Haakon County

Emergency services

Monument Health Sturgis Hospital

Critical Access Hospitals · Sturgis, SD

OwnershipVoluntary non-profit - Other

CMS Certification Number431321

Location2140 Junction AveSturgis, SD 57785 · Meade County

Emergency services

Monument Health Custer Hospital

Critical Access Hospitals · Custer, SD

OwnershipVoluntary non-profit - Private

CMS Certification Number431323

Location1220 Montgomery StreetCuster, SD 57730 · Custer County

Emergency services

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

$167.23 typical visit price

range $55.52 – $167.23

Typical copayment $41.80 (range $13.88 – $41.80)

Most-billed visit code 99205

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.

97.58/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

86.53

Promoting Interoperability

100

Improvement Activities

Leave this field empty

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.

MONUMENT HEALTH RAPID CITY HOSPITAL, INC.

Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)