MS. MARISA CLAUDETTE MEDINA MD
NPI 1285686832
Internal Medicine in Rapid City, SD

Active since May 16, 2006PECOS EnrolledAccepts Medicare Assignment
97.58/100
CMS Quality Rating
353 FAIRMONT BLVD., RAPID CITY, SD 57701(605) 719-1000 Get Directions Write a Review

NPPES record last updated: October 22, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Marisa Claudette Medina Md NPPES

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

MS. MARISA CLAUDETTE MEDINA MD (NPI 1285686832) is an individual internal medicine provider in Rapid City, South Dakota, licensed in South Dakota (7723) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS, is affiliated with Monument Health Spearfish Hospital, and is a graduate of Other (1986).

NPPES Registry Identity

NPI1285686832
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameMS. MARISA CLAUDETTE MEDINACredential: MD
Location Address353 FAIRMONT BLVD.Rapid City, SD 57701
Mailing Address353 Fairmont Blvd, Atten Christie MssRapid City, SD 57701-7350
Sole ProprietorNo
Medical School CMSOtherGraduated 1986
Enumeration DateMay 16, 2006
Last NPPES UpdateOctober 22, 2013
NPI 1285686832 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in SD · 7723
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
353 FAIRMONT BLVD., Rapid City, SD 57701

Other Identifiers 1

Medicare UPINF67354

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

Ms. Marisa Claudette Medina 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 ID2062304769
PECOS Enrollment IDI20100320000109
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 4

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
509 services139 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
107 services105 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
68 services27 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
21 services15 patients

Hospital Affiliations CMS Care Compare 2

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

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.

97.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.53
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers22 claims22 services$90.39 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier13 claims13 services$29.49 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Internal Medicine
353 FAIRMONT BLVD.
RAPID CITY, SD 57701
Nurse Anesthetist, Certified Registered
353 FAIRMONT BLVD.
RAPID CITY, SD 57701
Nurse Anesthetist, Certified Registered
353 FAIRMONT BLVD.
RAPID CITY, SD 57701
Internal Medicine (Medical Oncology)
353 FAIRMONT BLVD.
RAPID CITY, SD 57701
Nurse Anesthetist, Certified Registered
353 FAIRMONT BLVD.
RAPID CITY, SD 57701
Internal Medicine
353 FAIRMONT BLVD.
RAPID CITY, SD 57701
Hospitalist
353 FAIRMONT BLVD.
RAPID CITY, SD 57701
Nurse Anesthetist, Certified Registered
353 FAIRMONT BLVD.
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 Marisa Medina's NPI number?

The NPI number for Marisa Medina is 1285686832. It was assigned to this individual provider in the NPPES registry on May 16, 2006.

Where is Marisa Medina located?

Marisa Medina practices at 353 Fairmont Blvd., Rapid City, SD 57701. The listed phone number is (605) 719-1000.

What is Marisa Medina's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Marisa Medina enrolled in Medicare?

Yes. Marisa Medina 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 Marisa Medina accept?

Health plans from Avera Health Plans and Medica list Marisa Medina 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 Marisa Medina affiliated with any hospitals?

According to CMS data, Marisa Medina is affiliated with Monument Health Spearfish Hospital and Monument Health Rapid City Hospital.

When was this NPI record last updated?

The NPPES record for Marisa Medina was last updated on October 22, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.