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KELLY GEORGE MCCAUL M.D.
NPI 1295701522
Internal Medicine - Hematology & Oncology in Sioux Falls, SD

Active since February 27, 2006PECOS Enrolled
1000 E. 23RD ST., STE. 200, SIOUX FALLS, SD 57105(605) 322-3035(605) 322-3036 Get Directions Write a Review

NPPES record last updated: October 16, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kelly George Mccaul M.d. NPPES

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

KELLY GEORGE MCCAUL M.D. (NPI 1295701522) is an individual hematology & oncology provider in Sioux Falls, South Dakota, licensed in South Dakota (4717) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1295701522
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NameKELLY GEORGE MCCAULCredential: M.D.
Location Address1000 E. 23RD ST., STE. 200Sioux Falls, SD 57105-2122
Mailing AddressPo Box 86370Sioux Falls, SD 57118-6370 · (605) 322-7510 · Fax (605) 322-6475
Phone(605) 322-3035
Fax(605) 322-3036
Sole ProprietorNo
Enumeration DateFebruary 27, 2006
Last NPPES UpdateOctober 16, 2018
✔ NPI 1295701522 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 · 4717
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.
1000 E. 23RD ST., Sioux Falls, SD 57105
Open in Google Maps ↗

Other Identifiers 18

Other74Q10MCMN · Blue Cross
Medicaid143425000MN
Other0007443SD · Blue Cross
Other28222SD · Sanford Health Plan
Other4717SD · Dakotacare
Other678061025597SD · Preferred One
Medicaid0536219IA
Other26746SD · Midlands Choice
Other3000020SD · Medica
OtherHP32347SD · Healthpartners
Other1109863SD · Araz/ America's Ppo
Other57105AH02SD · Wps Tricare
Other74Q10MCMN · Cc Systems/ Blue Plus
Medicaid46022474342NE
Other820000376SD · Rr Medicare
Other370624200SD · Dept Of Labor
Other92411422911MN · Primewest
Medicaid6630680SD

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelly George Mccaul M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 3

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 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.
204 services26 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.
126 services28 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.
17 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57105 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.

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

VINOD PARAMESWARAN M.D.
Internal Medicine (Hematology & Oncology)
1000 E. 23RD ST., STE. 200
SIOUX FALLS, SD 57105
Minnehaha County (605) 322-3035
MICHAEL STEPHEN MCHALE MD
Internal Medicine (Hematology & Oncology)
1000 E. 23RD ST., STE. 230
SIOUX FALLS, SD 57105
Minnehaha County (605) 322-6900
APRIL JOY SCHNIEDER CNP
Nurse Practitioner (Family)
1000 E. 23RD ST., STE. 230
SIOUX FALLS, SD 57105
Minnehaha County (605) 322-6900
DAVID LEE ELSON M.D.
Internal Medicine (Medical Oncology)
1000 E. 23RD ST., STE. 230
SIOUX FALLS, SD 57105
Minnehaha County (605) 322-6900
AVERA MCKENNAN
Radiology (Radiation Oncology)
1000 E. 23RD ST., STE. 100
SIOUX FALLS, SD 57105
Minnehaha County (605) 322-1625
CAROLE ANN CHELL CNP
Nurse Practitioner (Family)
1000 E. 23RD ST., STE 230
SIOUX FALLS, SD 57105
Minnehaha County (605) 322-6900
AVERA MCKENNAN
Internal Medicine (Hematology & Oncology)
1000 E. 23RD ST., STE. 200
SIOUX FALLS, SD 57105
Minnehaha County (605) 322-3035
NANCY JEAN TERVEEN CNP
Nurse Practitioner (Family)
1000 E. 23RD ST., STE. 230
SIOUX FALLS, SD 57105
Minnehaha County (605) 322-6900

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 Kelly Mccaul's NPI number?

The NPI number for Kelly Mccaul is 1295701522. It was assigned to this individual provider in the NPPES registry on February 27, 2006.

Where is Kelly Mccaul located?

Kelly Mccaul practices at 1000 E. 23rd St. Ste. 200, Sioux Falls, SD 57105. The listed phone number is (605) 322-3035.

What is Kelly Mccaul's specialty?

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

Is Kelly Mccaul enrolled in Medicare?

Yes. Kelly Mccaul is registered in the Medicare PECOS enrollment system.

What insurance does Kelly Mccaul accept?

Health plans from BlueCross BlueShield of Tennessee list Kelly Mccaul 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 Kelly Mccaul was last updated on October 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.