JOY M FALKENBURG MD
NPI 1295789873
Family Medicine in Custer, SD

Q: What is Joy Falkenburg's NPI number?

The NPI number for Joy Falkenburg is 1295789873. It was assigned to this individual provider in the NPPES registry on May 19, 2006.

Q: What is Joy Falkenburg's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Joy Falkenburg was last updated on January 23, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since May 19, 2006PECOS EnrolledAccepts Medicare Assignment

97.58/100

CMS Quality Rating

1041 MONTGOMERY STREET, CUSTER, SD 57730(605) 673-4150(605) 673-3917 Get Directions Write a Review

NPPES record last updated: January 23, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Joy M Falkenburg Md NPPES

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

JOY M FALKENBURG MD (NPI 1295789873) is an individual family medicine provider in Custer, South Dakota, licensed in South Dakota (5221) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS, is affiliated with Monument Health Rapid City Hospital, and is a graduate of Sanford School Of Medicine Of University Of South Dakota (2000).

NPPES Registry Identity

NPI1295789873

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameJOY M FALKENBURGCredential: MD

Location Address1041 MONTGOMERY STREETCuster, SD 57730-1304

Mailing Address353 Fairmont Blvd, Atten Medical Staff ServicesRapid City, SD 57701-6000

Phone(605) 673-4150

Fax(605) 673-3917

Sole ProprietorNo

Medical School CMSSanford School Of Medicine Of University Of South DakotaGraduated 2000

Enumeration DateMay 19, 2006

Last NPPES UpdateJanuary 23, 2013

✔ NPI 1295789873 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in SD · 5221

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1041 MONTGOMERY STREET, Custer, SD 57730

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Other Identifiers 2

Medicare PINS101112SD

Medicare UPINH53505

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

Joy M Falkenburg 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 ID9032112925

PECOS Enrollment IDI20060815000145

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.

Hospital Affiliations CMS Care Compare 3

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

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

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

Weston County Health Services

Critical Access Hospitals · Newcastle, WY

OwnershipGovernment - Hospital District or Authority

CMS Certification Number531303

Location1124 Washington BoulevardNewcastle, WY 82701 · Weston County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57730 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

$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

Referred Medical Equipment & Supplies CMS DME claims 5

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

5 suppliers20 claims41 services$6.42 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

2 suppliers11 claims64 services$3.22 avg. paid by Medicare

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 suppliers45 claims45 services$107.20 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

2 suppliers13 claims13 services$38.03 avg. paid by Medicare

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

2 suppliers14 claims14 services$197.80 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 4

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

TERRY M GRABER MD

Family Medicine

1041 MONTGOMERY STREET
CUSTER, SD 57730

Custer County (605) 673-4150

MRS. AMANDA LEE TAGLIOLI PA-C

Physician Assistant (Medical)

1041 MONTGOMERY STREET
CUSTER, SD 57730

Custer County (605) 673-4150

GLORIA D WALZ CNP

Physician Assistant

1041 MONTGOMERY STREET
CUSTER, SD 57730

Custer County (605) 673-4150

DR. LISA B BROWN MD

Family Medicine

1041 MONTGOMERY STREET
CUSTER, SD 57730

Custer County (605) 673-4150

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 Joy Falkenburg's NPI number?

The NPI number for Joy Falkenburg is 1295789873. It was assigned to this individual provider in the NPPES registry on May 19, 2006.

Where is Joy Falkenburg located?

Joy Falkenburg practices at 1041 Montgomery Street, Custer, SD 57730. The listed phone number is (605) 673-4150.

What is Joy Falkenburg's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Joy Falkenburg enrolled in Medicare?

Yes. Joy Falkenburg 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 Joy Falkenburg accept?

Health plans from Avera Health Plans, Medica, Oscar Insurance Company and Sanford Health Plan list Joy Falkenburg 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 Joy Falkenburg affiliated with any hospitals?

According to CMS data, Joy Falkenburg is affiliated with Monument Health Rapid City Hospital, Monument Health Custer Hospital and Weston County Health Services.

When was this NPI record last updated?

The NPPES record for Joy Falkenburg was last updated on January 23, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.