DR. MARCUS LEE FROHM M.D.
NPI 1316141310
Dermatology - MOHS-Micrographic Surgery in Sioux Falls, SD

Active since June 13, 2007PECOS EnrolledAccepts Medicare Assignment
90.18/100
CMS Quality Rating
1310 W 22ND ST, SIOUX FALLS, SD 57105(605) 328-8600(605) 328-8601 Get Directions Write a Review

NPPES record last updated: February 28, 2023. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Feb 28, 2023, Apr 4, 2022 (2 updates tracked since 2022).

About Dr. Marcus Lee Frohm M.d. NPPES

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

DR. MARCUS LEE FROHM M.D. (NPI 1316141310) is an individual mohs-micrographic surgery provider in Sioux Falls, South Dakota, licensed in South Dakota (9025) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS, is affiliated with Sanford Luverne Medical Center, and is a graduate of University Of Michigan Medical School (2007).

NPPES Registry Identity

NPI1316141310
Entity TypeIndividualMale
Primary Taxonomy207ND0101X
Provider Legal NameDR. MARCUS LEE FROHMCredential: M.D.
Location Address1310 W 22ND STSioux Falls, SD 57105-1501
Mailing AddressPo Box 5074Sioux Falls, SD 57117-5074 · (605) 328-8600 · Fax (605) 328-8601
Fax(605) 328-8601
Sole ProprietorNo
Medical School CMSUniversity Of Michigan Medical SchoolGraduated 2007
Enumeration DateJune 13, 2007
Last NPPES UpdateFebruary 28, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 28, 2023
✔ NPI 1316141310 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDermatology · MOHS-Micrographic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207ND0101X
License✔ Licensed in SD · 9025
Definition
The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.
Also ListedDermatologyTaxonomy 207N00000X · License 103869 (MN), 4301089830 (MI), 9025 (SD)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 4301089830 (MI)
1310 W 22ND ST, Sioux Falls, SD 57105

Other Identifiers 4

OtherP00849655MN · Rail Road - Medicare
MedicaidENROLLEDIA
Medicaid35360800WI
MedicaidENROLLEDMN

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

Dr. Marcus Lee Frohm M.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 ID9830264522
PECOS Enrollment IDI20141029000884
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 20

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.

Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks 17311
This procedure involves the careful removal of a growth from the head, neck, hands, or feet. The removed tissue, divided into 1-5 blocks, is then examined under a microscope to study its characteristics and determine the nature of the growth.
738 services551 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
377 services377 patients
Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
345 services196 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.
232 services199 patients
Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm 13132
This procedure involves the complex repair of a wound in areas like the forehead, cheeks, chin, mouth, neck, underarms, hands, or feet. The wound size ranges from 2.6-7.5 cm. The process includes cleaning, removing damaged tissue, and stitching the wound for proper healing.
151 services136 patients
Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks 17312
This procedure involves the careful removal of abnormal growths from the head, neck, hands, or feet. The removed tissues, divided into 1-5 blocks, are then examined under a microscope to identify any irregularities. The process may be carried out in multiple stages for thorough examination.
110 services90 patients

Hospital Affiliations CMS Care Compare 3

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

Sanford Luverne Medical Center

Critical Access Hospitals · Luverne, MN
OwnershipVoluntary non-profit - Private
CMS Certification Number241371
Location1600 N Kniss AvenueLuverne, MN 56156 · Rock County
Emergency services

Avera Mckennan Hospital & University Health Center

Acute Care Hospitals · Sioux Falls, SD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number430016
Location1325 S Cliff AveSioux Falls, SD 57117 · Minnehaha County
Emergency services Birthing friendly

Sanford Usd Medical Center

Acute Care Hospitals · Sioux Falls, SD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number430027
Location1305 W 18th St Post Office Box 5039Sioux Falls, SD 57117 · Minnehaha County
Emergency services Birthing friendly

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
$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.

90.18/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality86.69
Improvement Activities40
Cost91.67

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.

Audiologist
1310 W 22ND ST
SIOUX FALLS, SD 57105
Dermatology
1310 W 22ND ST
SIOUX FALLS, SD 57105
Audiologist
1310 W 22ND ST
SIOUX FALLS, SD 57105
Otolaryngology
1310 W 22ND ST
SIOUX FALLS, SD 57105
Otolaryngology
1310 W 22ND ST
SIOUX FALLS, SD 57105
Nurse Practitioner
1310 W 22ND ST
SIOUX FALLS, SD 57105
Ophthalmology
1310 W 22ND ST
SIOUX FALLS, SD 57105
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1310 W 22ND ST
SIOUX FALLS, SD 57105

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 Marcus Frohm's NPI number?

The NPI number for Marcus Frohm is 1316141310. It was assigned to this individual provider in the NPPES registry on June 13, 2007.

Where is Marcus Frohm located?

Marcus Frohm practices at 1310 W 22nd St, Sioux Falls, SD 57105. The listed phone number is (605) 328-8600.

What is Marcus Frohm's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in MOHS-Micrographic Surgery, with taxonomy code 207ND0101X.

Is Marcus Frohm enrolled in Medicare?

Yes. Marcus Frohm 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 Marcus Frohm accept?

Health plans from Medica, Sanford Health Plan and Security Health Plan list Marcus Frohm 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 Marcus Frohm affiliated with any hospitals?

According to CMS data, Marcus Frohm is affiliated with Sanford Luverne Medical Center, Avera Mckennan Hospital & University Health Center and Sanford Usd Medical Center.

When was this NPI record last updated?

The NPPES record for Marcus Frohm was last updated on February 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.