DR. JACOB PAUL PRUNUSKE MD, MSPH
NPI 1326004102
Family Medicine in Sioux Falls, SD

Active since April 21, 2006PECOS EnrolledAccepts Medicare Assignment
83.72/100
CMS Quality Rating
1115 E 20TH ST, SIOUX FALLS, SD 57105(605) 339-1783 Get Directions Write a Review

NPPES record last updated: June 2, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 2, 2025, May 10, 2016 (2 updates tracked since 2016).

About Dr. Jacob Paul Prunuske Md, Msph NPPES

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

DR. JACOB PAUL PRUNUSKE MD, MSPH (NPI 1326004102) is an individual family medicine provider in Sioux Falls, South Dakota, licensed in South Dakota (17034) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Aspirus Wausau Hospital, and is a graduate of University Of Wisconsin School Of Medicine (2000).

NPPES Registry Identity

NPI1326004102
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. JACOB PAUL PRUNUSKECredential: MD, MSPH
Location Address1115 E 20TH STSioux Falls, SD 57105-1013
Mailing Address1115 E 20th StSioux Falls, SD 57105-1013 · (605) 339-1783
Sole ProprietorNo
Medical School CMSUniversity Of Wisconsin School Of MedicineGraduated 2000
Enumeration DateApril 21, 2006
Last NPPES UpdateJune 2, 20252 updates tracked since enumeration
NPPES CertifiedJune 2, 2025
NPI 1326004102 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in SD · 17034 Licensed in UT · 4979070-1205 Licensed in WI · 49598 Licensed in MN · 53968
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.
1115 E 20TH ST, Sioux Falls, SD 57105

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. Jacob Paul Prunuske Md, Msph 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 ID9436101375
PECOS Enrollment IDI20250919004288
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.

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.
57 services46 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
48 services39 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.
37 services31 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
18 services18 patients

Hospital Affiliations CMS Care Compare

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

Aspirus Wausau Hospital

Acute Care Hospitals · Wausau, WI
4/5 CMS rating
OwnershipProprietary
CMS Certification Number520030
Location333 Pine Ridge BlvdWausau, WI 54401 · Marathon 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
$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.

83.72/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality83.54
Promoting Interoperability100
Improvement Activities40
Cost58.37

Referred Medical Equipment & Supplies CMS DME claims

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

Portable oxygen contents, gaseous, 1 month's supply = 1 unit E0443
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$41.68 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.

Family Medicine
1115 E 20TH ST
SIOUX FALLS, SD 57105
Student in an Organized Health Care Education/Training Program
1115 E 20TH ST
SIOUX FALLS, SD 57105
Student in an Organized Health Care Education/Training Program
1115 E 20TH ST
SIOUX FALLS, SD 57105
Family Medicine
1115 E 20TH ST
SIOUX FALLS, SD 57105
Family Medicine
1115 E 20TH ST
SIOUX FALLS, SD 57105
Student in an Organized Health Care Education/Training Program
1115 E 20TH ST
SIOUX FALLS, SD 57105
Family Medicine
1115 E 20TH ST
SIOUX FALLS, SD 57105
Student in an Organized Health Care Education/Training Program
1115 E 20TH 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 Jacob Prunuske's NPI number?

The NPI number for Jacob Prunuske is 1326004102. It was assigned to this individual provider in the NPPES registry on April 21, 2006.

Where is Jacob Prunuske located?

Jacob Prunuske practices at 1115 E 20th St, Sioux Falls, SD 57105. The listed phone number is (605) 339-1783.

What is Jacob Prunuske's specialty?

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

Is Jacob Prunuske enrolled in Medicare?

Yes. Jacob Prunuske 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 Jacob Prunuske accept?

Health plans from Avera Health Plans and Sanford Health Plan list Jacob Prunuske 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 Jacob Prunuske affiliated with any hospitals?

According to CMS data, Jacob Prunuske is affiliated with Aspirus Wausau Hospital.

When was this NPI record last updated?

The NPPES record for Jacob Prunuske was last updated on June 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.