JOSEPH L TUMA MD
NPI 1326081225
Internal Medicine - Interventional Cardiology in Rapid City, SD

Active since June 14, 2006PECOS EnrolledAccepts Medicare Assignment
97.58/100
CMS Quality Rating
353 FAIRMONT BLVD, RAPID CITY, SD 57701(605) 755-4300(605) 755-0682 Get Directions Write a Review

NPPES record last updated: December 27, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Joseph L Tuma Md NPPES

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

JOSEPH L TUMA MD (NPI 1326081225) is an individual interventional cardiology provider in Rapid City, South Dakota, licensed in South Dakota (5853) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Monument Health Spearfish Hospital, and is a graduate of University Of Nebraska College Of Medicine (1998).

NPPES Registry Identity

NPI1326081225
Entity TypeIndividualMale
Primary Taxonomy207RI0011X
Provider Legal NameJOSEPH L TUMACredential: MD
Location Address353 FAIRMONT BLVDRapid City, SD 57701-7375
Mailing Address353 Fairmont Blvd, Atten Medical Staff ServicesRapid City, SD 57701-6000
Fax(605) 755-0682
Sole ProprietorNo
Medical School CMSUniversity Of Nebraska College Of MedicineGraduated 1998
Enumeration DateJune 14, 2006
Last NPPES UpdateDecember 27, 2022
NPPES CertifiedDecember 27, 2022
NPI 1326081225 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RI0011X
License Licensed in SD · 5853
Definition
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
353 FAIRMONT BLVD, Rapid City, SD 57701

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

Joseph L Tuma 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 ID6507852571
PECOS Enrollment IDI20040423000975, I20060807000458, I20061206000313
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 39

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.

Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152
This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.
282 services254 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
228 services228 patients
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.
104 services103 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
103 services103 patients
Ultrasound of both sides of head and neck blood flow 93880
An ultrasound of the head and neck blood flow is a safe, non-invasive procedure that uses sound waves to create images of blood vessels. It helps detect abnormalities like blockages or clots, ensuring optimal blood flow.
82 services82 patients
Insertion of stents with balloon dilation of coronary artery or branch, single artery or branch 92928
This procedure involves placing a small, mesh tube (stent) in your coronary artery to keep it open. A balloon is used to expand the stent and artery, improving blood flow to your heart. It's typically done for a single artery or branch.
67 services55 patients

Hospital Affiliations CMS Care Compare 5

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

Monument Health Sturgis Hospital

Critical Access Hospitals · Sturgis, SD
OwnershipVoluntary non-profit - Other
CMS Certification Number431321
Location2140 Junction AveSturgis, SD 57785 · Meade County
Emergency services

Fall River Hospital - Cah

Critical Access Hospitals · Hot Springs, SD
OwnershipGovernment - Local
CMS Certification Number431322
Location1201 Highway 71 SouthHot Springs, SD 57747 · Fall River County
Emergency services

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

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

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.

Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
353 FAIRMONT BLVD
RAPID CITY, SD 57701
Internal Medicine (Pulmonary Disease)
353 FAIRMONT BLVD
RAPID CITY, SD 57701
Nurse Practitioner
353 FAIRMONT BLVD
RAPID CITY, SD 57701
Dietitian, Registered
353 FAIRMONT BLVD
RAPID CITY, SD 57701
Physician Assistant
353 FAIRMONT BLVD
RAPID CITY, SD 57701
Pharmacist
353 FAIRMONT BLVD
RAPID CITY, SD 57701
Physician Assistant
353 FAIRMONT BLVD
RAPID CITY, SD 57701
Internal Medicine
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 Joseph Tuma's NPI number?

The NPI number for Joseph Tuma is 1326081225. It was assigned to this individual provider in the NPPES registry on June 14, 2006.

Where is Joseph Tuma located?

Joseph Tuma practices at 353 Fairmont Blvd, Rapid City, SD 57701. The listed phone number is (605) 755-4300.

What is Joseph Tuma's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Is Joseph Tuma enrolled in Medicare?

Yes. Joseph Tuma 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 Joseph Tuma accept?

Health plans from Avera Health Plans, Blue Cross and Blue Shield of Nebraska, Medica, Oscar Insurance Company and Sanford Health Plan list Joseph Tuma 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 Joseph Tuma affiliated with any hospitals?

According to CMS data, Joseph Tuma is affiliated with Monument Health Spearfish Hospital, Monument Health Rapid City Hospital, Monument Health Sturgis Hospital, Fall River Hospital - Cah and Monument Health Custer Hospital.

When was this NPI record last updated?

The NPPES record for Joseph Tuma was last updated on December 27, 2022. 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.