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DONALD NEILSON MD
NPI 1326278136
Emergency Medicine in Rapid City, SD

Active since July 15, 2009PECOS EnrolledAccepts Medicare Assignment
74.6/100
CMS Quality Rating
353 FAIRMONT BLVD, RAPID CITY, SD 57701(605) 755-8222(605) 719-4203 Get Directions Write a Review

NPPES record last updated: January 10, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Donald Neilson Md NPPES

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

DONALD NEILSON MD (NPI 1326278136) is an individual emergency medicine provider in Rapid City, South Dakota, licensed in South Dakota (8499) and active in the NPI registry since July 2009. He is enrolled in Medicare PECOS, is affiliated with Monument Health Rapid City Hospital, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1326278136
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDONALD NEILSONCredential: MD
Location Address353 FAIRMONT BLVDRapid City, SD 57701-7375
Mailing AddressPo Box 912882Denver, CO 80291-2882 · (866) 765-0909 · Fax (855) 856-8520
Phone(605) 755-8222
Fax(605) 719-4203
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateJuly 15, 2009
Last NPPES UpdateJanuary 10, 2019
✔ NPI 1326278136 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in SD · 8499
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
353 FAIRMONT BLVD, Rapid City, SD 57701
Open in Google Maps ↗

Other Identifiers 3

Medicaid1326278136SD
Medicaid1326278136CO
Medicaid1459363ND

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Avera Health Plans, Sanford Health Plan, Wellmark of South Dakota, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Donald Neilson 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 ID7113177767
PECOS Enrollment IDI20121017000510
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Donald Neilson reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Rapid City Emergency Services PA
Same address
Emergency Medicine
353 FAIRMONT BLVD
Rapid City, SD 57701
  • Reassigned Medicare billing, South Dakota enrollment
  • 30 clinicians in this Medicare group
NPI 1780621045 (605) 755-8222
Monument Health Network, Inc.
19 mi
Family Medicine
238 ELM ST
Hill City, SD 57745
  • Reassigned Medicare billing, South Dakota enrollment
  • Also billed through NPI 1871560516 (South Dakota), NPI 1033597760 (South Dakota)
  • 321 clinicians in this Medicare group
NPI 1326477357 (605) 574-4470
Fall River Health Services
46 mi
Critical Access
1201 HWY 71 SOUTH
Hot Springs, SD 57747
  • Reassigned Medicare billing, South Dakota enrollment
  • 38 clinicians in this Medicare group
NPI 1679544555 (605) 745-3159

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
214 services209 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
191 services183 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
80 services80 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
55 services54 patients

Hospital Affiliations CMS Care Compare

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

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
$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.

74.6/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality67.05
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.

MONUMENT HEALTH RAPID CITY HOSPITAL, INC.
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
353 FAIRMONT BLVD
RAPID CITY, SD 57701
Meade County (605) 719-1000
CLIFF JANIKOWSKI
Internal Medicine (Pulmonary Disease)
353 FAIRMONT BLVD
RAPID CITY, SD 57701
Meade County (605) 755-1000
MARIA SARGENT CNP
Nurse Practitioner
353 FAIRMONT BLVD
RAPID CITY, SD 57701
Meade County (605) 755-1000
ABIGAIL RENN RD LN
Dietitian, Registered
353 FAIRMONT BLVD
RAPID CITY, SD 57701
Meade County (605) 755-4755
EMMA KOETTER
Physician Assistant
353 FAIRMONT BLVD
RAPID CITY, SD 57701
Meade County (513) 575-6547
ALYSSA BRYANT
Pharmacist
353 FAIRMONT BLVD
RAPID CITY, SD 57701
Meade County (605) 690-3996
JARRETT JAMES FOWLER PA
Physician Assistant
353 FAIRMONT BLVD
RAPID CITY, SD 57701
Meade County (605) 755-1000
DR. KYLE W GIFFORD MD
Internal Medicine
353 FAIRMONT BLVD
RAPID CITY, SD 57701
Meade County (605) 755-1000

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 Donald Neilson's NPI number?

The NPI number for Donald Neilson is 1326278136. It was assigned to this individual provider in the NPPES registry on July 15, 2009.

Where is Donald Neilson located?

Donald Neilson practices at 353 Fairmont Blvd, Rapid City, SD 57701. The listed phone number is (605) 755-8222.

What is Donald Neilson's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Donald Neilson enrolled in Medicare?

Yes. Donald Neilson 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.

Which organizations bill Medicare for Donald Neilson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Donald Neilson reassigns Medicare benefits to 3 organizations: Rapid City Emergency Services PA (Rapid City, SD), Monument Health Network, Inc. (Hill City, SD) and Fall River Health Services (Hot Springs, SD). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Donald Neilson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Donald Neilson accept?

Health plans from Avera Health Plans, Sanford Health Plan and Wellmark of South Dakota, Inc. list Donald Neilson 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 Donald Neilson affiliated with any hospitals?

According to CMS data, Donald Neilson is affiliated with Monument Health Rapid City Hospital.

When was this NPI record last updated?

The NPPES record for Donald Neilson was last updated on January 10, 2019. 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.