SCOTT R ULMER PA-C
NPI 1326697970
Physician Assistant in Tyndall, SD

Active since September 06, 2019PECOS EnrolledAccepts Medicare Assignment
92.59/100
CMS Quality Rating
410 W 16TH AVE, TYNDALL, SD 57066(605) 589-2100(605) 589-2115 Get Directions Write a Review

NPPES record last updated: August 25, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 25, 2020, Sep 6, 2019 (2 updates tracked since 2019).

About Scott R Ulmer Pa-c NPPES

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

SCOTT R ULMER PA-C (NPI 1326697970) is an individual physician assistant in Tyndall, South Dakota, licensed in South Dakota (1212) and active in the NPI registry since September 2019. He is enrolled in Medicare PECOS, is affiliated with Avera Sacred Heart Hospital, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1326697970
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameSCOTT R ULMERCredential: PA-C
Location Address410 W 16TH AVETyndall, SD 57066-2318
Mailing Address410 W 16th AveTyndall, SD 57066-2318 · (605) 589-2100 · Fax (605) 589-2115
Fax(605) 589-2115
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateSeptember 6, 2019
Last NPPES UpdateAugust 25, 20202 updates tracked since enumeration
NPPES CertifiedAugust 25, 2020
NPI 1326697970 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in SD · 1212
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
410 W 16TH AVE, Tyndall, SD 57066

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

Scott R Ulmer Pa-c 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 ID4688906779
PECOS Enrollment IDI20191022002361
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 2

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.

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
48 services33 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
12 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Avera Sacred Heart Hospital

Acute Care Hospitals · Yankton, SD
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number430012
Location501 Summit StYankton, SD 57078 · Yankton County
Emergency services Birthing friendly

St Michael's Hospital - Cah

Critical Access Hospitals · Tyndall, SD
OwnershipGovernment - Local
CMS Certification Number431327
Location410 W 16th AveTyndall, SD 57066 · Bon Homme County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57066 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.

92.59/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality88.72
Promoting Interoperability96
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 3

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

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
1 supplier26 claims26 services$112.35 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier24 claims24 services$38.23 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
1 supplier13 claims13 services$197.25 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.

Pharmacy
410 W 16TH AVE
TYNDALL, SD 57066
Nurse Practitioner (Family)
410 W 16TH AVE
TYNDALL, SD 57066
Family Medicine
410 W 16TH AVE
TYNDALL, SD 57066
Physician Assistant
410 W 16TH AVE
TYNDALL, SD 57066
Physician Assistant
410 W 16TH AVE
TYNDALL, SD 57066
Family Medicine
410 W 16TH AVE
TYNDALL, SD 57066
Nurse Practitioner (Family)
410 W 16TH AVE
TYNDALL, SD 57066
Clinic/Center (Critical Access Hospital)
410 W 16TH AVE
TYNDALL, SD 57066

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 Scott Ulmer's NPI number?

The NPI number for Scott Ulmer is 1326697970. It was assigned to this individual provider in the NPPES registry on September 6, 2019.

Where is Scott Ulmer located?

Scott Ulmer practices at 410 W 16th Ave, Tyndall, SD 57066. The listed phone number is (605) 589-2100.

What is Scott Ulmer's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Scott Ulmer enrolled in Medicare?

Yes. Scott Ulmer 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 Scott Ulmer accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Avera Health Plans and 3 other insurers list Scott Ulmer 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 Scott Ulmer affiliated with any hospitals?

According to CMS data, Scott Ulmer is affiliated with Avera Sacred Heart Hospital and St Michael's Hospital - Cah.

When was this NPI record last updated?

The NPPES record for Scott Ulmer was last updated on August 25, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.