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MARGARET A CARMODY M.D.
NPI 1346482890
Neurological Surgery in Sioux Falls, SD

Active since March 30, 2009PECOS EnrolledAccepts Medicare Assignment
1301 S. CLIFF AVE., STE. 610, SIOUX FALLS, SD 57105(605) 322-8860(605) 322-8868 Get Directions Write a Review

NPPES record last updated: August 8, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Margaret A Carmody M.d. NPPES

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

MARGARET A CARMODY M.D. (NPI 1346482890) is an individual neurological surgery provider in Sioux Falls, South Dakota, licensed in South Dakota (9952) and active in the NPI registry since March 2009. She is enrolled in Medicare PECOS, is affiliated with Avera Mckennan Hospital & University Health Center, and is a graduate of Medical College Of Wisconsin (2009).

NPPES Registry Identity

NPI1346482890
Entity TypeIndividualFemale
Primary Taxonomy207T00000X
Provider Legal NameMARGARET A CARMODYCredential: M.D.
Location Address1301 S. CLIFF AVE., STE. 610Sioux Falls, SD 57105-1032
Mailing Address1301 S. Cliff Ave., Ste. 610Sioux Falls, SD 57105-1032 · (605) 322-8860 · Fax (605) 322-8868
Phone(605) 322-8860
Fax(605) 322-8868
Sole ProprietorNo
Medical School CMSMedical College Of WisconsinGraduated 2009
Enumeration DateMarch 30, 2009
Last NPPES UpdateAugust 8, 2016
✔ NPI 1346482890 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207T00000X
License✔ Licensed in SD · 9952
Definition
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
1301 S. CLIFF AVE., Sioux Falls, SD 57105
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter Health and more.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

Margaret A Carmody 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 ID4688967441
PECOS Enrollment IDI20160801002108
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 11

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.

Computer-assisted radiosurgery of simple growth of brain, each additional growth 61797
Computer-assisted radiosurgery is a non-invasive treatment for brain growths. It uses precise beams of radiation to target and destroy each growth without harming surrounding healthy tissue. For each additional growth, the process is repeated.
45 services14 patients
Fusion of additional segment of spine 22614
Fusion of an additional segment of the spine is a surgical procedure to join two or more vertebrae together. This is done to stabilize the spine and reduce pain or correct a deformity. The procedure involves using bone grafts, rods, or screws to secure the spine.
32 services11 patients
Insertion of cage or mesh device to spine bone and disc space during spine fusion 22853
Spine fusion is a procedure to join two or more vertebrae. During this process, a cage or mesh device is inserted into the spine bone and disc space. This helps to stabilize the spine, reduce pain, and improve functionality. The device acts as a bridge for new bone to grow on.
30 services15 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
27 services25 patients
Computer-assisted radiosurgery application of headframe 61800
Computer-assisted radiosurgery with a headframe is a non-invasive procedure that treats brain conditions. A headframe is attached to your head to keep it still during treatment. Using advanced computer technology, precise high-dose radiation beams target the affected area without harming healthy tissues.
26 services24 patients
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.
25 services23 patients

Hospital Affiliations CMS Care Compare

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

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

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
$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
$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.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AVERA MCKENNAN
Neurological Surgery
1301 S. CLIFF AVE.
SIOUX FALLS, SD 57105
Minnehaha County (605) 322-8860
AVERA MCKENNAN
Physical Medicine & Rehabilitation
1301 S. CLIFF AVE., STE. 401
SIOUX FALLS, SD 57105
Minnehaha County (605) 322-7300
ELIZABETH CECILIA EDMAN CNP
Nurse Practitioner (Adult Health)
1301 S. CLIFF AVE., SUITE 400
SIOUX FALLS, SD 57105
Minnehaha County (605) 322-5750
AMY SUE THOMPSON CNP
Nurse Practitioner (Family)
1301 S. CLIFF AVE., STE. 401
SIOUX FALLS, SD 57105
Minnehaha County (605) 322-7300
FADY GHASSAN JAMOUS M.D.
Internal Medicine (Pulmonary Disease)
1301 S. CLIFF AVE., STE. 601
SIOUX FALLS, SD 57105
Minnehaha County (605) 322-6930

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 Margaret Carmody's NPI number?

The NPI number for Margaret Carmody is 1346482890. It was assigned to this individual provider in the NPPES registry on March 30, 2009.

Where is Margaret Carmody located?

Margaret Carmody practices at 1301 S. Cliff Ave. Ste. 610, Sioux Falls, SD 57105. The listed phone number is (605) 322-8860.

What is Margaret Carmody's specialty?

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

Is Margaret Carmody enrolled in Medicare?

Yes. Margaret Carmody 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 Margaret Carmody 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 1 other insurer list Margaret Carmody 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 Margaret Carmody affiliated with any hospitals?

According to CMS data, Margaret Carmody is affiliated with Avera Mckennan Hospital & University Health Center.

When was this NPI record last updated?

The NPPES record for Margaret Carmody was last updated on August 8, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.