DR. ROSS NOEL BACON M.D.
NPI 1366528838
Internal Medicine - Pulmonary Disease in Sioux Falls, SD

Active since October 27, 2006PECOS Enrolled
83.57/100
CMS Quality Rating
1205 S GRANGE AVE STE 407, SIOUX FALLS, SD 57105(605) 328-8900(605) 328-8901 Get Directions Write a Review

NPPES record last updated: August 22, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Ross Noel Bacon M.d. NPPES

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

DR. ROSS NOEL BACON M.D. (NPI 1366528838) is an individual pulmonary disease provider in Sioux Falls, South Dakota, licensed in South Dakota (4302) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1366528838
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameDR. ROSS NOEL BACONCredential: M.D.
Location Address1205 S GRANGE AVE STE 407Sioux Falls, SD 57105-0410
Mailing AddressPo Box 5074Sioux Falls, SD 57117-5074 · (605) 328-6585 · Fax (605) 328-6512
Fax(605) 328-8901
Sole ProprietorNo
Enumeration DateOctober 27, 2006
Last NPPES UpdateAugust 22, 2013
NPI 1366528838 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
Licenses Licensed in SD · 4302 Licensed in IA · 28247
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal MedicineTaxonomy 207R00000X · License 28247 (IA)
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 28247 (IA)
Also ListedInternal Medicine · Sleep MedicineTaxonomy 207RS0012X · License 28247 (IA)
1205 S GRANGE AVE STE 407, Sioux Falls, SD 57105

Other Identifiers 4

Other4992607SD · Blue Cross Blue Shield
Other10025572500NE · Medicaid
Other71249IA · Blue Cross Blue Shield
Medicare UPINE97414IA

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 (PECOS)

Dr. Ross Noel Bacon M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 7

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.

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
125 services125 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.
63 services53 patients
Test to determine lung volumes using sensors 94726
This test, called spirometry, measures lung capacity using sensors. You breathe into a mouthpiece attached to a device that records the amount and rate of air you inhale and exhale. It helps diagnose and monitor lung conditions.
49 services49 patients
Test to examine how well the lungs exchange gases 94729
This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.
49 services49 patients
Test to measure expiratory airflow and volume changes before and after medication administration 94060
This procedure measures how air flows in and out of your lungs. It's done before and after medication to see if the treatment improves your breathing. It's a simple, non-invasive test that involves breathing into a device called a spirometer.
46 services46 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
36 services34 patients

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
$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.

83.57/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality96.07
Promoting Interoperability98
Improvement Activities40
Cost50.83

Referred Medical Equipment & Supplies CMS DME claims 32

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

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
30 suppliers256 claims256 services$40.37 avg. paid by Medicare
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003
DME-Other DME · category DE000N
8 suppliers15 claims48 services$1.56 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
30 suppliers174 claims174 services$104.36 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
31 suppliers211 claims470 services$38.84 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
20 suppliers104 claims435 services$20.36 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
12 suppliers30 claims145 services$16.20 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 6

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

Internal Medicine (Critical Care Medicine)
1205 S GRANGE AVE STE 407
SIOUX FALLS, SD 57105
Nurse Practitioner
1205 S GRANGE AVE STE 407
SIOUX FALLS, SD 57105
Internal Medicine (Infectious Disease)
1205 S GRANGE AVE STE 407
SIOUX FALLS, SD 57105
Internal Medicine
1205 S GRANGE AVE STE 407
SIOUX FALLS, SD 57105
Nurse Practitioner
1205 S GRANGE AVE STE 407
SIOUX FALLS, SD 57105
Nurse Practitioner (Family)
1205 S GRANGE AVE STE 407
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 Ross Bacon's NPI number?

The NPI number for Ross Bacon is 1366528838. It was assigned to this individual provider in the NPPES registry on October 27, 2006.

Where is Ross Bacon located?

Ross Bacon practices at 1205 S Grange Ave Ste 407, Sioux Falls, SD 57105. The listed phone number is (605) 328-8900.

What is Ross Bacon's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Ross Bacon enrolled in Medicare?

Yes. Ross Bacon is registered in the Medicare PECOS enrollment system.

What insurance does Ross Bacon accept?

Health plans from Medica list Ross Bacon 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.

When was this NPI record last updated?

The NPPES record for Ross Bacon was last updated on August 22, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.