DR. CLARK C DUCHENE MD
NPI 1376523969
Orthopaedic Surgery in Rapid City, SD

Q: What is Clark Duchene's NPI number?

The NPI number for Clark Duchene is 1376523969. It was assigned to this individual provider in the NPPES registry on January 19, 2006.

Q: What is Clark Duchene's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Q: When was this NPI record last updated?

The NPPES record for Clark Duchene was last updated on July 26, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since January 19, 2006PECOS EnrolledAccepts Medicare Assignment

80.71/100

CMS Quality Rating

7220 MOUNT RUSHMORE RD, RAPID CITY, SD 57702(604) 341-1414(605) 341-7062 Get Directions Write a Review

NPPES record last updated: July 26, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 26, 2024, Jan 17, 2023 (2 updates tracked since 2023).

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About Dr. Clark C Duchene Md NPPES

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

DR. CLARK C DUCHENE MD (NPI 1376523969) is an individual orthopaedic surgery provider in Rapid City, South Dakota, licensed in South Dakota (5361) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Monument Health Spearfish Hospital, and is a graduate of University Of Texas Southwestern Medical School At Dallas (1998).

NPPES Registry Identity

NPI1376523969

Entity TypeIndividualMale

Primary Taxonomy207X00000X

Provider Legal NameDR. CLARK C DUCHENECredential: MD

Location Address7220 MOUNT RUSHMORE RDRapid City, SD 57702-8754

Mailing AddressPo Box 6850Rapid City, SD 57709-6850 · (604) 341-1414 · Fax (605) 341-7062

Phone(604) 341-1414

Fax(605) 341-7062

Sole ProprietorNo

Medical School CMSUniversity Of Texas Southwestern Medical School At DallasGraduated 1998

Enumeration DateJanuary 19, 2006

Last NPPES UpdateJuly 26, 20242 updates tracked since enumeration

NPPES CertifiedJuly 26, 2024

✔ NPI 1376523969 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207X00000X

License✔ Licensed in SD · 5361

Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

7220 MOUNT RUSHMORE RD, Rapid City, SD 57702

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Other Identifiers 3

Medicaid6402220SD

OtherP00142152Medicare Railroad Ptan

Other1254560001SD · Cigna Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Avera Health Plans, Medica, Oscar Insurance Company 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

Dr. Clark C Duchene 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 ID3577545128

PECOS Enrollment IDI20040607000374

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 13

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.

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.

93 services70 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

61 services41 patients

Replacement of knee joint, both sides of knee 27447

A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.

40 services37 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.

40 services40 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.

37 services27 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.

31 services31 patients

Prosthetic repair of shoulder joint, total shoulder 23472

Total shoulder prosthetic repair is a surgical procedure to replace a damaged shoulder joint with artificial components. It aims to relieve pain and restore mobility. The procedure involves replacing the ball (humeral head) and socket (glenoid) of the shoulder joint.

26 services26 patients

Replacement of thigh bone and hip joint with prosthesis 27130

This procedure, known as hip arthroplasty, involves replacing your damaged thigh bone and hip joint with artificial parts, called a prosthesis. It helps relieve pain, improve mobility, and enhance your quality of life.

25 services25 patients

X-ray of shoulder, minimum of 2 views 73030

An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.

19 services15 patients

Shaving of part of shoulder bone and repair of ligament using an endoscope 29826

This procedure involves using a tiny camera, called an endoscope, to view and repair a damaged shoulder ligament. Simultaneously, a small portion of the shoulder bone is shaved to alleviate discomfort and improve movement. It's a minimally invasive technique that aids in a quicker recovery.

17 services17 patients

Repair of shoulder rotator cuff using an endoscope 29827

This procedure, known as arthroscopic rotator cuff repair, helps fix tears in the shoulder's rotator cuff. An endoscope, a small camera, is used to view the shoulder inside. Using small tools, the surgeon repairs the torn tissue. This minimally invasive approach often leads to a quicker recovery.

15 services15 patients

X-ray of knee, 4 or more views 73564

An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.

14 services11 patients

Mri scan of leg joint without contrast 73721

An MRI scan of your leg joint is a non-invasive procedure that uses magnetic fields and radio waves to create detailed images of the structures within your leg. This helps doctors diagnose or monitor conditions without using contrast dye.

12 services12 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

Black Hills Surgical Hospital LLP

Acute Care Hospitals · Rapid City, SD

OwnershipProprietary

CMS Certification Number430091

Location216 Anamaria DrRapid City, SD 57703 · Pennington County

Hans P Peterson Memorial Hospital - Cah

Critical Access Hospitals · Philip, SD

OwnershipVoluntary non-profit - Private

CMS Certification Number431319

Location503 W Pine Post Office Box 790Philip, SD 57567 · Haakon 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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57702 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.

80.71/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

75.89

Improvement Activities

Cost

79.91

Reported Quality Measures

Risk-standardized complication rate (RSCR) following elective primary total hip arthroplasty (THA) and/or total knee arthroplasty (TKA) for Merit-based Incentive Payment System (MIPS)

Lower rates are better for this measure.

0.03%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims

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

Walker, folding, wheeled, adjustable or fixed height E0143

DME-Other DME · category DE000N

3 suppliers11 claims11 services$65.52 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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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.

MATTHEW DONALD WILSON DPT

Physical Therapist