DR. MARK THOMAS VERCEL D.O.
NPI 1386902450
Internal Medicine - Rheumatology in Sioux Falls, SD

Q: What is Mark Vercel's NPI number?

The NPI number for Mark Vercel is 1386902450. It was assigned to this individual provider in the NPPES registry on April 26, 2012.

Q: What is Mark Vercel's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Q: When was this NPI record last updated?

The NPPES record for Mark Vercel was last updated on November 25, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 26, 2012PECOS EnrolledAccepts Medicare Assignment

6100 S LOUISE AVE STE 1130, SIOUX FALLS, SD 57108(605) 504-1600(605) 504-1601 Get Directions Write a Review

NPPES record last updated: November 25, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 25, 2020, Dec 29, 2016 (2 updates tracked since 2016).

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About Dr. Mark Thomas Vercel D.o. NPPES

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

DR. MARK THOMAS VERCEL D.O. (NPI 1386902450) is an individual rheumatology provider in Sioux Falls, South Dakota, licensed in South Dakota (11620) and active in the NPI registry since April 2012. He is enrolled in Medicare PECOS, is affiliated with Avera Holy Family Hospital, and maintains a secondary practice location in Munster.

NPPES Registry Identity

NPI1386902450

Entity TypeIndividualMale

Primary Taxonomy207RR0500X

Provider Legal NameDR. MARK THOMAS VERCELCredential: D.O.

Location Address6100 S LOUISE AVE STE 1130Sioux Falls, SD 57108-6030

Mailing Address6100 S Louise Ave Ste 1130Sioux Falls, SD 57108-6030 · (605) 504-1600 · Fax (605) 504-1601

Phone(605) 504-1600

Fax(605) 504-1601

Sole ProprietorNo

Medical School CMSMidwestern University, Chicago College Of Osteopathic MedGraduated 2012

Enumeration DateApril 26, 2012

Last NPPES UpdateNovember 25, 20202 updates tracked since enumeration

NPPES CertifiedNovember 25, 2020

✔ NPI 1386902450 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians

Taxonomy Code207RR0500X

License✔ Licensed in SD · 11620

Definition

An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.

6100 S LOUISE AVE STE 1130, Sioux Falls, SD 57108

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Secondary Practice Location 1

Location 1761 45th Ave, Ste. 103Munster, IN 46321-2893 · Phone (219) 922-3002 · Fax (219) 922-3003

Other Identifiers 1

OtherM47140248IN · Medicare Ptan

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

Dr. Mark Thomas Vercel D.o. 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 ID6204124076

PECOS Enrollment IDI20191107003087

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 5

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 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.

422 services252 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.

85 services66 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.

51 services51 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.

32 services31 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

17 services17 patients

Hospital Affiliations CMS Care Compare 5

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

Avera Holy Family Hospital

Critical Access Hospitals · Estherville, IA

OwnershipVoluntary non-profit - Private

CMS Certification Number161351

Location826 North 8th StreetEstherville, IA 51334 · Emmet County

Emergency services

Avera Marshall Regional Medical Ctr

Critical Access Hospitals · Marshall, MN

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number241359

Location300 South Bruce StreetMarshall, MN 56258 · Lyon County

Emergency services

Avera St Mary's Hospital

Acute Care Hospitals · Pierre, SD

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number430015

Location801 E SiouxPierre, SD 57501 · Hughes County

Emergency services Birthing friendly

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

Milbank Area Hospital/Avera Health

Critical Access Hospitals · Milbank, SD

OwnershipVoluntary non-profit - Private

CMS Certification Number431326

Location301 Flynn DriveMilbank, SD 57252 · Grant County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57108 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.

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Other Providers at the Same Location NPPES 9

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

AVERA MCKENNAN

Internal Medicine (Rheumatology)