KATHERINE JEAN WHALEY MD
NPI 1396009825
Obstetrics & Gynecology in Rapid City, SD

Active since June 29, 2012PECOS Enrolled
3006 TOWER RD, RAPID CITY, SD 57701(605) 343-7295(605) 343-0138 Get Directions Write a Review

NPPES record last updated: October 3, 2016. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Katherine Jean Whaley Md NPPES

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

KATHERINE JEAN WHALEY MD (NPI 1396009825) is an individual obstetrics & gynecology provider in Rapid City, South Dakota, licensed in South Dakota (9919) and active in the NPI registry since June 2012. She is enrolled in Medicare PECOS, is affiliated with Same Day Surgery Center Llc, and is a graduate of Sanford School Of Medicine Of University Of South Dakota (2012).

NPPES Registry Identity

NPI1396009825
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameKATHERINE JEAN WHALEYCredential: MD
Location Address3006 TOWER RDRapid City, SD 57701-5392
Mailing Address3006 Tower RdRapid City, SD 57701-5392 · (605) 343-7295 · Fax (605) 343-0138
Fax(605) 343-0138
Sole ProprietorNo
Medical School CMSSanford School Of Medicine Of University Of South DakotaGraduated 2012
Enumeration DateJune 29, 2012
Last NPPES UpdateOctober 3, 2016
✔ NPI 1396009825 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in SD · 9919
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
3006 TOWER RD, Rapid City, SD 57701

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Katherine Jean Whaley Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8729217534
PECOS Enrollment IDI20160912001246
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Katherine Whaley reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Same address
Obstetrics & Gynecology
3006 TOWER RD
Rapid City, SD 57701
  • Reassigned Medicare billing, South Dakota enrollment
  • 16 clinicians in this Medicare group
Obstetrics & Gynecology
353 FAIRMONT BLVD
Rapid City, SD 57701
  • Reassigned Medicare billing, South Dakota enrollment
  • 31 clinicians in this Medicare group
Emergency Medicine
801 E SIOUX AVE
Pierre, SD 57501
  • Reassigned Medicare billing, South Dakota enrollment
  • 197 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

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.
19 services15 patients

Hospital Affiliations CMS Care Compare

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

Same Day Surgery Center LLC

Acute Care Hospitals · Rapid City, SD
OwnershipProprietary
CMS Certification Number430093
Location651 Cathedral DriveRapid City, SD 57701 · Pennington County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57701 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 8

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

Obstetrics & Gynecology
3006 TOWER RD
RAPID CITY, SD 57701
Nurse Practitioner (Family)
3006 TOWER RD
RAPID CITY, SD 57701
Obstetrics & Gynecology
3006 TOWER RD
RAPID CITY, SD 57701
Obstetrics & Gynecology
3006 TOWER RD
RAPID CITY, SD 57701
Advanced Practice Midwife
3006 TOWER RD
RAPID CITY, SD 57701
Physician Assistant
3006 TOWER RD
RAPID CITY, SD 57701
Nurse Practitioner (Family)
3006 TOWER RD
RAPID CITY, SD 57701
Nurse Practitioner
3006 TOWER RD
RAPID CITY, SD 57701

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 Katherine Whaley's NPI number?

The NPI number for Katherine Whaley is 1396009825. It was assigned to this individual provider in the NPPES registry on June 29, 2012.

Where is Katherine Whaley located?

Katherine Whaley practices at 3006 Tower Rd, Rapid City, SD 57701. The listed phone number is (605) 343-7295.

What is Katherine Whaley's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Katherine Whaley enrolled in Medicare?

Yes. Katherine Whaley is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Katherine Whaley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Katherine Whaley reassigns Medicare benefits to 3 organizations: Rushmore Ob-Gyn PC (Rapid City, SD), Obhg South Dakota PC (Rapid City, SD) and Avera St Marys (Pierre, SD). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Katherine Whaley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Katherine Whaley accept?

Health plans from Avera Health Plans, Oscar Insurance Company, Sanford Health Plan, UnitedHealthcare and Wellmark of South Dakota, Inc. list Katherine Whaley 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 Katherine Whaley affiliated with any hospitals?

According to CMS data, Katherine Whaley is affiliated with Same Day Surgery Center LLC.

When was this NPI record last updated?

The NPPES record for Katherine Whaley was last updated on October 3, 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.