1. Home
  2. Directory
  3. South Dakota
  4. Rapid City
  5. Family Medicine
  6. NPI Profile

BLAKE WADSWORTH
NPI 1417699919
Family Medicine in Rapid City, SD

Active since April 13, 2022PECOS EnrolledAccepts Medicare Assignment
2526 ELDERBERRY BOULEVARD, RAPID CITY, SD 57703(605) 755-1000 Get Directions Write a Review

NPPES record last updated: July 23, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Blake Wadsworth NPPES

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

BLAKE WADSWORTH (NPI 1417699919) is an individual family medicine provider in Rapid City, South Dakota, licensed in South Dakota (17531) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS, is affiliated with Monument Health Rapid City Hospital, and is a graduate of Lake Erie College Of Osteopathic Medicine, Erie (2022).

NPPES Registry Identity

NPI1417699919
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameBLAKE WADSWORTH
Location Address2526 ELDERBERRY BOULEVARDRapid City, SD 57703
Mailing Address2526 Elderberry BoulevardRapid City, SD 57703
Phone(605) 755-1000
Sole ProprietorNo
Medical School CMSLake Erie College Of Osteopathic Medicine, ErieGraduated 2022
Enumeration DateApril 13, 2022
Last NPPES UpdateJuly 23, 2025
NPPES CertifiedJuly 16, 2025
✔ NPI 1417699919 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in SD · 17531
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2526 ELDERBERRY BOULEVARD, Rapid City, SD 57703
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Sanford Health Plan.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

Blake Wadsworth 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 ID5597147983
PECOS Enrollment IDI20251016002056
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.

Hospital Affiliations CMS Care Compare 2

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

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

Monument Health Sturgis Hospital

Critical Access Hospitals · Sturgis, SD
OwnershipVoluntary non-profit - Other
CMS Certification Number431321
Location2140 Junction AveSturgis, SD 57785 · Meade County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57703 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
$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.

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 Blake Wadsworth's NPI number?

The NPI number for Blake Wadsworth is 1417699919. It was assigned to this individual provider in the NPPES registry on April 13, 2022.

Where is Blake Wadsworth located?

Blake Wadsworth practices at 2526 Elderberry Boulevard, Rapid City, SD 57703. The listed phone number is (605) 755-1000.

What is Blake Wadsworth's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Blake Wadsworth enrolled in Medicare?

Yes. Blake Wadsworth 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 Blake Wadsworth accept?

Health plans from Sanford Health Plan list Blake Wadsworth 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 Blake Wadsworth affiliated with any hospitals?

According to CMS data, Blake Wadsworth is affiliated with Monument Health Rapid City Hospital and Monument Health Sturgis Hospital.

When was this NPI record last updated?

The NPPES record for Blake Wadsworth was last updated on July 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.