ROY L MORTINSEN M.D.
NPI 1417954918
Emergency Medicine in Vermillion, SD

Active since June 30, 2005PECOS EnrolledAccepts Medicare Assignment
82.28/100
CMS Quality Rating
20 S PLUM ST, VERMILLION, SD 57069(605) 624-9111(605) 624-6636 Get Directions Write a Review

NPPES record last updated: March 25, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Roy L Mortinsen M.d. NPPES

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

ROY L MORTINSEN M.D. (NPI 1417954918) is an individual emergency medicine provider in Vermillion, South Dakota, licensed in South Dakota (5066) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Sanford Vermillion Hospital, and is a graduate of Sanford School Of Medicine Of University Of South Dakota (1999).

NPPES Registry Identity

NPI1417954918
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameROY L MORTINSENCredential: M.D.
Location Address20 S PLUM STVermillion, SD 57069-3346
Mailing AddressPo Box 5074Sioux Falls, SD 57117-5074 · (605) 328-4539 · Fax (605) 328-4531
Fax(605) 624-6636
Sole ProprietorNo
Medical School CMSSanford School Of Medicine Of University Of South DakotaGraduated 1999
Enumeration DateJune 30, 2005
Last NPPES UpdateMarch 25, 2022
NPPES CertifiedMarch 25, 2022
NPI 1417954918 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in SD · 5066
Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Also ListedFamily MedicineTaxonomy 207Q00000X · License 5066 (SD)
20 S PLUM ST, Vermillion, SD 57069

Other Identifiers 1

Medicaid5611220SD

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 and accepts Medicare assignment

Roy L Mortinsen M.d. 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 ID7618924663
PECOS Enrollment IDI20050401000764
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

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

Sanford Vermillion Hospital

Critical Access Hospitals · Vermillion, SD
OwnershipVoluntary non-profit - Private
CMS Certification Number431336
Location20 South Plum StreetVermillion, SD 57069 · Clay County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57069 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.

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.

82.28/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality88.81
Promoting Interoperability99
Improvement Activities40
Cost52.95

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.

Home Health
20 S PLUM ST
VERMILLION, SD 57069
Family Medicine
20 S PLUM ST
VERMILLION, SD 57069
Family Medicine
20 S PLUM ST
VERMILLION, SD 57069
Audiologist
20 S PLUM ST
VERMILLION, SD 57069
Emergency Medicine
20 S PLUM ST
VERMILLION, SD 57069
Family Medicine
20 S PLUM ST
VERMILLION, SD 57069
Pharmacy (Institutional Pharmacy)
20 S PLUM ST
VERMILLION, SD 57069
Physician Assistant
20 S PLUM ST
VERMILLION, SD 57069

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 Roy Mortinsen's NPI number?

The NPI number for Roy Mortinsen is 1417954918. It was assigned to this individual provider in the NPPES registry on June 30, 2005.

Where is Roy Mortinsen located?

Roy Mortinsen practices at 20 S Plum St, Vermillion, SD 57069. The listed phone number is (605) 624-9111.

What is Roy Mortinsen's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Roy Mortinsen enrolled in Medicare?

Yes. Roy Mortinsen 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 Roy Mortinsen accept?

Health plans from Medica, Oscar Insurance Company and Sanford Health Plan list Roy Mortinsen 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 Roy Mortinsen affiliated with any hospitals?

According to CMS data, Roy Mortinsen is affiliated with Sanford Vermillion Hospital.

When was this NPI record last updated?

The NPPES record for Roy Mortinsen was last updated on March 25, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.