ROBERT WENGER M.D.
NPI 1417984048
Family Medicine in Sioux Falls, SD

Active since June 27, 2006PECOS EnrolledAccepts Medicare Assignment
1200 S 7TH AVE, STE2, SIOUX FALLS, SD 57105(605) 336-2140 Get Directions Write a Review

NPPES record last updated: August 9, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Robert Wenger M.d. NPPES

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

ROBERT WENGER M.D. (NPI 1417984048) is an individual family medicine provider in Sioux Falls, South Dakota, licensed in South Dakota (2217) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Monument Health Spearfish Hospital, and is a graduate of University Of Nebraska College Of Medicine (1976).

NPPES Registry Identity

NPI1417984048
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameROBERT WENGERCredential: M.D.
Location Address1200 S 7TH AVE, STE2Sioux Falls, SD 57105-0998
Mailing AddressPo Box 86430Sioux Falls, SD 57118-6430 · (605) 322-4900
Sole ProprietorNo
Medical School CMSUniversity Of Nebraska College Of MedicineGraduated 1976
Enumeration DateJune 27, 2006
Last NPPES UpdateAugust 9, 2012
NPI 1417984048 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 · 2217
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.

1200 S 7TH AVE, Sioux Falls, SD 57105

Other Identifiers 2

Medicaid5609442SD
Medicare PINS100718SD

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

Robert Wenger 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 ID5193612075
PECOS Enrollment IDI20051213000658
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 8

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, 30-39 minutes 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.
553 services298 patients
Established patient office or other outpatient visit, 20-29 minutes 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.
88 services73 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
54 services54 patients
Established patient office or other outpatient visit, 40-54 minutes 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.
34 services32 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
33 services33 patients
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit G0438
An annual wellness visit is a yearly appointment with your doctor to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's an opportunity to discuss your health status and goals and get a plan tailored for you.
19 services19 patients

Hospital Affiliations CMS Care Compare

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57105 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.

Referred Medical Equipment & Supplies CMS DME claims 15

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
13 suppliers42 claims75 services$6.69 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
4 suppliers25 claims25 services$34.67 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
4 suppliers24 claims24 services$92.05 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
3 suppliers26 claims66 services$32.41 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
3 suppliers21 claims21 services$20.30 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
3 suppliers25 claims114 services$2.19 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Family Medicine
1200 S 7TH AVE, STE 2
SIOUX FALLS, SD 57105
Surgery
1200 S 7TH AVE, STE2
SIOUX FALLS, SD 57105
Physician Assistant (Medical)
1200 S 7TH AVE, STE 2
SIOUX FALLS, SD 57105
Family Medicine
1200 S 7TH AVE, STE 2
SIOUX FALLS, SD 57105
Surgery
1200 S 7TH AVE, STE 2
SIOUX FALLS, SD 57105
Pediatrics
1200 S 7TH AVE, STE 2
SIOUX FALLS, SD 57105
Clinic/Center (Multi-Specialty)
1200 S 7TH AVE, SUITE 2
SIOUX FALLS, SD 57105
Obstetrics & Gynecology
1200 S 7TH AVE, STE 2
SIOUX FALLS, SD 57105

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 Robert Wenger's NPI number?

The NPI number for Robert Wenger is 1417984048. It was assigned to this individual provider in the NPPES registry on June 27, 2006.

Where is Robert Wenger located?

Robert Wenger practices at 1200 S 7th Ave Ste2, Sioux Falls, SD 57105. The listed phone number is (605) 336-2140.

What is Robert Wenger's specialty?

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

Is Robert Wenger enrolled in Medicare?

Yes. Robert Wenger 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 Robert Wenger accept?

Health plans from Avera Health Plans, Medica, Oscar Insurance Company and Sanford Health Plan list Robert Wenger 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 Robert Wenger affiliated with any hospitals?

According to CMS data, Robert Wenger is affiliated with Monument Health Spearfish Hospital.

When was this NPI record last updated?

The NPPES record for Robert Wenger was last updated on August 9, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.