DR. JAMIE KATHRYN BADEN-MILES MD
NPI 1467072082
Family Medicine in Sioux Falls, SD

Active since April 23, 2020PECOS EnrolledAccepts Medicare Assignment
93.71/100
CMS Quality Rating
2100 S MARION RD, SIOUX FALLS, SD 57106(605) 322-1010(605) 322-1011 Get Directions Write a Review

NPPES record last updated: November 6, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 6, 2023, Jul 29, 2020, Apr 23, 2020 (3 updates tracked since 2020).

About Dr. Jamie Kathryn Baden-miles Md NPPES

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

DR. JAMIE KATHRYN BADEN-MILES MD (NPI 1467072082) is an individual family medicine provider in Sioux Falls, South Dakota, licensed in South Dakota (14675) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS, is affiliated with Avera Mckennan Hospital & University Health Center, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1467072082
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. JAMIE KATHRYN BADEN-MILESCredential: MD
Location Address2100 S MARION RDSioux Falls, SD 57106-3646
Mailing Address1200 S 7th AveSioux Falls, SD 57105-0998 · (605) 504-5400 · Fax (605) 504-5150
Fax(605) 322-1011
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateApril 23, 2020
Last NPPES UpdateNovember 6, 20233 updates tracked since enumeration
NPPES CertifiedNovember 6, 2023
NPI 1467072082 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 · 14675
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.

2100 S MARION RD, Sioux Falls, SD 57106

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

Dr. Jamie Kathryn Baden-miles Md 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 ID9234554346
PECOS Enrollment IDI20231102002817
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 7

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.
141 services72 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.
60 services44 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
50 services31 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
28 services20 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.
25 services25 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
20 services17 patients

Hospital Affiliations CMS Care Compare

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

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57106 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.

93.71/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality88.72
Promoting Interoperability97.84
Improvement Activities40

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.

Pediatrics
2100 S MARION RD
SIOUX FALLS, SD 57106
Family Medicine
2100 S MARION RD
SIOUX FALLS, SD 57106
Physical Therapist
2100 S MARION RD
SIOUX FALLS, SD 57106
Family Medicine
2100 S MARION RD
SIOUX FALLS, SD 57106
Occupational Therapist
2100 S MARION RD
SIOUX FALLS, SD 57106
Family Medicine
2100 S MARION RD
SIOUX FALLS, SD 57106
Nurse Practitioner (Gerontology)
2100 S MARION RD
SIOUX FALLS, SD 57106
Family Medicine
2100 S MARION RD
SIOUX FALLS, SD 57106

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 Jamie Baden-miles's NPI number?

The NPI number for Jamie Baden-miles is 1467072082. It was assigned to this individual provider in the NPPES registry on April 23, 2020.

Where is Jamie Baden-miles located?

Jamie Baden-miles practices at 2100 S Marion Rd, Sioux Falls, SD 57106. The listed phone number is (605) 322-1010.

What is Jamie Baden-miles's specialty?

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

Is Jamie Baden-miles enrolled in Medicare?

Yes. Jamie Baden-miles 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 Jamie Baden-miles accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Avera Health Plans and 1 other insurer list Jamie Baden-miles 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 Jamie Baden-miles affiliated with any hospitals?

According to CMS data, Jamie Baden-miles is affiliated with Avera Mckennan Hospital & University Health Center.

When was this NPI record last updated?

The NPPES record for Jamie Baden-miles was last updated on November 6, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.