DR. TERESA JO BORMANN M.D.
NPI 1487624482
Family Medicine in Pierre, SD

Q: What is Teresa Bormann's NPI number?

The NPI number for Teresa Bormann is 1487624482. It was assigned to this individual provider in the NPPES registry on January 24, 2006.

Q: What is Teresa Bormann's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Teresa Bormann was last updated on January 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since January 24, 2006PECOS EnrolledAccepts Medicare Assignment

521 E SIOUX AVE, PIERRE, SD 57501(605) 945-5560(605) 224-0369 Get Directions Write a Review

NPPES record last updated: January 4, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 4, 2022, Sep 20, 2021, Sep 23, 2020 (3 updates tracked since 2020).

On this page

About Dr. Teresa Jo Bormann M.d. NPPES

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

DR. TERESA JO BORMANN M.D. (NPI 1487624482) is an individual family medicine provider in Pierre, South Dakota, licensed in Alaska (AK5061) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS, is affiliated with Eagle Butte Indian Health Service Hospital, and maintains a secondary practice location in Anchorage.

NPPES Registry Identity

NPI1487624482

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameDR. TERESA JO BORMANNCredential: M.D.

Location Address521 E SIOUX AVEPierre, SD 57501-3142

Mailing AddressPo Box 5074Sioux Falls, SD 57117-5074

Phone(605) 945-5560

Fax(605) 224-0369

Sole ProprietorNo

Medical School CMSUniversity Of North Dakota School Of MedicineGraduated 1998

Enumeration DateJanuary 24, 2006

Last NPPES UpdateJanuary 4, 20223 updates tracked since enumeration

NPPES CertifiedJanuary 4, 2022

✔ NPI 1487624482 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in AK · AK5061

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.

521 E SIOUX AVE, Pierre, SD 57501

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Secondary Practice Location 1

Location 11201 E 36th AveAnchorage, AK 99508-4372 · Phone (907) 562-9229 · Fax (907) 561-4806

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Teresa Jo Bormann 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 ID4183712029

PECOS Enrollment IDI20120419000796

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

Medicare enrollment records show Teresa Bormann reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Avera St Marys

0.4 mi

Emergency Medicine

801 E SIOUX AVE
Pierre, SD 57501

Reassigned Medicare billing, South Dakota enrollment
197 clinicians in this Medicare group

NPI 1073305496 (605) 224-3100

Eagle Butte Indian Health Service Hospital

62 mi

Public Health or Welfare

24276 166TH STREET, AIRPORT ROAD
Eagle Butte, SD 57625

Reassigned Medicare billing, Texas enrollment
282 clinicians in this Medicare group

NPI 1558395848 (605) 964-7724

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

Hospital Affiliations CMS Care Compare

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

Eagle Butte Indian Health Service Hospital

Critical Access Hospitals · Eagle Butte, SD

OwnershipGovernment - Federal

CMS Certification Number431383

Location24276 166th Airport RoadEagle Butte, SD 57625 · Dewey County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57501 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.

Other Providers at the Same Location NPPES 7

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

MRS. CARLA MARIE HELLER PA-C

Physician Assistant