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BARRY T SCHRAMM PA-C
NPI 1497906994
Physician Assistant in Sioux Falls, SD

Active since October 02, 2008PECOS EnrolledAccepts Medicare Assignment
76.69/100
CMS Quality Rating
1210 W 18TH ST, STE G01, SIOUX FALLS, SD 57104(605) 328-2663(605) 328-3760 Get Directions Write a Review

NPPES record last updated: June 6, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Barry T Schramm Pa-c NPPES

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

BARRY T SCHRAMM PA-C (NPI 1497906994) is an individual physician assistant in Sioux Falls, South Dakota, licensed in South Dakota (0689) and active in the NPI registry since October 2008. He is enrolled in Medicare PECOS, is affiliated with Sanford Usd Medical Center, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1497906994
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameBARRY T SCHRAMMCredential: PA-C
Location Address1210 W 18TH ST, STE G01Sioux Falls, SD 57104-4647
Mailing AddressPo Box 5074Sioux Falls, SD 57117-5074
Phone(605) 328-2663
Fax(605) 328-3760
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateOctober 2, 2008
Last NPPES UpdateJune 6, 2022
NPPES CertifiedJune 6, 2022
✔ NPI 1497906994 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in SD · 0689
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1210 W 18TH ST, Sioux Falls, SD 57104
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Oscar Insurance Company, 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

Barry T Schramm Pa-c 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 ID6406917079
PECOS Enrollment IDI20081202000399
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 6

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 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.
107 services92 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
55 services44 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
37 services37 patients
Aspiration and/or injection of fluid large joint using ultrasound guidance 20611
This procedure involves using ultrasound technology to accurately locate a large joint, usually the knee or shoulder. A needle is then inserted to either extract fluid (aspiration) or inject medication. The ultrasound helps ensure precision and safety.
19 services19 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
19 services19 patients
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.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Sanford Usd Medical Center

Acute Care Hospitals · Sioux Falls, SD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number430027
Location1305 W 18th St Post Office Box 5039Sioux Falls, SD 57117 · Minnehaha County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57104 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
$69.20 typical visit price
range $18.08 – $137.08
Typical copayment $17.30 (range $4.52 – $34.27)
Most-billed visit code 99213
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.

76.69/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.56
Promoting Interoperability99
Improvement Activities40
Cost44.56

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.

JOHN P REINSCHMIDT MD
Radiology (Diagnostic Radiology)
1210 W 18TH ST
SIOUX FALLS, SD 57104
Minnehaha County (605) 328-3150
EUGENIO B MATOS M.D.
Psychiatry & Neurology (Neurology)
1210 W 18TH ST, STE 100
SIOUX FALLS, SD 57104
Minnehaha County (605) 312-8500
DR. KHALIL A YOUSEF M.D.
Radiology (Diagnostic Radiology)
1210 W 18TH ST, STE LL03
SIOUX FALLS, SD 57104
Minnehaha County (605) 328-1410
JOHN ELMER FORRETTE JR. DPM
Podiatrist
1210 W 18TH ST
SIOUX FALLS, SD 57104
Minnehaha County (605) 328-1395
BRETT ALLEN BASTIAN PAC
Physician Assistant
1210 W 18TH ST, STE 104
SIOUX FALLS, SD 57104
Minnehaha County (605) 328-8660
DR. THOMAS MATTHEW BOETEL D.O.
Physical Medicine & Rehabilitation (Pain Medicine)
1210 W 18TH ST, SUITE 100
SIOUX FALLS, SD 57104
Minnehaha County (605) 312-8500
DR. CHRISTOPHER JANSSEN
Physical Medicine & Rehabilitation (Pain Medicine)
1210 W 18TH ST, STE 100
SIOUX FALLS, SD 57104
Minnehaha County (605) 312-8500
DR. ADAM HAILES NICHOLS D.P.M.
Podiatrist (Foot & Ankle Surgery)
1210 W 18TH ST, SUITE G01
SIOUX FALLS, SD 57104
Minnehaha County (605) 328-2663

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 Barry Schramm's NPI number?

The NPI number for Barry Schramm is 1497906994. It was assigned to this individual provider in the NPPES registry on October 2, 2008.

Where is Barry Schramm located?

Barry Schramm practices at 1210 W 18th St Ste G01, Sioux Falls, SD 57104. The listed phone number is (605) 328-2663.

What is Barry Schramm's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Barry Schramm enrolled in Medicare?

Yes. Barry Schramm 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 Barry Schramm accept?

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

According to CMS data, Barry Schramm is affiliated with Sanford Usd Medical Center.

When was this NPI record last updated?

The NPPES record for Barry Schramm was last updated on June 6, 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.