DR. ABREA ANN ROARK M.D.
NPI 1508156613
Obstetrics & Gynecology in Sioux Falls, SD

Active since April 10, 2011PECOS EnrolledAccepts Medicare Assignment
77.99/100
CMS Quality Rating
1500 W 22ND ST STE 301, SIOUX FALLS, SD 57105(605) 328-7700 Get Directions Write a Review

NPPES record last updated: December 31, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 31, 2018, Aug 6, 2018, Jan 15, 2016 (3 updates tracked since 2016).

About Dr. Abrea Ann Roark M.d. NPPES

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

DR. ABREA ANN ROARK M.D. (NPI 1508156613) is an individual obstetrics & gynecology provider in Sioux Falls, South Dakota, licensed in Minnesota (108245) and active in the NPI registry since April 2011. She is enrolled in Medicare PECOS, is affiliated with Sanford Usd Medical Center, and maintains a secondary practice location in New Ulm.

NPPES Registry Identity

NPI1508156613
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameDR. ABREA ANN ROARKCredential: M.D.
Location Address1500 W 22ND ST STE 301Sioux Falls, SD 57105
Mailing AddressPo Box 5074Sioux Falls, SD 57117-5074 · (605) 333-1000
Sole ProprietorNo
Medical School CMSSanford School Of Medicine Of University Of South DakotaGraduated 2011
Enumeration DateApril 10, 2011
Last NPPES UpdateDecember 31, 20183 updates tracked since enumeration
NPI 1508156613 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License Licensed in MN · 108245
Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

1500 W 22ND ST STE 301, Sioux Falls, SD 57105

Secondary Practice Location 1

Location 11217 8th St NNew Ulm, MN 56073-1552 · Phone (507) 217-5011 ext. 75249

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. Abrea Ann Roark 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 ID9234441262
PECOS Enrollment IDI20171010001031
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

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.
13 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 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
$126.78 typical visit price
range $55.52 – $167.23
Typical copayment $31.69 (range $13.88 – $41.80)
Most-billed visit code 99204
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.

77.99/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.13
Promoting Interoperability99
Improvement Activities40
Cost47.35

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.

Obstetrics & Gynecology
1500 W 22ND ST STE 301
SIOUX FALLS, SD 57105
Obstetrics & Gynecology
1500 W 22ND ST STE 301
SIOUX FALLS, SD 57105
Advanced Practice Midwife
1500 W 22ND ST STE 301
SIOUX FALLS, SD 57105
Advanced Practice Midwife
1500 W 22ND ST STE 301
SIOUX FALLS, SD 57105
Nurse Practitioner (Obstetrics & Gynecology)
1500 W 22ND ST STE 301
SIOUX FALLS, SD 57105
Advanced Practice Midwife
1500 W 22ND ST STE 301
SIOUX FALLS, SD 57105
Nurse Practitioner (Family)
1500 W 22ND ST STE 301
SIOUX FALLS, SD 57105
Advanced Practice Midwife
1500 W 22ND ST STE 301
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 Abrea Roark's NPI number?

The NPI number for Abrea Roark is 1508156613. It was assigned to this individual provider in the NPPES registry on April 10, 2011.

Where is Abrea Roark located?

Abrea Roark practices at 1500 W 22nd St Ste 301, Sioux Falls, SD 57105. The listed phone number is (605) 328-7700.

What is Abrea Roark's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Abrea Roark enrolled in Medicare?

Yes. Abrea Roark 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 Abrea Roark accept?

Health plans from Medica, Sanford Health Plan and Security Health Plan list Abrea Roark 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 Abrea Roark affiliated with any hospitals?

According to CMS data, Abrea Roark is affiliated with Sanford Usd Medical Center.

When was this NPI record last updated?

The NPPES record for Abrea Roark was last updated on December 31, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.