DAVID HENRY DANIELS II M.D.
NPI 1538394952
Urology in Dakota Dunes, SD

Active since May 29, 2009PECOS EnrolledAccepts Medicare Assignment
83.57/100
CMS Quality Rating
455 N SIOUX POINT RD, DAKOTA DUNES, SD 57049(605) 217-7000(605) 217-7015 Get Directions Write a Review

NPPES record last updated: November 12, 2014. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About David Henry Daniels Ii M.d. NPPES

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

DAVID HENRY DANIELS II M.D. (NPI 1538394952) is an individual urology provider in Dakota Dunes, South Dakota, licensed in South Dakota (9209) and active in the NPI registry since May 2009. He is enrolled in Medicare PECOS, is affiliated with St Lukes Regional Medical Center, and is a graduate of University Of Iowa, Rj & L Carver College Of Medicine (2009).

NPPES Registry Identity

NPI1538394952
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameDAVID HENRY DANIELS IICredential: M.D.
Location Address455 N SIOUX POINT RDDakota Dunes, SD 57049-5327
Mailing Address455 N Sioux Point RdDakota Dunes, SD 57049-5327 · (605) 217-7000 · Fax (605) 217-7015
Fax(605) 217-7015
Sole ProprietorNo
Medical School CMSUniversity Of Iowa, Rj & L Carver College Of MedicineGraduated 2009
Enumeration DateMay 29, 2009
Last NPPES UpdateNovember 12, 2014
✔ NPI 1538394952 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License✔ Licensed in SD · 9209
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
455 N SIOUX POINT RD, Dakota Dunes, SD 57049

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

David Henry Daniels Ii 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 ID2062651417
PECOS Enrollment IDI20140805000501, I20150120002006
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 35

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.

Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml Q9967
Low osmolar contrast material with 300-399 mg/ml iodine concentration is a diagnostic tool used in imaging procedures. It helps to enhance the visibility of specific areas in the body, aiding in accurate diagnosis. It's safe and generally well-tolerated by patients.
4,400 services43 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.
476 services356 patients
Ultrasound measurement of bladder capacity after voiding 51798
Ultrasound measurement of bladder capacity after voiding is a non-invasive test that uses sound waves to create images of your bladder. It's done after you've emptied your bladder to see if there's any leftover urine, which can help diagnose certain conditions.
347 services294 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
291 services197 patients
Psa (prostate specific antigen) measurement, total 84153
PSA measurement is a simple blood test that checks for a specific protein produced by your body. High levels could indicate a health issue that needs further investigation. It's often used to monitor general wellness and is part of routine health screening.
267 services188 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
259 services192 patients

Hospital Affiliations CMS Care Compare 5

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

St Lukes Regional Medical Center

Acute Care Hospitals · Sioux City, IA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number160146
Location2720 Stone Park BoulevardSioux City, IA 51104 · Woodbury County
Emergency services Birthing friendly

Orange City Area Health System

Critical Access Hospitals · Orange City, IA
OwnershipVoluntary non-profit - Other
CMS Certification Number161360
Location1000 Lincoln Circle SEOrange City, IA 51041 · Sioux County
Emergency services

Pender Community Hospital

Critical Access Hospitals · Pender, NE
OwnershipGovernment - Local
CMS Certification Number281349
Location100 Hospital Drive, PO Box 100Pender, NE 68047 · Thurston County
Emergency services

Dunes Surgical Hospital

Acute Care Hospitals · Dakota Dunes, SD
OwnershipProprietary
CMS Certification Number430089
Location600 N Sioux Point RoadDakota Dunes, SD 57049 · Union County

Sanford Vermillion Hospital

Critical Access Hospitals · Vermillion, SD
OwnershipVoluntary non-profit - Private
CMS Certification Number431336
Location20 South Plum StreetVermillion, SD 57069 · Clay County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57049 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.

83.57/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality96.07
Promoting Interoperability98
Improvement Activities40
Cost50.83

Reported Quality Measures

Colorectal Cancer Screening
45%630 patients3/55-star benchmark: 88%
Controlling High Blood Pressure
2%353 patients1/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
98%1,670 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
88%1,060 patients4/55-star benchmark: 98%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 87% · 417 patients
Patients screened: 88% · 417 patients
84%45 patients4/55-star benchmark: 100%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 616 patients
Patients totalRate: 0% · 616 patients
0%616 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 8

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

Lubricant, individual sterile packet, each A4332
DME-Medical/Surgical Supplies · category DA000N
1 supplier26 claims3,084 services$0.10 avg. paid by Medicare
Indwelling catheter; foley type, two-way latex with coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4338
DME-Orthotic Devices · category DF000N
2 suppliers17 claims17 services$8.91 avg. paid by Medicare
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
2 suppliers22 claims3,850 services$1.66 avg. paid by Medicare
Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each A4352
DME-Orthotic Devices · category DF008N
3 suppliers39 claims4,314 services$6.10 avg. paid by Medicare
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357
DME-Orthotic Devices · category DF000N
5 suppliers33 claims56 services$7.57 avg. paid by Medicare
Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each A4358
DME-Orthotic Devices · category DF000N
3 suppliers20 claims30 services$5.45 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 19

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

Urology
455 N SIOUX POINT RD
DAKOTA DUNES, SD 57049
Nurse Practitioner (Family)
455 N SIOUX POINT RD
DAKOTA DUNES, SD 57049
Urology
455 N SIOUX POINT RD
DAKOTA DUNES, SD 57049
Urology
455 N SIOUX POINT RD
DAKOTA DUNES, SD 57049
Urology
455 N SIOUX POINT RD
DAKOTA DUNES, SD 57049
Nurse Practitioner (Family)
455 N SIOUX POINT RD
DAKOTA DUNES, SD 57049
Urology
455 N SIOUX POINT RD
DAKOTA DUNES, SD 57049
Urology
455 N SIOUX POINT RD
DAKOTA DUNES, SD 57049

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 David Daniels's NPI number?

The NPI number for David Daniels is 1538394952. It was assigned to this individual provider in the NPPES registry on May 29, 2009.

Where is David Daniels located?

David Daniels practices at 455 N Sioux Point Rd, Dakota Dunes, SD 57049. The listed phone number is (605) 217-7000.

What is David Daniels's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is David Daniels enrolled in Medicare?

Yes. David Daniels 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 David Daniels 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 5 other insurers list David Daniels 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 David Daniels affiliated with any hospitals?

According to CMS data, David Daniels is affiliated with St Lukes Regional Medical Center, Orange City Area Health System, Pender Community Hospital, Dunes Surgical Hospital and Sanford Vermillion Hospital.

When was this NPI record last updated?

The NPPES record for David Daniels was last updated on November 12, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.