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DR. DEREK G. KINDELSPIRE M.D.
NPI 1538451216
Hospitalist in Sioux Falls, SD

Active since May 12, 2011PECOS EnrolledAccepts Medicare Assignment
1325 S CLIFF AVE, SIOUX FALLS, SD 57105(605) 322-7905 Get Directions Write a Review

NPPES record last updated: August 15, 2014. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Dr. Derek G. Kindelspire M.d. NPPES

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

DR. DEREK G. KINDELSPIRE M.D. (NPI 1538451216) is an individual hospitalist provider in Sioux Falls, South Dakota, licensed in South Dakota (9152) and active in the NPI registry since May 2011. He is enrolled in Medicare PECOS, is affiliated with Prairie Lakes Healthcare System, Inc, and is a graduate of Sanford School Of Medicine Of University Of South Dakota (2011).

NPPES Registry Identity

NPI1538451216
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameDR. DEREK G. KINDELSPIRECredential: M.D.
Location Address1325 S CLIFF AVESioux Falls, SD 57105-1007
Mailing Address8804 W Stoney Creek StSioux Falls, SD 57106-8441 · (605) 380-2319
Phone(605) 322-7905
Sole ProprietorNo
Medical School CMSSanford School Of Medicine Of University Of South DakotaGraduated 2011
Enumeration DateMay 12, 2011
Last NPPES UpdateAugust 15, 2014
✔ NPI 1538451216 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in SD · 9152
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1325 S CLIFF AVE, Sioux Falls, SD 57105
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Avera Health Plans, Blue Cross Blue Shield of North Dakota, Medica and more.Insurance ›

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. Derek G. Kindelspire 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 ID6901038637
PECOS Enrollment IDI20141017002346
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

4

Medicare enrollment records show Derek Kindelspire reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Avera Mckennan
Same address
Diagnostic Radiology
1325 S CLIFF AVE
Sioux Falls, SD 57105
  • Reassigned Medicare billing, South Dakota enrollment
  • 1,277 clinicians in this Medicare group
NPI 1053680678 (605) 322-1600
Avera Queen Of Peace
36 mi
Rural Health
741 S HILL ST
Salem, SD 57058
  • Reassigned Medicare billing, South Dakota enrollment
  • 227 clinicians in this Medicare group
NPI 1619201829 (605) 425-3038
City Of Brookings
53 mi
Multi-Specialty
310 22ND AVENUE
Brookings, SD 57006
  • Reassigned Medicare billing, South Dakota enrollment
  • 156 clinicians in this Medicare group
NPI 1982057246 (605) 696-9000
Prairie Lakes Health Care System Inc
96 mi
Family Medicine
506 1ST AVE SE
Watertown, SD 57201
  • Reassigned Medicare billing, South Dakota enrollment
  • 109 clinicians in this Medicare group
NPI 1396525143 (605) 886-8482

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

Areas of Expertise CMS Part B claims 5

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
372 services124 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
114 services108 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
86 services81 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
41 services29 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
38 services38 patients

Hospital Affiliations CMS Care Compare 2

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

Prairie Lakes Healthcare System, Inc

Acute Care Hospitals · Watertown, SD
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number430005
Location401 9th Avenue NW Post Office Box 1210Watertown, SD 57201 · Codington County
Emergency services Birthing friendly

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
$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 20

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

DR. CHETAN JIWAN WASEKAR M.D.
Hospitalist
1325 S CLIFF AVE, SUITE 4421
SIOUX FALLS, SD 57105
Minnehaha County (605) 322-7645
ERICA GEERDES PT, DPT
Physical Therapist
1325 S CLIFF AVE
SIOUX FALLS, SD 57105
Minnehaha County (605) 322-5000
MR. BRANDON M HARRIS CNP
Orthopaedic Surgery (Orthopaedic Trauma)
1325 S CLIFF AVE
SIOUX FALLS, SD 57105
Minnehaha County (605) 322-8000
AUSTIN WADE FOX CRNA
Nurse Anesthetist, Certified Registered
1325 S CLIFF AVE
SIOUX FALLS, SD 57105
Minnehaha County (605) 322-8000
DR. MEGAN E ALBERTSON M.D.
Radiology (Diagnostic Radiology)
1325 S CLIFF AVE
SIOUX FALLS, SD 57105
Minnehaha County (605) 322-4878
CURTIS BLAKE REXROTH
Internal Medicine
1325 S CLIFF AVE
SIOUX FALLS, SD 57105
Minnehaha County (605) 322-8000
AVERY K BALSTER
Physical Therapist
1325 S CLIFF AVE
SIOUX FALLS, SD 57105
Minnehaha County (605) 322-8000
DR. TROY ADAM ROWEKAMP DO
Hospitalist
1325 S CLIFF AVE
SIOUX FALLS, SD 57105
Minnehaha County (605) 322-7645

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 Derek Kindelspire's NPI number?

The NPI number for Derek Kindelspire is 1538451216. It was assigned to this individual provider in the NPPES registry on May 12, 2011.

Where is Derek Kindelspire located?

Derek Kindelspire practices at 1325 S Cliff Ave, Sioux Falls, SD 57105. The listed phone number is (605) 322-7905.

What is Derek Kindelspire's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Derek Kindelspire enrolled in Medicare?

Yes. Derek Kindelspire 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.

Which organizations bill Medicare for Derek Kindelspire's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Derek Kindelspire reassigns Medicare benefits to 4 organizations: Avera Mckennan (Sioux Falls, SD), Avera Queen Of Peace (Salem, SD), City Of Brookings (Brookings, SD) and Prairie Lakes Health Care System Inc (Watertown, SD). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Derek Kindelspire's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Derek Kindelspire accept?

Health plans from Avera Health Plans, Blue Cross Blue Shield of North Dakota, Medica and Wellmark of South Dakota, Inc. list Derek Kindelspire 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 Derek Kindelspire affiliated with any hospitals?

According to CMS data, Derek Kindelspire is affiliated with Prairie Lakes Healthcare System, Inc and Sanford Usd Medical Center.

When was this NPI record last updated?

The NPPES record for Derek Kindelspire was last updated on August 15, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.