DR. SETH MICHAEL BARKER MD
NPI 1538747571
Family Medicine in Sioux Falls, SD

Q: What is the provider's specialty?

The provider's specialty is Family Medicine with taxonomy code 207Q00000X.

Active since March 31, 2021PECOS EnrolledAccepts Medicare Assignment

600 N SYCAMORE AVE, SIOUX FALLS, SD 57110(605) 328-2999 Get Directions Write a Review

NPPES record last updated: September 12, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 12, 2024, Mar 31, 2021 (2 updates tracked since 2021).

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About Dr. Seth Michael Barker Md NPPES

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

DR. SETH MICHAEL BARKER MD (NPI 1538747571) is an individual family medicine provider in Sioux Falls, South Dakota, licensed in South Dakota (15582) and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS, is affiliated with Sanford Usd Medical Center, and maintains a secondary practice location in Nashville.

NPPES Registry Identity

NPI1538747571

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. SETH MICHAEL BARKERCredential: MD

Location Address600 N SYCAMORE AVESioux Falls, SD 57110-5745

Mailing AddressPo Box 5074Sioux Falls, SD 57117-5074

Phone(605) 328-2999

Sole ProprietorYes

Medical School CMSOtherGraduated 2021

Enumeration DateMarch 31, 2021

Last NPPES UpdateSeptember 12, 20242 updates tracked since enumeration

NPPES CertifiedSeptember 12, 2024

✔ NPI 1538747571 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in SD · 15582

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.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

600 N SYCAMORE AVE, Sioux Falls, SD 57110

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Secondary Practice Location 1

Location 1391 Wallace RdNashville, TN 37211-4851 · Phone (615) 781-4000

Accepted Insurance

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

Dr. Seth Michael Barker Md 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 ID345640397

PECOS Enrollment IDI20240927002268

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 3

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 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 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.

62 services46 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

46 services42 patients

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.

42 services37 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 57110 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 11

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

DR. DAVID A ELLERBUSCH M.D.

Family Medicine