DONELLA LYNN HERMAN MD
NPI 1548608771
Family Medicine - Sports Medicine in Sioux Falls, SD

Q: What is Donella Herman's NPI number?

The NPI number for Donella Herman is 1548608771. It was assigned to this individual provider in the NPPES registry on June 10, 2013. The provider is also known as Donella Lynn Headlee MD.

Q: What is Donella Herman's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Q: When was this NPI record last updated?

The NPPES record for Donella Herman was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since June 10, 2013PECOS EnrolledAccepts Medicare Assignment

77.99/100

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: March 17, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 17, 2018, Oct 20, 2017, Nov 2, 2016 (3 updates tracked since 2016).

On this page

About Donella Lynn Herman Md NPPES

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

DONELLA LYNN HERMAN MD (NPI 1548608771) is an individual sports medicine provider in Sioux Falls, South Dakota, licensed in South Dakota (10047) and active in the NPI registry since June 2013. She is enrolled in Medicare PECOS, is affiliated with Sanford Usd Medical Center, and maintains a secondary practice location in Durham.

NPPES Registry Identity

NPI1548608771

Entity TypeIndividualFemale

Primary Taxonomy207QS0010X

Provider Legal NameDONELLA LYNN HERMANCredential: MD

Location Address1210 W 18TH ST STE G01Sioux Falls, SD 57104-4651

Mailing Address1210 W 18th St Ste G01Sioux Falls, SD 57104-4651 · (605) 328-2663 · Fax (605) 328-3760

Phone(605) 328-2663

Fax(605) 328-3760

Sole ProprietorNo

Medical School CMSSanford School Of Medicine Of University Of South DakotaGraduated 2013

Enumeration DateJune 10, 2013

Last NPPES UpdateMarch 17, 20183 updates tracked since enumeration

✔ NPI 1548608771 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QS0010X

License✔ Licensed in SD · 10047

Definition

A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.

1210 W 18TH ST STE G01, Sioux Falls, SD 57104

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Other Names 1

Former Name (1)Donella Lynn Headlee Md

Secondary Practice Location 1

Location 13475 Erwin Rd, Duke Sports Science InstituteDurham, NC 27705 · Phone (605) 359-5209

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company, Sanford Health Plan, Security Health Plan 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

Donella Lynn Herman 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 ID2668601931

PECOS Enrollment IDI20171006002589

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

Medicare enrollment records show Donella Herman reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Sanford Clinic

Same address

Neuromusculoskeletal Medicine & OMM

1210 W 18TH ST, STE 100
Sioux Falls, SD 57104

Reassigned Medicare billing, South Dakota enrollment
826 clinicians in this Medicare group

NPI 1881600286 (605) 312-8500

Sanford Medical Center

0.8 mi

Family Medicine

1420 W 22NDST STE 104
Sioux Falls, SD 57105

Reassigned Medicare billing, South Dakota enrollment
1,097 clinicians in this Medicare group

NPI 1093090342 (605) 328-4897

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 10

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.

171 services113 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.

157 services98 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.

109 services109 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.

83 services57 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.

63 services58 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.

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.

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

Sanford Canton-Inwood Medical Center - Cah

Critical Access Hospitals · Canton, SD

OwnershipVoluntary non-profit - Private

CMS Certification Number431333

Location440 North Hiawatha DriveCanton, SD 57013 · Lincoln County

Emergency services

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

$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.

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

Quality

80.13

Promoting Interoperability

Improvement Activities

Cost

47.35

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.

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