SUSAN M ROHR DO
NPI 1558317826
Internal Medicine - Pulmonary Disease in Sioux Falls, SD

Active since May 26, 2006PECOS EnrolledAccepts Medicare Assignment
76.69/100
CMS Quality Rating
1205 S GRANGE AVE, STE 407, SIOUX FALLS, SD 57105(605) 328-8900(605) 328-8901 Get Directions Write a Review

NPPES record last updated: April 2, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Susan M Rohr Do NPPES

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

SUSAN M ROHR DO (NPI 1558317826) is an individual pulmonary disease provider in Sioux Falls, South Dakota, licensed in South Dakota (5717) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS, is affiliated with Sanford Usd Medical Center, and is a graduate of Ohio University, College Of Osteopathic Medicine (1998).

NPPES Registry Identity

NPI1558317826
Entity TypeIndividualFemale
Primary Taxonomy207RP1001X
Provider Legal NameSUSAN M ROHRCredential: DO
Location Address1205 S GRANGE AVE, STE 407Sioux Falls, SD 57105-0410
Mailing Address1201 S Euclid Ave, Ste 407Sioux Falls, SD 57105-7700 · (605) 328-7180 · Fax (605) 328-7177
Fax(605) 328-8901
Sole ProprietorNo
Medical School CMSOhio University, College Of Osteopathic MedicineGraduated 1998
Enumeration DateMay 26, 2006
Last NPPES UpdateApril 2, 2010
NPI 1558317826 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License Licensed in SD · 5717
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal MedicineTaxonomy 207R00000X · License 5717 (SD)
1205 S GRANGE AVE, Sioux Falls, SD 57105

Other Names 1

Former Name (1)Susan M Lehotay-gibel Do

Other Identifiers 3

Medicare UPINI02007
Medicare PINP00287787SD
Medicare PINS100759SD

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

Susan M Rohr Do 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 ID6507852563
PECOS Enrollment IDI20051213000761
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 9

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
111 services90 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.
32 services27 patients
Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation G0399
A Home Sleep Test (HST) with a Type III Portable Monitor is an unattended test that records your breathing, heart rate, and oxygen levels during sleep. This test uses a minimum of 4 channels to monitor these parameters, helping to diagnose sleep disorders.
25 services25 patients
Sleep study in sleep lab with continuous airway pressure (6 years or older) 95811
A sleep study in a sleep lab with continuous airway pressure is a test for individuals aged 6 and above. It monitors your sleep patterns to check for disorders like sleep apnea. Continuous airway pressure helps keep your airways open while you sleep, improving your breathing.
17 services17 patients
Critical care, each additional 30 minutes 99292
Critical care refers to special attention given to patients facing life-threatening conditions. Each additional 30 minutes indicates the extension of this specialized care. This might include close monitoring, medication adjustments, and immediate interventions as needed.
17 services13 patients
Insertion of artery tube for blood sampling or infusion through skin 36620
This procedure involves placing a small tube into an artery, usually in the wrist or elbow, to collect blood samples or administer medication. It's done under local anesthesia and is a common, safe practice.
12 services11 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 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.

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.

76.69/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.56
Promoting Interoperability99
Improvement Activities40
Cost44.56

Referred Medical Equipment & Supplies CMS DME claims 19

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

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
11 suppliers65 claims65 services$38.47 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
8 suppliers29 claims29 services$103.07 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
6 suppliers43 claims101 services$36.45 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
4 suppliers28 claims90 services$19.77 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
7 suppliers15 claims77 services$16.23 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
10 suppliers34 claims34 services$62.15 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 20

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

Nurse Practitioner (Family)
1205 S GRANGE AVE
SIOUX FALLS, SD 57105
Pediatrics
1205 S GRANGE AVE, SUITE 307
SIOUX FALLS, SD 57105
Pediatrics
1205 S GRANGE AVE, STE 307
SIOUX FALLS, SD 57105
Internal Medicine (Nephrology)
1205 S GRANGE AVE, SUITE 201
SIOUX FALLS, SD 57105
Internal Medicine
1205 S GRANGE AVE, STE 510
SIOUX FALLS, SD 57105
Social Worker
1205 S GRANGE AVE, SUITE 510
SIOUX FALLS, SD 57105
Internal Medicine (Nephrology)
1205 S GRANGE AVE, SUITE 201
SIOUX FALLS, SD 57105
Internal Medicine
1205 S GRANGE AVE, STE 510
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 Susan Rohr's NPI number?

The NPI number for Susan Rohr is 1558317826. It was assigned to this individual provider in the NPPES registry on May 26, 2006. The provider is also known as Susan M Lehotay-Gibel Do.

Where is Susan Rohr located?

Susan Rohr practices at 1205 S Grange Ave Ste 407, Sioux Falls, SD 57105. The listed phone number is (605) 328-8900.

What is Susan Rohr's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Susan Rohr enrolled in Medicare?

Yes. Susan Rohr 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 Susan Rohr accept?

Health plans from Medica, Sanford Health Plan and Security Health Plan list Susan Rohr 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 Susan Rohr affiliated with any hospitals?

According to CMS data, Susan Rohr is affiliated with Sanford Usd Medical Center and Sanford Canton-Inwood Medical Center - Cah.

When was this NPI record last updated?

The NPPES record for Susan Rohr was last updated on April 2, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.