AVERA MEDICAL GROUP WEBSTER
NPI 1588978423
Family Medicine in Webster, SD

Active since August 03, 2010
401 E HIGHWAY 12 STE 2, WEBSTER, SD 57274(605) 345-2222(605) 345-2223 Get Directions Write a Review

NPPES record last updated: June 30, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Avera Medical Group Webster NPPES

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

AVERA MEDICAL GROUP WEBSTER (NPI 1588978423) is a healthcare organization registered as a family medicine in Webster, South Dakota and active in the NPI registry since August 2010. The organization lists Ron Jacobson, Ceo And President, as its authorized official.

NPPES Registry Identity

NPI1588978423
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameAVERA MEDICAL GROUP WEBSTER
Location Address401 E HIGHWAY 12 STE 2Webster, SD 57274-1148
Mailing AddressPo Box 1460Aberdeen, SD 57402-1460 · (605) 622-2857 · Fax (605) 622-2859
Fax(605) 345-2223
Organization SubpartYesParent: Avera St Lukes
Authorized OfficialRon JacobsonCeo And President · (605) 622-5890
Enumeration DateAugust 3, 2010
Last NPPES UpdateJune 30, 2011
✔ NPI 1588978423 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
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.
401 E HIGHWAY 12 STE 2, Webster, SD 57274

Other Identifiers 1

Medicare PINS101808SD

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Avera Medical Group Webster is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

258

Medicare enrollment records show 258 clinicians reassign Medicare billing to Avera Medical Group Webster, which bills Medicare for the services they deliver. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 28

Nurse Practitioner32
Internal Medicine31
Anesthesiology27
Certified Registered Nurse Anesthetist (CRNA)25
Physical Therapist in Private Practice18
Family Practice15
Orthopedic Surgery13
Pathology12
20 other specialties85

Nearest to this location (20)

See all 258
Nurse Practitioner
NPI 1235409426
8 E US HIGHWAY 12 SUITE 2
Groton, SD 57445
(605) 397-4242
✔ PECOS✔ Accepts Medicare29 mi
Physical Therapist in Private Practice
NPI 1992362123
415 4TH AVE NE
Watertown, SD 57201
(605) 886-8431
36 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1316018906
3015 3RD AVE SE
Aberdeen, SD 57401
(605) 226-5500
✔ Accepts Medicare46 mi
Internal Medicine
NPI 1003269234
3015 3RD AVE SE
Aberdeen, SD 57401
(605) 226-5500
✔ PECOS✔ Accepts Medicare46 mi
Diagnostic Radiology
NPI 1942425277
3015 3RD AVE SE
Aberdeen, SD 57401
(605) 226-5500
✔ PECOS✔ Accepts Medicare46 mi
Anesthesiology
NPI 1770603888
815 1ST AVE SE
Aberdeen, SD 57401
(605) 622-5123
✔ PECOS✔ Accepts Medicare47 mi
Otolaryngology
NPI 1528039765
820 1ST AVE SE STE 100
Aberdeen, SD 57401
(605) 622-5506
✔ PECOS✔ Accepts Medicare47 mi
Obstetrics/Gynecology
NPI 1063596245
310 S PENN ST SUITE 204
Aberdeen, SD 57401
(605) 225-1636
✔ PECOS✔ Accepts Medicare47 mi
Hematology/Oncology
NPI 1851394662
310 S PENN ST SUITE 105
Aberdeen, SD 57401
(605) 622-8700
✔ PECOS✔ Accepts Medicare47 mi
Urology
NPI 1316935638
310 S PENN ST STE 202
Aberdeen, SD 57401
(605) 225-7326
✔ PECOS47 mi
General Surgery
NPI 1295990141
310 S PENN ST SUITE 201
Aberdeen, SD 57401
(605) 229-1367
✔ PECOS✔ Accepts Medicare47 mi
Podiatry
NPI 1952438996
310 S PENN ST STE 203
Aberdeen, SD 57401
(605) 622-2570
✔ PECOS✔ Accepts Medicare47 mi
Cardiovascular Disease (Cardiology)
NPI 1639364581
310 S PENN ST STE 203
Aberdeen, SD 57401
(605) 622-2573
✔ PECOS✔ Accepts Medicare47 mi
Occupational Therapist in Private Practice
NPI 1760213110
805 1ST AVE SE
Aberdeen, SD 57401
(605) 622-5878
✔ Accepts Medicare47 mi
Emergency Medicine
NPI 1487001962
1513 SOMERSET DR
Aberdeen, SD 57401
(605) 380-0778
✔ PECOS✔ Accepts Medicare47 mi
Pathology
NPI 1700439197
305 S STATE ST
Aberdeen, SD 57401
(605) 622-5000
✔ PECOS✔ Accepts Medicare47 mi
Interventional Radiology
NPI 1437425733
305 S STATE ST
Aberdeen, SD 57401
(605) 622-5540
✔ PECOS47 mi
Qualified Speech Language Pathologist
NPI 1487421855
805 1ST AVE SE
Aberdeen, SD 57401
(605) 622-5878
✔ Accepts Medicare47 mi
Family Practice
NPI 1366438814
305 S STATE ST
Aberdeen, SD 57401
(605) 622-5100
✔ PECOS✔ Accepts Medicare47 mi
Psychiatry
NPI 1548656374
201 S. STATE ST., STE E201
Aberdeen, SD 57401
(056) 222-5456
✔ PECOS✔ Accepts Medicare47 mi
See all 258 clinicians

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

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 Avera Medical Group Webster's NPI number?

The NPI number for Avera Medical Group Webster is 1588978423. It was assigned to this organization in the NPPES registry on August 3, 2010.

Where is Avera Medical Group Webster located?

Avera Medical Group Webster is located at 401 E Highway 12 Ste 2, Webster, SD 57274. The listed phone number is (605) 345-2222.

What is Avera Medical Group Webster's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Avera Medical Group Webster enrolled in Medicare?

Yes. Avera Medical Group Webster is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Avera Medical Group Webster?

According to the CMS Revalidation Reassignment List (October 2026 release), 258 clinicians in 28 Medicare specialties reassign their Medicare billing to Avera Medical Group Webster. A 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 the clinician's services. The largest specialties are Nurse Practitioner (32), Internal Medicine (31) and Anesthesiology (27). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Avera Medical Group Webster was last updated on June 30, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.