DR. KELLY R RAFFERTY M.D.
NPI 1609911098
Family Medicine in Yankton, SD

Active since February 21, 2007PECOS EnrolledAccepts Medicare Assignment
1000 W 4TH ST, SUITE 15, YANKTON, SD 57078(605) 665-0555(605) 665-4498 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Kelly R Rafferty M.d. NPPES

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

DR. KELLY R RAFFERTY M.D. (NPI 1609911098) is an individual family medicine provider in Yankton, South Dakota, licensed in South Dakota (4270) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS, is affiliated with Avera Sacred Heart Hospital, and is a graduate of Sanford School Of Medicine Of University Of South Dakota (1994).

NPPES Registry Identity

NPI1609911098
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. KELLY R RAFFERTYCredential: M.D.
Location Address1000 W 4TH ST, SUITE 15Yankton, SD 57078-3730
Mailing Address1000 W 4th St, Suite 15Yankton, SD 57078-3730 · (605) 665-0555 · Fax (605) 665-4498
Fax(605) 665-4498
Sole ProprietorYes
Medical School CMSSanford School Of Medicine Of University Of South DakotaGraduated 1994
Enumeration DateFebruary 21, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1609911098 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in SD · 4270
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.
1000 W 4TH ST, Yankton, SD 57078

Other Identifiers 1

Medicare UPINF94237SD

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

Dr. Kelly R Rafferty 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 ID941112015
PECOS Enrollment IDI20031110000402
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 4

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.
63 services32 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
29 services29 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.
21 services15 patients
Stool analysis for blood to screen for colon tumors 82270
A stool analysis for blood is a non-invasive procedure used to check for the presence of hidden blood in your stool. This can be an early sign of colon tumors. The test involves collecting a small sample of stool at home and sending it to a lab for analysis.
16 services16 patients

Hospital Affiliations CMS Care Compare

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

Avera Sacred Heart Hospital

Acute Care Hospitals · Yankton, SD
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number430012
Location501 Summit StYankton, SD 57078 · Yankton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57078 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 8

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

Counselor (Addiction (Substance Use Disorder))
1000 W 4TH ST
YANKTON, SD 57078
Psychologist (Clinical)
1000 W 4TH ST
YANKTON, SD 57078
Podiatrist (Foot & Ankle Surgery)
1000 W 4TH ST, STE 2
YANKTON, SD 57078
Physical Medicine & Rehabilitation
1000 W 4TH ST, SUITE 8
YANKTON, SD 57078
Psychologist (Clinical)
1000 W 4TH ST
YANKTON, SD 57078
Orthopaedic Surgery
1000 W 4TH ST, SUITE 1
YANKTON, SD 57078
Anesthesiology
1000 W 4TH ST, SUITE 13
YANKTON, SD 57078
Podiatrist (Foot & Ankle Surgery)
1000 W 4TH ST, STE 2
YANKTON, SD 57078

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 Kelly Rafferty's NPI number?

The NPI number for Kelly Rafferty is 1609911098. It was assigned to this individual provider in the NPPES registry on February 21, 2007.

Where is Kelly Rafferty located?

Kelly Rafferty practices at 1000 W 4th St Suite 15, Yankton, SD 57078. The listed phone number is (605) 665-0555.

What is Kelly Rafferty's specialty?

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

Is Kelly Rafferty enrolled in Medicare?

Yes. Kelly Rafferty 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 Kelly Rafferty accept?

Health plans from Avera Health Plans and Oscar Insurance Company list Kelly Rafferty 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 Kelly Rafferty affiliated with any hospitals?

According to CMS data, Kelly Rafferty is affiliated with Avera Sacred Heart Hospital.

When was this NPI record last updated?

The NPPES record for Kelly Rafferty was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.