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DR. KENNETH A BARTHOLOMEW MD
NPI 1639144363
Family Medicine in Pierre, SD

Active since February 17, 2006PECOS EnrolledAccepts Medicare Assignment
100 MAC LANE, AVERA MEDICAL GROUP PIERRE, PIERRE, SD 57501(605) 224-5901(605) 945-5295 Get Directions Write a Review

NPPES record last updated: June 29, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Kenneth A Bartholomew Md NPPES

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

DR. KENNETH A BARTHOLOMEW MD (NPI 1639144363) is an individual family medicine provider in Pierre, South Dakota, licensed in South Dakota (2285) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Avera St Lukes, and is a graduate of University Of Utah School Of Medicine (1976).

NPPES Registry Identity

NPI1639144363
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. KENNETH A BARTHOLOMEWCredential: MD
Location Address100 MAC LANE, AVERA MEDICAL GROUP PIERREPierre, SD 57501
Mailing Address100 Mac Lane, Avera Medical Group PierrePierre, SD 57501 · (605) 224-5901 · Fax (605) 945-5295
Phone(605) 224-5901
Fax(605) 945-5295
Sole ProprietorNo
Medical School CMSUniversity Of Utah School Of MedicineGraduated 1976
Enumeration DateFebruary 17, 2006
Last NPPES UpdateJune 29, 2012
✔ NPI 1639144363 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 · 2285
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.
100 MAC LANE, Pierre, SD 57501
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Other Identifiers 4

Medicare ID-Type Unspecified1956SD
Medicaid5608380SD
Medicaid5608385SD
Medicare UPIND25151SD

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Sanford Health Plan, Wellmark of South Dakota, Inc..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

Dr. Kenneth A Bartholomew 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 ID9436142197
PECOS Enrollment IDI20040415000937
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

5

Medicare enrollment records show Kenneth Bartholomew reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Avera Mckennan
Same address
Multi-Specialty
100 MAC LN
Pierre, SD 57501
  • Reassigned Medicare billing, South Dakota enrollment
  • 1,277 clinicians in this Medicare group
NPI 1780829283 (605) 224-5901
Avera St Marys
0.1 mi
Emergency Medicine
801 E SIOUX AVE
Pierre, SD 57501
  • Reassigned Medicare billing, South Dakota enrollment
  • 197 clinicians in this Medicare group
NPI 1073305496 (605) 224-3100
Rural Health Care, Inc.
1.6 mi
Federally Qualified Health Center (FQHC)
202 ISLAND DR STE 1
Fort Pierre, SD 57532
  • Reassigned Medicare billing, South Dakota enrollment
  • 111 clinicians in this Medicare group
NPI 1487667077 (605) 223-2200
Faulkton Area Medical Center
75 mi
Medicare Defined Swing Bed Unit
1300 OAK ST
Faulkton, SD 57438
  • Reassigned Medicare billing, South Dakota enrollment
  • Also billed through NPI 1245212877 (South Dakota)
  • 5 clinicians in this Medicare group
NPI 1053450791 (605) 598-6262
Huron Regional Medical Center Inc
106 mi
Critical Access
172 4TH ST SE
Huron, SD 57350
  • Reassigned Medicare billing, South Dakota enrollment
  • 90 clinicians in this Medicare group
NPI 1154312429 (605) 353-6200

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

Hospital Affiliations CMS Care Compare 2

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

Avera St Lukes

Acute Care Hospitals · Aberdeen, SD
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number430014
Location305 S State St Post Office Box 4450Aberdeen, SD 57401 · Brown County
Emergency services Birthing friendly

Faulkton Area Medical Center

Critical Access Hospitals · Faulkton, SD
OwnershipVoluntary non-profit - Private
CMS Certification Number431301
Location1300 Oak Street Post Office Box 100Faulkton, SD 57438 · Faulk County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57501 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.

Referred Medical Equipment & Supplies CMS DME claims 9

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers15 claims31 services$6.42 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
3 suppliers21 claims21 services$41.36 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
3 suppliers13 claims13 services$66.84 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
5 suppliers12 claims12 services$20.01 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
3 suppliers20 claims112 services$2.92 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
2 suppliers14 claims14 services$44.43 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.

DR. MARTY L ALLISON MD
Pediatrics
100 MAC LANE, AVERA MEDICAL GROUP PIERRE
PIERRE, SD 57501
Hughes County (605) 945-5246
DR. ELDON R. BECKER MD
Surgery
100 MAC LANE, AVERA MEDICAL GROUP PIERRE
PIERRE, SD 57501
Hughes County (605) 945-5202
DARCY J MCCLELLAND PA
Physician Assistant
100 MAC LANE, AVERA MEDICAL GROUP PIERRE
PIERRE, SD 57501
Hughes County (605) 945-5255
DR. ROBERT L ALLISON MD
Internal Medicine
100 MAC LANE, AVERA MEDICAL GROUP PIERRE
PIERRE, SD 57501
Hughes County (605) 945-5277
DR. STEPHEN Y STOUT MD
Orthopaedic Surgery
100 MAC LANE, AVERA MEDICAL GROUP PIERRE
PIERRE, SD 57501
Hughes County (605) 224-7070
MEDICAL ASSOCIATES CLINIC LLP
Clinic/Center (Multi-Specialty)
100 MAC LANE
PIERRE, SD 57501
Hughes County (605) 224-5901
DR. RODNEY T VIZCARRA MD
Surgery
100 MAC LANE, AVERA MEDICAL GROUP PIERRE
PIERRE, SD 57501
Hughes County (605) 945-5202
JAMIE J LIUDAHL DO
Family Medicine
100 MAC LANE
PIERRE, SD 57501
Hughes County (605) 224-5901

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 Kenneth Bartholomew's NPI number?

The NPI number for Kenneth Bartholomew is 1639144363. It was assigned to this individual provider in the NPPES registry on February 17, 2006.

Where is Kenneth Bartholomew located?

Kenneth Bartholomew practices at 100 Mac Lane Avera Medical Group Pierre, Pierre, SD 57501. The listed phone number is (605) 224-5901.

What is Kenneth Bartholomew's specialty?

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

Is Kenneth Bartholomew enrolled in Medicare?

Yes. Kenneth Bartholomew 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.

Which organizations bill Medicare for Kenneth Bartholomew's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kenneth Bartholomew reassigns Medicare benefits to 5 organizations: Avera Mckennan (Pierre, SD), Avera St Marys (Pierre, SD), Rural Health Care, Inc. (Fort Pierre, SD), Faulkton Area Medical Center (Faulkton, SD) and Huron Regional Medical Center Inc (Huron, SD). Each 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 Kenneth Bartholomew's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kenneth Bartholomew accept?

Health plans from Sanford Health Plan and Wellmark of South Dakota, Inc. list Kenneth Bartholomew 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 Kenneth Bartholomew affiliated with any hospitals?

According to CMS data, Kenneth Bartholomew is affiliated with Avera St Lukes and Faulkton Area Medical Center.

When was this NPI record last updated?

The NPPES record for Kenneth Bartholomew was last updated on June 29, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.