JANICE GERLACH MD
NPI 1649833401
Psychiatry & Neurology - Psychiatry in Platte, SD

Active since April 17, 2019PECOS Enrolled
93.71/100
CMS Quality Rating
601 E 7TH ST, PLATTE, SD 57369(605) 337-1501 Get Directions Write a Review

NPPES record last updated: December 19, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 4, 2022, Apr 17, 2019 (2 updates tracked since 2019).

About Janice Gerlach Md NPPES

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

JANICE GERLACH MD (NPI 1649833401) is an individual psychiatry provider in Platte, South Dakota, licensed in South Dakota (14791) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS, is affiliated with Avera St Mary's Hospital, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1649833401
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NameJANICE GERLACHCredential: MD
Location Address601 E 7TH STPlatte, SD 57369-2123
Mailing AddressPo Box 818Platte, SD 57369-0818 · (605) 337-1501
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateApril 17, 2019
Last NPPES UpdateDecember 19, 20232 updates tracked since enumeration
NPPES CertifiedDecember 12, 2023
NPI 1649833401 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License Licensed in SD · 14791
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
601 E 7TH ST, Platte, SD 57369

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 (PECOS)

Janice Gerlach Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1759617335
PECOS Enrollment IDI20231205003911
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 3

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 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.
207 services68 patients
Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
56 services56 patients
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.
31 services24 patients

Hospital Affiliations CMS Care Compare 3

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

Avera St Mary's Hospital

Acute Care Hospitals · Pierre, SD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number430015
Location801 E SiouxPierre, SD 57501 · Hughes County
Emergency services Birthing friendly

Platte Health Center

Critical Access Hospitals · Platte, SD
OwnershipVoluntary non-profit - Private
CMS Certification Number431306
Location601 E 7th St Post Office Box 200Platte, SD 57369 · Charles Mix County
Emergency services

Avera St Benedict Health Center - Cah

Critical Access Hospitals · Parkston, SD
OwnershipVoluntary non-profit - Private
CMS Certification Number431330
Location401 West Glynn DriveParkston, SD 57366 · Hutchinson County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57369 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
$167.23 typical visit price
range $55.52 – $167.23
Typical copayment $41.80 (range $13.88 – $41.80)
Most-billed visit code 99205
Established Patient
$69.20 typical visit price
range $18.08 – $137.08
Typical copayment $17.30 (range $4.52 – $34.27)
Most-billed visit code 99213
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.

93.71/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality88.72
Promoting Interoperability97.84
Improvement Activities40

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.

Family Medicine
601 E 7TH ST
PLATTE, SD 57369
Nurse Practitioner (Family)
601 E 7TH ST
PLATTE, SD 57369
Family Medicine
601 E 7TH ST
PLATTE, SD 57369
Family Medicine
601 E 7TH ST
PLATTE, SD 57369
Nurse Practitioner (Family)
601 E 7TH ST
PLATTE, SD 57369
Physician Assistant (Medical)
601 E 7TH ST
PLATTE, SD 57369
General Acute Care Hospital (Critical Access)
601 E 7TH ST
PLATTE, SD 57369
Physical Therapist
601 E 7TH ST
PLATTE, SD 57369

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 Janice Gerlach's NPI number?

The NPI number for Janice Gerlach is 1649833401. It was assigned to this individual provider in the NPPES registry on April 17, 2019.

Where is Janice Gerlach located?

Janice Gerlach practices at 601 E 7th St, Platte, SD 57369. The listed phone number is (605) 337-1501.

What is Janice Gerlach's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Janice Gerlach enrolled in Medicare?

Yes. Janice Gerlach is registered in the Medicare PECOS enrollment system.

What insurance does Janice Gerlach accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Avera Health Plans and 1 other insurer list Janice Gerlach 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 Janice Gerlach affiliated with any hospitals?

According to CMS data, Janice Gerlach is affiliated with Avera St Mary's Hospital, Platte Health Center and Avera St Benedict Health Center - Cah.

When was this NPI record last updated?

The NPPES record for Janice Gerlach was last updated on December 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.