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VERLE D VALENTINE MD
NPI 1669426052
Family Medicine - Sports Medicine in Sioux Falls, SD

Active since May 20, 2006PECOS EnrolledAccepts Medicare Assignment
76.69/100
CMS Quality Rating
1210 W 18TH ST, STE G01, SIOUX FALLS, SD 57104(605) 328-1750(605) 328-1751 Get Directions Write a Review

NPPES record last updated: March 29, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Verle D Valentine Md NPPES

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

VERLE D VALENTINE MD (NPI 1669426052) is an individual sports medicine provider in Sioux Falls, South Dakota, licensed in South Dakota (4463) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Sanford Usd Medical Center, and is a graduate of Sanford School Of Medicine Of University Of South Dakota (1994).

NPPES Registry Identity

NPI1669426052
Entity TypeIndividualMale
Primary Taxonomy207QS0010X
Provider Legal NameVERLE D VALENTINECredential: MD
Location Address1210 W 18TH ST, STE G01Sioux Falls, SD 57104-4647
Mailing AddressPo Box 5074Sioux Falls, SD 57117-5074
Phone(605) 328-1750
Fax(605) 328-1751
Sole ProprietorNo
Medical School CMSSanford School Of Medicine Of University Of South DakotaGraduated 1994
Enumeration DateMay 20, 2006
Last NPPES UpdateMarch 29, 2022
NPPES CertifiedMarch 29, 2022
✔ NPI 1669426052 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QS0010X
License✔ Licensed in SD · 4463
Definition
A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.
Also ListedFamily MedicineTaxonomy 207Q00000X · License 4463 (SD)
1210 W 18TH ST, Sioux Falls, SD 57104
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Oscar Insurance Company, Sanford Health Plan and more.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

Verle D Valentine 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 ID1951322361
PECOS Enrollment IDI20051213000782
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 5

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.
190 services114 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
136 services136 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
106 services76 patients
Aspiration and/or injection of fluid large joint using ultrasound guidance 20611
This procedure involves using ultrasound technology to accurately locate a large joint, usually the knee or shoulder. A needle is then inserted to either extract fluid (aspiration) or inject medication. The ultrasound helps ensure precision and safety.
42 services35 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.
22 services22 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 57104 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.

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

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.

JOHN P REINSCHMIDT MD
Radiology (Diagnostic Radiology)
1210 W 18TH ST
SIOUX FALLS, SD 57104
Minnehaha County (605) 328-3150
EUGENIO B MATOS M.D.
Psychiatry & Neurology (Neurology)
1210 W 18TH ST, STE 100
SIOUX FALLS, SD 57104
Minnehaha County (605) 312-8500
DR. KHALIL A YOUSEF M.D.
Radiology (Diagnostic Radiology)
1210 W 18TH ST, STE LL03
SIOUX FALLS, SD 57104
Minnehaha County (605) 328-1410
JOHN ELMER FORRETTE JR. DPM
Podiatrist
1210 W 18TH ST
SIOUX FALLS, SD 57104
Minnehaha County (605) 328-1395
BRETT ALLEN BASTIAN PAC
Physician Assistant
1210 W 18TH ST, STE 104
SIOUX FALLS, SD 57104
Minnehaha County (605) 328-8660
DR. THOMAS MATTHEW BOETEL D.O.
Physical Medicine & Rehabilitation (Pain Medicine)
1210 W 18TH ST, SUITE 100
SIOUX FALLS, SD 57104
Minnehaha County (605) 312-8500
DR. CHRISTOPHER JANSSEN
Physical Medicine & Rehabilitation (Pain Medicine)
1210 W 18TH ST, STE 100
SIOUX FALLS, SD 57104
Minnehaha County (605) 312-8500
DR. ADAM HAILES NICHOLS D.P.M.
Podiatrist (Foot & Ankle Surgery)
1210 W 18TH ST, SUITE G01
SIOUX FALLS, SD 57104
Minnehaha County (605) 328-2663

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 Verle Valentine's NPI number?

The NPI number for Verle Valentine is 1669426052. It was assigned to this individual provider in the NPPES registry on May 20, 2006.

Where is Verle Valentine located?

Verle Valentine practices at 1210 W 18th St Ste G01, Sioux Falls, SD 57104. The listed phone number is (605) 328-1750.

What is Verle Valentine's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Is Verle Valentine enrolled in Medicare?

Yes. Verle Valentine 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 Verle Valentine accept?

Health plans from Medica, Oscar Insurance Company, Sanford Health Plan and Security Health Plan list Verle Valentine 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 Verle Valentine affiliated with any hospitals?

According to CMS data, Verle Valentine 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 Verle Valentine was last updated on March 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.