VERLE D VALENTINE MD
NPI 1669426052
Family Medicine - Sports Medicine in Sioux Falls, SD
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 Sheldon Medical Center, and is a graduate of Sanford School Of Medicine Of University Of South Dakota (1994).
NPPES Registry Identity
Specialties & Licenses 2
Accepted 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
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.
Medicare Billing Reassignments
2Medicare enrollment records show Verle Valentine reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Sioux Falls, SD 57104
- Reassigned Medicare billing, South Dakota enrollment
- 826 clinicians in this Medicare group
Sioux Falls, SD 57105
- Reassigned Medicare billing, South Dakota enrollment
- 1,097 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Sanford Sheldon Medical Center
Critical Access Hospitals · Sheldon, IASanford Luverne Medical Center
Critical Access Hospitals · Luverne, MNAvera Mckennan Hospital & University Health Center
Acute Care Hospitals · Sioux Falls, SDSanford Usd Medical Center
Acute Care Hospitals · Sioux Falls, SDSanford Canton-Inwood Medical Center - Cah
Critical Access Hospitals · Canton, SDPhysician 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.
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.
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.
SIOUX FALLS, SD 57104
SIOUX FALLS, SD 57104
SIOUX FALLS, SD 57104
SIOUX FALLS, SD 57104
SIOUX FALLS, SD 57104
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.
Which organizations bill Medicare for Verle Valentine's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Verle Valentine reassigns Medicare benefits to 2 organizations: Sanford Clinic (Sioux Falls, SD) and Sanford Medical Center (Sioux Falls, 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 Verle Valentine's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Verle Valentine accept?
Health plans from Oscar Insurance Company, Sanford Health Plan, Security Health Plan, Wellmark Health Plan of Iowa, Inc. and Wellmark of South Dakota, Inc. 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 Sheldon Medical Center, Sanford Luverne Medical Center, Avera Mckennan Hospital & University Health Center, 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.
# Verle D Valentine, MD · NPI 1669426052
Sports Medicine physician in Sioux Falls, South Dakota. Individual provider, active in the CMS NPPES registry since May 20, 2006.
## Identity
- **NPI:** 1669426052 (Entity type: Individual)
- **Enumerated:** May 20, 2006
- **Primary specialty:** Family Medicine - Sports Medicine · taxonomy 207QS0010X
- **State license:** 4463 (South Dakota)
- **Sole proprietor:** No
## Practice location
- **Address:** 1210 W 18TH ST, STE G01, Sioux Falls, SD 57104-4647
- **Phone:** (605) 328-1750 · **Fax:** (605) 328-1751
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Sanford Clinic (NPI 1457383424, Sioux Falls, SD); Sanford Medical Center (NPI 1093090342, Sioux Falls, SD) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Sanford School Of Medicine Of University Of South Dakota, class of 1994
## Record status
- **NPPES last updated:** March 29, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1669426052) · Data from the CMS NPPES public registry.