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NELSON G BATOON MD
NPI 1689831547
Family Medicine in Platte, SD

Active since May 19, 2008PECOS EnrolledAccepts Medicare Assignment
601 E 7TH ST, PLATTE, SD 57369(605) 337-3364(605) 337-3360 Get Directions Write a Review

NPPES record last updated: May 28, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 28, 2021, Aug 14, 2018, Jan 6, 2017 (3 updates tracked since 2017).

About Nelson G Batoon Md NPPES

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

NELSON G BATOON MD (NPI 1689831547) is an individual family medicine provider in Platte, South Dakota, licensed in South Dakota (8491) and active in the NPI registry since May 2008. He is enrolled in Medicare PECOS, is affiliated with Platte Health Center, and is a graduate of Other (1998).

NPPES Registry Identity

NPI1689831547
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameNELSON G BATOONCredential: MD
Location Address601 E 7TH STPlatte, SD 57369
Mailing AddressPo Box 200Platte, SD 57369-0200 · (605) 337-3364 · Fax (605) 337-3360
Phone(605) 337-3364
Fax(605) 337-3360
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateMay 19, 2008
Last NPPES UpdateMay 28, 20213 updates tracked since enumeration
NPPES CertifiedMay 28, 2021
✔ NPI 1689831547 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 · 8491
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.
601 E 7TH ST, Platte, SD 57369
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter Health 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

Nelson G Batoon 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 ID9739337114
PECOS Enrollment IDI20120910000114
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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
32 services24 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
31 services28 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
13 services13 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
12 services11 patients

Hospital Affiliations CMS Care Compare

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

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

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
$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 20

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

JENNIFER FREDERIKSEN MD
Family Medicine
601 E 7TH ST
PLATTE, SD 57369
Charles Mix County (605) 337-3364
APRIL MARIE VEURINK FNP-C
Nurse Practitioner (Family)
601 E 7TH ST
PLATTE, SD 57369
Charles Mix County (605) 337-3364
PLATTE COMMUNITY MEMORIAL HOSPITAL, INC.
Family Medicine
601 E 7TH ST
PLATTE, SD 57369
Charles Mix County (605) 337-3364
HAU VAN TRAN DO
Family Medicine
601 E 7TH ST
PLATTE, SD 57369
Charles Mix County (605) 337-1501
STEPHANIE LEADER CNP
Nurse Practitioner (Family)
601 E 7TH ST
PLATTE, SD 57369
Charles Mix County (605) 337-1503
RICK STOLTENBURG PA
Physician Assistant (Medical)
601 E 7TH ST
PLATTE, SD 57369
Charles Mix County (605) 337-3364
PLATTE COMMUNITY MEMORIAL HOSPITAL INC
General Acute Care Hospital (Critical Access)
601 E 7TH ST
PLATTE, SD 57369
Charles Mix County (605) 337-3364
MARK PETERSEN PT,DPT,OCS,ATC
Physical Therapist
601 E 7TH ST
PLATTE, SD 57369
Charles Mix County (605) 337-3364

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 Nelson Batoon's NPI number?

The NPI number for Nelson Batoon is 1689831547. It was assigned to this individual provider in the NPPES registry on May 19, 2008.

Where is Nelson Batoon located?

Nelson Batoon practices at 601 E 7th St, Platte, SD 57369. The listed phone number is (605) 337-3364.

What is Nelson Batoon's specialty?

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

Is Nelson Batoon enrolled in Medicare?

Yes. Nelson Batoon 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 Nelson Batoon accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Medica list Nelson Batoon 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 Nelson Batoon affiliated with any hospitals?

According to CMS data, Nelson Batoon is affiliated with Platte Health Center.

When was this NPI record last updated?

The NPPES record for Nelson Batoon was last updated on May 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.