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DR. JAMES CODY VAN HOVEN PH.D.
NPI 1699232520
Clinical Neuropsychologist in Sioux Falls, SD

Active since February 27, 2019PECOS EnrolledAccepts Medicare Assignment
78.85/100
CMS Quality Rating
7511 S LOUISE AVE, SIOUX FALLS, SD 57108(605) 312-8700 Get Directions Write a Review

NPPES record last updated: September 9, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 9, 2025, Oct 20, 2020, Jul 20, 2020 and 3 more (6 updates tracked since 2019).

About Dr. James Cody Van Hoven Ph.d. NPPES

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

DR. JAMES CODY VAN HOVEN PH.D. (NPI 1699232520) is an individual clinical neuropsychologist in Sioux Falls, South Dakota, licensed in South Dakota (685) and active in the NPI registry since February 2019. He is enrolled in Medicare PECOS, is affiliated with Sanford Usd Medical Center, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1699232520
Entity TypeIndividualMale
Primary Taxonomy103G00000X
Provider Legal NameDR. JAMES CODY VAN HOVENCredential: PH.D.
Location Address7511 S LOUISE AVESioux Falls, SD 57108-5997
Mailing AddressPo Box 5074Sioux Falls, SD 57117-5074 · (605) 312-8700
Phone(605) 312-8700
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateFebruary 27, 2019
Last NPPES UpdateSeptember 9, 20256 updates tracked since enumeration
NPPES CertifiedSeptember 9, 2025
✔ NPI 1699232520 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers
Taxonomy Code103G00000X
License✔ Licensed in SD · 685
Definition
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Sanford Health Plan, Security Health Plan, UnitedHealthcare and more.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. James Cody Van Hoven Ph.d. 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 ID3072841766
PECOS Enrollment IDI20251009003934
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

3

Medicare enrollment records show James Van Hoven reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Marshfield Clinic Inc
Clinic/Center
1000 N OAK AVE
Marshfield, WI 54449
  • Reassigned Medicare billing, Wisconsin enrollment
  • 2,540 clinicians in this Medicare group
NPI 1952347981 (715) 387-5511
Mchs Hospitals Inc
Clinic/Center
1000 N OAK AVE
Marshfield, WI 54449
  • Reassigned Medicare billing, Wisconsin enrollment
  • 2,476 clinicians in this Medicare group
NPI 1093221434 (715) 387-5511
Sanford Medical Center
Family Medicine
1420 W 22NDST STE 104
Sioux Falls, SD 57105
  • Reassigned Medicare billing, South Dakota enrollment
  • 1,097 clinicians in this Medicare group
NPI 1093090342 (605) 328-4897

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 6

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.

Administration of psychological or neuropsychological test by technician, each additional 30 minutes 96139
This service involves a technician administering additional psychological or neuropsychological testing. Each session lasts for an extra 30 minutes. These tests assess cognitive abilities, such as memory, attention, and problem-solving skills, to aid in diagnosing or monitoring mental health conditions.
221 services54 patients
Evaluation of neuropsychological test, first hour 96132
An evaluation of neuropsychological tests is a process to assess your brain's function. It involves tasks designed to measure cognitive abilities such as memory, attention, problem-solving, and language skills. The first hour involves initial testing and observation.
69 services66 patients
Evaluation of neuropsychological test, each additional hour 96133
This service involves further evaluation of your neuropsychological test results beyond the initial hour. It helps to understand your cognitive functioning better, focusing on areas like memory, attention, and problem-solving skills.
63 services51 patients
Administration of psychological or neuropsychological test by technician, first 30 minutes 96138
This procedure involves a trained technician administering a psychological or neuropsychological test. It's a process that assesses your mental function and behavior. The initial session will last 30 minutes. The aim is to understand your cognitive abilities better.
54 services54 patients
Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
52 services52 patients
Exam of neurobehavioral status, first hour 96116
An exam of neurobehavioral status is a medical procedure that evaluates your brain's functions. This includes assessing your cognitive abilities, emotional responses, and behavioral patterns. The first hour of the exam is typically dedicated to this initial evaluation.
35 services35 patients

Hospital Affiliations CMS Care Compare

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

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.

78.85/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality66.68
Promoting Interoperability99
Improvement Activities40
Cost54.87

Other Providers at the Same Location NPPES 13

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

JOHANNAH SMITH
Psychologist
7511 S LOUISE AVE
SIOUX FALLS, SD 57108
Lincoln County (605) 312-8700
TIMOTHY J HEERTS M.A.
Marriage & Family Therapist
7511 S LOUISE AVE
SIOUX FALLS, SD 57108
Lincoln County (605) 334-5850
RACHAEL ANN FRICKE LAC, LPC-MH, LPCC
Counselor (Professional)
7511 S LOUISE AVE
SIOUX FALLS, SD 57108
Lincoln County (605) 312-8700
MRS. MEGAN MARIE COOPER CSW-PIP
Social Worker
7511 S LOUISE AVE
SIOUX FALLS, SD 57108
Lincoln County (605) 312-8700
MELISA MIFTARI LCSW
Social Worker
7511 S LOUISE AVE
SIOUX FALLS, SD 57108
Lincoln County (605) 312-8700
MEGHAN BETH ANFINSON LPCMH, LPC, LAC
Counselor (Mental Health)
7511 S LOUISE AVE
SIOUX FALLS, SD 57108
Lincoln County (605) 312-8700
LORI L WILLIAMSON LMFT, QMHP, CCDC III
Marriage & Family Therapist
7511 S LOUISE AVE
SIOUX FALLS, SD 57108
Lincoln County (605) 334-5850
FAITHE PATRICK MA, LMHP
Counselor (Mental Health)
7511 S LOUISE AVE
SIOUX FALLS, SD 57108
Lincoln County (605) 312-8700

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 James Van Hoven's NPI number?

The NPI number for James Van Hoven is 1699232520. It was assigned to this individual provider in the NPPES registry on February 27, 2019.

Where is James Van Hoven located?

James Van Hoven practices at 7511 S Louise Ave, Sioux Falls, SD 57108. The listed phone number is (605) 312-8700.

What is James Van Hoven's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Is James Van Hoven enrolled in Medicare?

Yes. James Van Hoven 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 James Van Hoven's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Van Hoven reassigns Medicare benefits to 3 organizations: Marshfield Clinic Inc (Marshfield, WI), Mchs Hospitals Inc (Marshfield, WI) 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 James Van Hoven's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Van Hoven accept?

Health plans from Sanford Health Plan, Security Health Plan, UnitedHealthcare, Wellmark Health Plan of Iowa, Inc. and Wellmark of South Dakota, Inc. list James Van Hoven 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 James Van Hoven affiliated with any hospitals?

According to CMS data, James Van Hoven is affiliated with Sanford Usd Medical Center.

When was this NPI record last updated?

The NPPES record for James Van Hoven was last updated on September 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.