HEIDI LYNN STROUTH MD NPI 1699722629
Internal Medicine in Rapid City, SD
About HEIDI LYNN STROUTH MD
Heidi Strouth is an internist established in Rapid City, South Dakota and her medical specialization is Internal Medicine with more than 23 years of experience. She graduated from University Of Nebraska College Of Medicine in 2000. The NPI number of this provider is 1699722629 and was assigned on May 2006. The practitioner's primary taxonomy code is 207R00000X with license number 7948 (SD). The provider is registered as an individual and her NPI record was last updated 10 years ago.
| NPI | 1699722629 |
| Provider Name | HEIDI LYNN STROUTH MD |
| Location Address | 640 FLORMANN ST RAPID CITY, SD 57701 |
| Location Phone | (605) 718-3300 |
| Mailing Address | 353 FAIRMONT BLVD ATTEN MEDICAL STAFF SERVICES RAPID CITY, SD 57701 |
| Gender | Female |
| NPI Entity Type | Individual |
| Medical School Name | UNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE |
| Graduation Year | 2000 |
| Is Sole Proprietor? | No |
| Enumeration Date | 05-27-2006 |
| Last Update Date | 01-24-2013 |
An internist like Heidi Strouth is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.Heidi Strouth is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Heidi Strouth is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data she has hospital affiliations with .
The provider participated in Medicare's Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 87, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance. The provider also has detailed performance information the following quality measures: use of decision support and standardized treatment protocols.
The typical physician office visit costs for Medicare beneficiaries in this area are: $32.93 for a new patient copayment and $25.6 for an established patient copayment.
Primary Taxonomy
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
| Taxonomy Code | 207R00000X |
| Classification | Internal Medicine |
| Type | Allopathic & Osteopathic Physicians |
| License No. | 7948 |
| License State | SD |
| Taxonomy Description | A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
Accepted Insurance
The NPI profile data indicates this provider might be enrolled and accepting health plans from the following insurance companies or healthcare programs:
- Medicaid
- Medicare
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Business Address
640 FLORMANN ST
RAPID CITY, SD
ZIP 57701
Phone: (605) 718-3300
Fax: (605) 718-3426
Mailing Address
353 FAIRMONT BLVD
ATTEN MEDICAL STAFF SERVICES
RAPID CITY, SD
ZIP 57701
Location Map
PECOS Enrollment and Medicare Participation Status
What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
| Registered in PECOS? | Yes |
| PECOS PAC ID | 3375539596 |
| PECOS Enrollment ID | I20110613000301 |
| Accepts Medicare Assignment? | Yes "What does it mean "accepts medicare assignment"? When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts. A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer. |
| Eligible order / refer Part B Clinical Laboratory and Imaging | Yes |
| Eligible order / refer Durable Medical Equipment | Yes |
| Eligible order / refer Home Health Agency (HHA) | Yes |
| Eligible order / refer Power Mobility Devices | Yes |
Physician Office Visit Costs
The provider accepts as payment the Medicare approved amount. Medicare beneficiaries should not be billed for more than the Medicare deductible and coinsurance amounts. Medicare pricing is usually a reference point for private insurance covered patients. The prices below reflect the costs for new and established patients in the 57701 ZIP code area.
| New Patients Office Visits Costs * | ||
|---|---|---|
| Most Utilized Procedure Code for new patients office visits: 99204 | ||
| Minimum New Patient Pricing | Maximum New Patient Pricing | Typical New Patient Pricing |
| $57.53 | $173.84 | $131.75 |
| Minimum New Patient Copayment | Maximum New Patient Copayment | Typical New Patient Copayment |
| $14.38 | $43.46 | $32.93 |
| Established Patients Office Visits Costs * | ||
|---|---|---|
| Most Utilized Procedure Code for established patients office visits: 99214 | ||
| Minimum Established Patient Pricing | Maximum Established Patient Pricing | Typical Established Patient Pricing |
| $18.24 | $142.72 | $102.4 |
| Minimum Established Patient Copayment | Maximum Established Patient Copayment | Typical Established Patient Copayment |
| $4.56 | $35.68 | $25.6 |
* The physician office visit costs information is obtained by Medicare's statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Overall MIPS Quality Performance
The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in Medicare's Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.
| MIPS Measure | Score Weight | Score | |
|---|---|---|---|
| Quality | 40% | 92.8 | |
|
The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores. There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey. |
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| Promoting Interoperability (PI) | 25% | 70 | |
|
The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores. The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data. |
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| Improvement Activities | 15% | 40 | |
|
The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores. |
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| Cost | 20% | N/A | |
|
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services. Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores. |
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| MIPS Final Score | - | 87 | |
| The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment. | |||
MIPS Quality Measures
The following performance measures were reported under the Merit-Based Incentive Payment System (MIPS) and Qualified Clinical Data Registry (QCDR) quality measures program.
| Quality Measure | Performance | Number of Patients |
|---|---|---|
| Use of decision support and standardized treatment protocols | Yes | N/A |
| Use decision support and standardized treatment protocols to manage workflow in the team to meet patient needs. | ||
Clinician Utilization
The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.
- 302Insertion of needle into vein for collection of blood sample (HCPCS:36415)
- 133Complete blood cell count (red cells, white blood cell, platelets), automated test (HCPCS:85025)
- 70Hemoglobin A1C level (HCPCS:83036)
- 43Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
- 35Routine EKG using at least 12 leads including interpretation and report (HCPCS:93000)
- 30X-ray of chest, 2 views, front and side (HCPCS:71020)
- 26Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report (HCPCS:93010)
Additional Identifiers
Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State |
|---|---|---|
| I01829 | MEDICARE UPIN (02) |
NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 6 | 9 | 9 | 7 | 2 | 2 | 6 | 2 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 18 | 9 | 14 | 2 | 4 | 6 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 1 + 8 + 9 + 1 + 4 + 2 + 4 + 6 + 4 + 24 = 71 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 71 = 9 | 9 | ||||||||
The NPI number 1699722629 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1720095474 | JAN C MANGELSEN CNM Individual | Midwife | 640 FLORMANN ST SUITE 400 RAPID CITY, SD 57701 (605) 342-7400 |
| 1699875492 | EMBER JOY BARTELS CNA Individual | Nurse's Aide | 640 FLORMANN ST RAPID CITY, SD 57701 (605) 718-3343 |
| 1487747176 | ROCKY MOUNTAIN SLEEP DIAGNOSTICS, LLC Organization | Clinic/Center (Sleep Disorder Diagnostic) | 640 FLORMANN ST SUITE 145 RAPID CITY, SD 57701 (605) 343-2222 |
| 1013078500 | MRS. KIM RENAE NOYES CFA Individual | 640 FLORMANN ST RAPID CITY, SD 57701 (605) 718-3100 | |
| 1336319763 | REGIONAL HEALTH PHYSICIANS INC Organization | Durable Medical Equipment & Medical Supplies | 640 FLORMANN ST RAPID CITY, SD 57701 (605) 718-3300 |
| 1740274943 | MARY BETH KRANCE MD Individual | Internal Medicine (Infectious Disease) | 640 FLORMANN ST RAPID CITY, SD 57701 (605) 718-3300 |
| 1255301305 | SHARI A FECHNER CNP Individual | Nurse Practitioner | 640 FLORMANN ST RAPID CITY, SD 57701 (605) 718-3300 |
| 1003886680 | DR. JAMES A ENGELBRECHT MD Individual | Internal Medicine | 640 FLORMANN ST RAPID CITY, SD 57701 (605) 718-3300 |
| 1114993128 | MANUEL DE JESUS ARBO MD Individual | Internal Medicine (Infectious Disease) | 640 FLORMANN ST RAPID CITY, SD 57701 (605) 718-3300 |
| 1851349906 | FREDRIC M. BIRCH MD Individual | Internal Medicine (Nephrology) | 640 FLORMANN ST RAPID CITY, SD 57701 (605) 718-3300 |
| 1205884137 | AYODELE O OGUNREMI MD Individual | Internal Medicine (Nephrology) | 640 FLORMANN ST SUITE 300 RAPID CITY, SD 57701 (605) 718-3300 |
| 1871548578 | DAVID BRUCE EATON MD Individual | Internal Medicine | 640 FLORMANN ST RAPID CITY, SD 57701 (605) 718-3300 |
| 1780639484 | DAVID C EVANS MD Individual | Internal Medicine | 640 FLORMANN ST RAPID CITY, SD 57701 (605) 718-3300 |
| 1760437016 | LOUIS C RAYMOND MD Individual | Internal Medicine (Nephrology) | 640 FLORMANN ST RAPID CITY, SD 57701 (605) 718-3300 |
| 1760438220 | JANELL LYNN GERBERDING PA Individual | Physician Assistant | 640 FLORMANN ST RAPID CITY, SD 57701 (605) 718-3300 |
| 1528084167 | MAZEN N NEMEH MD Individual | Internal Medicine (Nephrology) | 640 FLORMANN ST RAPID CITY, SD 57701 (605) 718-3300 |
| 1184642852 | LI REN PA-C Individual | Physician Assistant | 640 FLORMANN ST RAPID CITY, SD 57701 (605) 718-3300 |
| 1265521009 | KELLY A STACY MD Individual | Internal Medicine | 640 FLORMANN ST RAPID CITY, SD 57701 (605) 718-3100 |
| 1417046285 | STEVEN C STOCKS MD Individual | Internal Medicine | 640 FLORMANN ST RAPID CITY, SD 57701 (605) 718-3300 |
| 1972789196 | ADAM RUSSELL HAAVE PA-C Individual | Physician Assistant | 640 FLORMANN ST RAPID CITY, SD 57701 (605) 718-3300 |
Frequently Asked Questions
What is Heidi Strouth MD NPI number?
The NPI number assigned to this healthcare provider is 1699722629, registered as an "individual" on May 27, 2006
Where is Heidi Strouth MD located?
The provider is located at 640 Flormann St Rapid City, Sd 57701 and the phone number is (605) 718-3300
Which is Heidi Strouth MD specialty?
The provider's speciality is Internal Medicine
How many years of experience does Heidi Strouth MD have?
The provider has more than 23 years of experience. She graduated from University Of Nebraska College Of Medicine in 2000.
What insurance does Heidi Strouth MD accept?
The provider might be accepting Medicaid and Medicare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Is Heidi Strouth MD registered in PECOS?
Yes, as of January 10, 2023 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a Medicare beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What are Heidi Strouth MD Quality Ratings?
The provider has an overall high rating in the following quality measures: quality clinical practices and patient outcomes and experiences.
How much is a visit to Heidi Strouth MD?
Medicare beneficiaries should expect a typical cost of $131.75 with an average copayment of $32.93 for new patient appointments. Established patients should expect a typical charge of $102.4 and an average copayment of 25.6. Please review your insurance plan or contact the provider directly to determine your specific costs.
What are some of the services provided by Heidi Strouth MD?
The most common procedures or services performed by this practitioner are: Insertion of needle into vein for collection of blood sample, Complete blood cell count (red cells, white blood cell, platelets), automated test, Hemoglobin A1C level, Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit, Routine EKG using at least 12 leads including interpretation and report, X-ray of chest, 2 views, front and side and Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report.
How do I update my NPI information?
The NPI record of Heidi Strouth MD was last updated on May 27, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected]
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