DEREK GREENE MD
NPI 1720012719
Family Medicine in Sioux Falls, SD

Active since July 10, 2006PECOS EnrolledAccepts Medicare Assignment
1035 S HIGHLINE PL, SIOUX FALLS, SD 57110(605) 322-2945(605) 322-2926 Get Directions Write a Review

NPPES record last updated: April 18, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Derek Greene Md NPPES

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

DEREK GREENE MD (NPI 1720012719) is an individual family medicine provider in Sioux Falls, South Dakota, licensed in South Dakota (4460) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Avera Mckennan Hospital & University Health Center, and is a graduate of Sanford School Of Medicine Of University Of South Dakota (1995).

NPPES Registry Identity

NPI1720012719
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDEREK GREENECredential: MD
Location Address1035 S HIGHLINE PLSioux Falls, SD 57110-1000
Mailing AddressPo Box 86430Sioux Falls, SD 57118-6430 · (605) 322-4900 · Fax (605) 322-4910
Fax(605) 322-2926
Sole ProprietorNo
Medical School CMSSanford School Of Medicine Of University Of South DakotaGraduated 1995
Enumeration DateJuly 10, 2006
Last NPPES UpdateApril 18, 2022
NPPES CertifiedApril 18, 2022
NPI 1720012719 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 · 4460
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.
1035 S HIGHLINE PL, Sioux Falls, SD 57110

Accepted 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

Derek Greene 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 ID5597791814
PECOS Enrollment IDI20050708000676
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 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.
122 services117 patients
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.
19 services19 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
17 services17 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
15 services12 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.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

Avera Mckennan Hospital & University Health Center

Acute Care Hospitals · Sioux Falls, SD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number430016
Location1325 S Cliff AveSioux Falls, SD 57117 · Minnehaha County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57110 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 8

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

Nurse Practitioner (Family)
1035 S HIGHLINE PL
SIOUX FALLS, SD 57110
Physician Assistant
1035 S HIGHLINE PL
SIOUX FALLS, SD 57110
Nurse Practitioner (Family)
1035 S HIGHLINE PL
SIOUX FALLS, SD 57110
Family Medicine
1035 S HIGHLINE PL
SIOUX FALLS, SD 57110
Physician Assistant
1035 S HIGHLINE PL
SIOUX FALLS, SD 57110
Nurse Practitioner (Family)
1035 S HIGHLINE PL
SIOUX FALLS, SD 57110
Family Medicine
1035 S HIGHLINE PL
SIOUX FALLS, SD 57110
Nurse Practitioner (Family)
1035 S HIGHLINE PL
SIOUX FALLS, SD 57110

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 Derek Greene's NPI number?

The NPI number for Derek Greene is 1720012719. It was assigned to this individual provider in the NPPES registry on July 10, 2006.

Where is Derek Greene located?

Derek Greene practices at 1035 S Highline Pl, Sioux Falls, SD 57110. The listed phone number is (605) 322-2945.

What is Derek Greene's specialty?

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

Is Derek Greene enrolled in Medicare?

Yes. Derek Greene 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 Derek Greene accept?

Health plans from Medica list Derek Greene 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 Derek Greene affiliated with any hospitals?

According to CMS data, Derek Greene is affiliated with Avera Mckennan Hospital & University Health Center.

When was this NPI record last updated?

The NPPES record for Derek Greene was last updated on April 18, 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.