GENE TERRY CAMPBELL JR. MD
NPI 1740778661
Family Medicine in Pierre, SD

Active since April 26, 2018PECOS EnrolledAccepts Medicare Assignment
76.69/100
CMS Quality Rating
521 E SIOUX AVE, PIERRE, SD 57501(605) 945-5560 Get Directions Write a Review

NPPES record last updated: April 28, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 7, 2022, Jan 13, 2022, Apr 26, 2018 (3 updates tracked since 2018).

About Gene Terry Campbell Jr. Md NPPES

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

GENE TERRY CAMPBELL JR. MD (NPI 1740778661) is an individual family medicine provider in Pierre, South Dakota, licensed in South Dakota (13026) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS, is affiliated with Avera St Mary's Hospital, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1740778661
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameGENE TERRY CAMPBELL JR.Credential: MD
Location Address521 E SIOUX AVEPierre, SD 57501-3142
Mailing AddressPo Box 5074Sioux Falls, SD 57117-5074
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateApril 26, 2018
Last NPPES UpdateApril 28, 20233 updates tracked since enumeration
NPPES CertifiedApril 28, 2023
NPI 1740778661 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in SD · 13026 Licensed in ND · 17849
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.
521 E SIOUX AVE, Pierre, SD 57501

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

Gene Terry Campbell Jr. 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 ID7517353501
PECOS Enrollment IDI20221129002078
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 15

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 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.
393 services242 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
277 services53 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.
168 services110 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
59 services42 patients
Telehealth originating site facility fee Q3014
The Telehealth originating site facility fee is a charge for the location where you receive your telehealth service, such as a clinic or hospital. It covers costs like equipment use, technical support, and other resources needed to provide a secure, effective telehealth visit.
54 services40 patients
Routine electrocardiogram (ecg) using at least 12 leads with tracing 93005
An Electrocardiogram (ECG) is a simple, painless test that records the heart's electrical activity. Using 12 leads attached to your skin, it generates a tracing of your heart rhythm. It helps detect any heart problems by showing the timing and strength of electrical signals passing through each part of your heart.
53 services45 patients

Hospital Affiliations CMS Care Compare 3

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

Avera St Mary's Hospital

Acute Care Hospitals · Pierre, SD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number430015
Location801 E SiouxPierre, SD 57501 · Hughes County
Emergency services Birthing friendly

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

Sanford Chamberlain Medical Center

Critical Access Hospitals · Chamberlain, SD
OwnershipVoluntary non-profit - Private
CMS Certification Number431329
Location300 S ByronChamberlain, SD 57325 · Brule County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57501 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.

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.

76.69/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.56
Promoting Interoperability99
Improvement Activities40
Cost44.56

Other Providers at the Same Location NPPES 7

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

Physician Assistant
521 E SIOUX AVE
PIERRE, SD 57501
Family Medicine
521 E SIOUX AVE
PIERRE, SD 57501
Family Medicine
521 E SIOUX AVE
PIERRE, SD 57501
Family Medicine
521 E SIOUX AVE
PIERRE, SD 57501
Family Medicine
521 E SIOUX AVE
PIERRE, SD 57501
Family Medicine
521 E SIOUX AVE
PIERRE, SD 57501
Family Medicine
521 E SIOUX AVE
PIERRE, SD 57501

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 Gene Campbell's NPI number?

The NPI number for Gene Campbell is 1740778661. It was assigned to this individual provider in the NPPES registry on April 26, 2018.

Where is Gene Campbell located?

Gene Campbell practices at 521 E Sioux Ave, Pierre, SD 57501. The listed phone number is (605) 945-5560.

What is Gene Campbell's specialty?

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

Is Gene Campbell enrolled in Medicare?

Yes. Gene Campbell 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 Gene Campbell accept?

Health plans from Blue Cross Blue Shield of North Dakota, Medica, Oscar Insurance Company, Sanford Health Plan and Security Health Plan list Gene Campbell 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 Gene Campbell affiliated with any hospitals?

According to CMS data, Gene Campbell is affiliated with Avera St Mary's Hospital, Sanford Usd Medical Center and Sanford Chamberlain Medical Center.

When was this NPI record last updated?

The NPPES record for Gene Campbell was last updated on April 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.