DR. KEVIN MICHAEL SIMONELIC M.D.
NPI 1750708244
Internal Medicine in Spearfish, SD

Q: What is Kevin Simonelic's NPI number?

The NPI number for Kevin Simonelic is 1750708244. It was assigned to this individual provider in the NPPES registry on March 24, 2014.

Q: What is Kevin Simonelic's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Kevin Simonelic was last updated on September 25, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since March 24, 2014PECOS EnrolledAccepts Medicare Assignment

1440 N MAIN ST, SPEARFISH, SD 57783(605) 644-4000 Get Directions Write a Review

NPPES record last updated: September 25, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 25, 2019, Aug 15, 2017 (2 updates tracked since 2017).

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About Dr. Kevin Michael Simonelic M.d. NPPES

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

DR. KEVIN MICHAEL SIMONELIC M.D. (NPI 1750708244) is an individual internal medicine provider in Spearfish, South Dakota, licensed in Indiana (01082938A) and active in the NPI registry since March 2014. He is enrolled in Medicare PECOS, is affiliated with Indiana University Health Bloomington Hospital, and maintains a secondary practice location in Bloomington.

NPPES Registry Identity

NPI1750708244

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDR. KEVIN MICHAEL SIMONELICCredential: M.D.

Location Address1440 N MAIN STSpearfish, SD 57783-1505

Mailing Address353 Fairmont BlvdRapid City, SD 57701-7375 · (605) 755-8107

Phone(605) 644-4000

Sole ProprietorNo

Medical School CMSOtherGraduated 2011

Enumeration DateMarch 24, 2014

Last NPPES UpdateSeptember 25, 20192 updates tracked since enumeration

✔ NPI 1750708244 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Licenses✔ Licensed in IN · 01082938A✔ Licensed in SD · 10412

Definition

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.

1440 N MAIN ST, Spearfish, SD 57783

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Secondary Practice Location 1

Location 1601 W 2nd StBloomington, IN 47403-2317 · Phone (812) 676-4102

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, Cigna Healthcare.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. Kevin Michael Simonelic M.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 ID9436473154

PECOS Enrollment IDI20191107002797

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

Medicare enrollment records show Kevin Simonelic reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Monument Health Network, Inc.

Same address

Multi-Specialty

1440 N MAIN STREET
Spearfish, SD 57783

Reassigned Medicare billing, South Dakota enrollment
321 clinicians in this Medicare group

NPI 1174569347 (605) 644-4000

Monument Health Rapid City Hospital, Inc.

0.6 mi

End-Stage Renal Disease (ESRD) Treatment

132 YANKEE ST
Spearfish, SD 57783

Reassigned Medicare billing, South Dakota enrollment
831 clinicians in this Medicare group

NPI 1255415246 (605) 644-9000

Iu Health Medical Group, LLC

963 mi

General Practice

1701 N SENATE BLVD
Indianapolis, IN 46202

Reassigned Medicare billing, Indiana enrollment
5,212 clinicians in this Medicare group

NPI 1326893777 (317) 962-2000

Indiana University Health Southern Indiana Physicians, LLC

966 mi

Multi-Specialty

2651 E DISCOVERY PKWY
Bloomington, IN 47408

Reassigned Medicare billing, Indiana enrollment
783 clinicians in this Medicare group

NPI 1013953983 (812) 353-5252

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 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 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

725 services390 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.

225 services214 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.

108 services102 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

44 services27 patients

Hospital Affiliations CMS Care Compare 4

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

Indiana University Health Bloomington Hospital

Acute Care Hospitals · Bloomington, IN

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150051

Location2651 East Discovery ParkwayBloomington, IN 47408 · Monroe County

Emergency services Birthing friendly

Indiana University Health

Acute Care Hospitals · Indianapolis, IN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150056

Location1701 N Senate BlvdIndianapolis, IN 46202 · Marion County

Emergency services Birthing friendly

Indiana University Health Paoli Hospital

Critical Access Hospitals · Paoli, IN

OwnershipVoluntary non-profit - Private

CMS Certification Number151306

Location642 W Hospital RdPaoli, IN 47454 · Orange County

Emergency services Birthing friendly

Indiana University Health Bedford Hospital

Critical Access Hospitals · Bedford, IN

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number151328

Location2900 W 16th StBedford, IN 47421 · Lawrence County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57783 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

$126.78 typical visit price

range $55.52 – $167.23

Typical copayment $31.69 (range $13.88 – $41.80)

Most-billed visit code 99204

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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466

DME-Other DME · category DE005N

1 supplier11 claims11 services$783.27 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

4 suppliers13 claims13 services$107.24 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

KRISTEN CROSS PT

Physical Therapist