1. Home
  2. Directory
  3. South Dakota
  4. Sioux Falls
  5. Radiology
  6. NPI Profile

MR. GARY L FAMESTAD MD
NPI 1811959323
Radiology - Diagnostic Radiology in Sioux Falls, SD

Active since April 03, 2006PECOS EnrolledAccepts Medicare Assignment
77.99/100
CMS Quality Rating
1210 W 18TH ST, STE LL03, SIOUX FALLS, SD 57104(605) 328-1410(605) 328-1412 Get Directions Write a Review

NPPES record last updated: April 3, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Gary L Famestad Md NPPES

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

MR. GARY L FAMESTAD MD (NPI 1811959323) is an individual diagnostic radiology provider in Sioux Falls, South Dakota, licensed in South Dakota (1934) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Sanford Sheldon Medical Center, and is a graduate of Sanford School Of Medicine Of University Of South Dakota (1983).

NPPES Registry Identity

NPI1811959323
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameMR. GARY L FAMESTADCredential: MD
Location Address1210 W 18TH ST, STE LL03Sioux Falls, SD 57104-4647
Mailing AddressPo Box 5074Sioux Falls, SD 57117-5074 · (605) 328-6585 · Fax (605) 328-6512
Phone(605) 328-1410
Fax(605) 328-1412
Sole ProprietorNo
Medical School CMSSanford School Of Medicine Of University Of South DakotaGraduated 1983
Enumeration DateApril 3, 2006
Last NPPES UpdateApril 3, 2012
✔ NPI 1811959323 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in SD · 1934
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
1210 W 18TH ST, Sioux Falls, SD 57104
Open in Google Maps ↗

Other Identifiers 5

Medicare UPINE10747
Medicare PINS00835SD
Medicare PINS41091SD
Medicaid7202370SD
Medicare PINP00002502SD

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of North Dakota, Oscar Insurance Company, Sanford Health Plan.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

Mr. Gary L Famestad 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 ID4688577166
PECOS Enrollment IDI20080325000105, I20120402000602
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 10

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.

Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) G0279
Diagnostic digital breast tomosynthesis is a 3D imaging test that allows doctors to examine your breast tissue layer by layer. It's performed on one or both sides. It helps in detecting abnormalities more accurately. It's often done in addition to other tests.
105 services103 patients
Diagnostic mammography of 1 breast 77065
Diagnostic mammography of 1 breast is a detailed imaging test that allows doctors to closely examine a specific area in the breast. It's often used when a routine screening reveals an abnormality. This test can help identify any unusual changes or issues.
68 services68 patients
Limited ultrasound scan of 1 breast 76642
A limited ultrasound scan of one breast is a non-invasive imaging test. It uses sound waves to create pictures of the inside of your breast. It helps identify any unusual growths or changes. It's safe, quick, and typically painless.
67 services66 patients
Imaging for evaluation of swallowing function 74230
This process, known as a swallowing study, uses imaging technology to view how food and liquid move from your mouth to your stomach. It helps identify any issues you may have swallowing, which can be crucial for determining the best treatment plan.
49 services48 patients
Screening 3d breast mammography 77063
Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.
47 services47 patients
Screening mammography 77067
Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.
47 services47 patients

Hospital Affiliations CMS Care Compare 2

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

Sanford Sheldon Medical Center

Critical Access Hospitals · Sheldon, IA
OwnershipVoluntary non-profit - Private
CMS Certification Number161381
Location118 North 7th AvenueSheldon, IA 51201 · Obrien County
Emergency services

Sanford Worthington Medical Center

Acute Care Hospitals · Worthington, MN
OwnershipVoluntary non-profit - Private
CMS Certification Number240022
Location1018 Sixth Avenue PO Box 997Worthington, MN 56187 · Nobles County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57104 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
$69.20 typical visit price
range $18.08 – $137.08
Typical copayment $17.30 (range $4.52 – $34.27)
Most-billed visit code 99213
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.

77.99/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.13
Promoting Interoperability99
Improvement Activities40
Cost47.35

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.

JOHN P REINSCHMIDT MD
Radiology (Diagnostic Radiology)
1210 W 18TH ST
SIOUX FALLS, SD 57104
Minnehaha County (605) 328-3150
EUGENIO B MATOS M.D.
Psychiatry & Neurology (Neurology)
1210 W 18TH ST, STE 100
SIOUX FALLS, SD 57104
Minnehaha County (605) 312-8500
DR. KHALIL A YOUSEF M.D.
Radiology (Diagnostic Radiology)
1210 W 18TH ST, STE LL03
SIOUX FALLS, SD 57104
Minnehaha County (605) 328-1410
JOHN ELMER FORRETTE JR. DPM
Podiatrist
1210 W 18TH ST
SIOUX FALLS, SD 57104
Minnehaha County (605) 328-1395
BRETT ALLEN BASTIAN PAC
Physician Assistant
1210 W 18TH ST, STE 104
SIOUX FALLS, SD 57104
Minnehaha County (605) 328-8660
DR. THOMAS MATTHEW BOETEL D.O.
Physical Medicine & Rehabilitation (Pain Medicine)
1210 W 18TH ST, SUITE 100
SIOUX FALLS, SD 57104
Minnehaha County (605) 312-8500
DR. CHRISTOPHER JANSSEN
Physical Medicine & Rehabilitation (Pain Medicine)
1210 W 18TH ST, STE 100
SIOUX FALLS, SD 57104
Minnehaha County (605) 312-8500
DR. ADAM HAILES NICHOLS D.P.M.
Podiatrist (Foot & Ankle Surgery)
1210 W 18TH ST, SUITE G01
SIOUX FALLS, SD 57104
Minnehaha County (605) 328-2663

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 Gary Famestad's NPI number?

The NPI number for Gary Famestad is 1811959323. It was assigned to this individual provider in the NPPES registry on April 3, 2006.

Where is Gary Famestad located?

Gary Famestad practices at 1210 W 18th St Ste Ll03, Sioux Falls, SD 57104. The listed phone number is (605) 328-1410.

What is Gary Famestad's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Gary Famestad enrolled in Medicare?

Yes. Gary Famestad 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 Gary Famestad accept?

Health plans from Blue Cross Blue Shield of North Dakota, Oscar Insurance Company and Sanford Health Plan list Gary Famestad 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 Gary Famestad affiliated with any hospitals?

According to CMS data, Gary Famestad is affiliated with Sanford Sheldon Medical Center and Sanford Worthington Medical Center.

When was this NPI record last updated?

The NPPES record for Gary Famestad was last updated on April 3, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.