CANDACE R FETZER MD
NPI 1831146596
Hospitalist in Rapid City, SD

Active since May 28, 2006PECOS EnrolledAccepts Medicare Assignment
97.58/100
CMS Quality Rating
353 FAIRMONT BLVD., RAPID CITY, SD 57701(605) 719-1000 Get Directions Write a Review

NPPES record last updated: January 3, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Candace R Fetzer Md NPPES

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

CANDACE R FETZER MD (NPI 1831146596) is an individual hospitalist provider in Rapid City, South Dakota, licensed in South Dakota (7753) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS, is affiliated with Monument Health Spearfish Hospital, and is a graduate of University Of Washington School Of Medicine (2000).

NPPES Registry Identity

NPI1831146596
Entity TypeIndividualFemale
Primary Taxonomy208M00000X
Provider Legal NameCANDACE R FETZERCredential: MD
Location Address353 FAIRMONT BLVD.Rapid City, SD 57701
Mailing Address353 Fairmont Blvd, Atten Medical Staff ServicesRapid City, SD 57701-6000
Sole ProprietorNo
Medical School CMSUniversity Of Washington School Of MedicineGraduated 2000
Enumeration DateMay 28, 2006
Last NPPES UpdateJanuary 3, 2013
NPI 1831146596 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License Licensed in SD · 7753
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
353 FAIRMONT BLVD., Rapid City, SD 57701

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

Candace R Fetzer 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 ID345131587
PECOS Enrollment IDI20100918000195
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 2

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.

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.
234 services232 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
19 services19 patients

Hospital Affiliations CMS Care Compare 5

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

Monument Health Spearfish Hospital

Acute Care Hospitals · Spearfish, SD
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number430048
Location1440 N Main StSpearfish, SD 57783 · Lawrence County
Emergency services

Monument Health Rapid City Hospital

Acute Care Hospitals · Rapid City, SD
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number430077
Location353 Fairmont BlvdRapid City, SD 57701 · Pennington County
Emergency services Birthing friendly

Pine Ridge Ihs Hospital

Acute Care Hospitals · Pine Ridge, SD
OwnershipGovernment - Federal
CMS Certification Number430098
LocationEast Highway 18Pine Ridge, SD 57770 · Oglala Lakota County County
Emergency services Birthing friendly

Bennett County Hospital And Nursing Home - Cah

Critical Access Hospitals · Martin, SD
OwnershipVoluntary non-profit - Private
CMS Certification Number431314
Location102 Major Allen Post Office Box 70DMartin, SD 57551 · Bennett County
Emergency services

Monument Health Sturgis Hospital

Critical Access Hospitals · Sturgis, SD
OwnershipVoluntary non-profit - Other
CMS Certification Number431321
Location2140 Junction AveSturgis, SD 57785 · Meade County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57701 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.

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.

97.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.53
Promoting Interoperability100
Improvement Activities40

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.

Internal Medicine
353 FAIRMONT BLVD.
RAPID CITY, SD 57701
Nurse Anesthetist, Certified Registered
353 FAIRMONT BLVD.
RAPID CITY, SD 57701
Nurse Anesthetist, Certified Registered
353 FAIRMONT BLVD.
RAPID CITY, SD 57701
Internal Medicine (Medical Oncology)
353 FAIRMONT BLVD.
RAPID CITY, SD 57701
Nurse Anesthetist, Certified Registered
353 FAIRMONT BLVD.
RAPID CITY, SD 57701
Internal Medicine
353 FAIRMONT BLVD.
RAPID CITY, SD 57701
Internal Medicine
353 FAIRMONT BLVD.
RAPID CITY, SD 57701
Hospitalist
353 FAIRMONT BLVD.
RAPID CITY, SD 57701

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 Candace Fetzer's NPI number?

The NPI number for Candace Fetzer is 1831146596. It was assigned to this individual provider in the NPPES registry on May 28, 2006.

Where is Candace Fetzer located?

Candace Fetzer practices at 353 Fairmont Blvd., Rapid City, SD 57701. The listed phone number is (605) 719-1000.

What is Candace Fetzer's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Candace Fetzer enrolled in Medicare?

Yes. Candace Fetzer 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 Candace Fetzer accept?

Health plans from Avera Health Plans and Medica list Candace Fetzer 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 Candace Fetzer affiliated with any hospitals?

According to CMS data, Candace Fetzer is affiliated with Monument Health Spearfish Hospital, Monument Health Rapid City Hospital, Pine Ridge Ihs Hospital, Bennett County Hospital And Nursing Home - Cah and Monument Health Sturgis Hospital.

When was this NPI record last updated?

The NPPES record for Candace Fetzer was last updated on January 3, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.