BARRY C BAUER M.D.
NPI 1831195569
Pediatrics in Sioux Falls, SD

Q: What is Barry Bauer's NPI number?

The NPI number for Barry Bauer is 1831195569. It was assigned to this individual provider in the NPPES registry on June 27, 2005.

Q: What is Barry Bauer's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Barry Bauer was last updated on March 31, 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.

Active since June 27, 2005PECOS Enrolled

1205 S GRANGE AVE, STE 307, SIOUX FALLS, SD 57105(605) 328-7800(605) 328-7899 Get Directions Write a Review

NPPES record last updated: March 31, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Barry C Bauer M.d. NPPES

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

BARRY C BAUER M.D. (NPI 1831195569) is an individual pediatrics provider in Sioux Falls, South Dakota, licensed in South Dakota (1637) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1831195569

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameBARRY C BAUERCredential: M.D.

Location Address1205 S GRANGE AVE, STE 307Sioux Falls, SD 57105-0410

Mailing AddressPo Box 5074Sioux Falls, SD 57117-5074 · (605) 328-9556 · Fax (605) 328-9501

Phone(605) 328-7800

Fax(605) 328-7899

Sole ProprietorNo

Enumeration DateJune 27, 2005

Last NPPES UpdateMarch 31, 2022

NPPES CertifiedMarch 31, 2022

✔ NPI 1831195569 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in SD · 1637

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

1205 S GRANGE AVE, Sioux Falls, SD 57105

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Other Identifiers 1

Medicaid6700648SD

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Sanford Health Plan, Wellmark Health Plan of Iowa, Inc., Wellmark of South Dakota, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Barry C Bauer M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Barry Bauer reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Sanford Clinic

Same address

Nephrology

1205 S. GRANGE AVE, STE 201
Sioux Falls, SD 57105

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

NPI 1295848521 (605) 328-8100

Sanford Medical Center

0.7 mi

Family Medicine

1420 W 22NDST STE 104
Sioux Falls, SD 57105

Reassigned Medicare billing, South Dakota enrollment
1,097 clinicians in this Medicare group

NPI 1093090342 (605) 328-4897

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57105 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 20

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

MEGHAN CLEMENSEN CNP

Nurse Practitioner (Family)

1205 S GRANGE AVE
SIOUX FALLS, SD 57105

Minnehaha County (605) 328-8500

MRS. KATIE ELIZABETH LARSON MD

Pediatrics

1205 S GRANGE AVE, SUITE 307
SIOUX FALLS, SD 57105

Minnehaha County (605) 328-7800

AARON M ZYLSTRA M.D.

Pediatrics

1205 S GRANGE AVE, STE 307
SIOUX FALLS, SD 57105

Minnehaha County (605) 328-7800

DR. MOHAMMAD ZEESHAN QAMAR M.D

Internal Medicine (Nephrology)

1205 S GRANGE AVE, SUITE 201
SIOUX FALLS, SD 57105

Minnehaha County (605) 328-8100

LORI BUSCHENA

Social Worker

1205 S GRANGE AVE, SUITE 510
SIOUX FALLS, SD 57105

Minnehaha County (605) 328-7500

DR. ANTHONY JEROME RUPP M.D.

Internal Medicine (Nephrology)

1205 S GRANGE AVE, SUITE 201
SIOUX FALLS, SD 57105

Minnehaha County (605) 328-8100

TIMOTHY E HURLEY M.D.

Internal Medicine

1205 S GRANGE AVE, STE 510
SIOUX FALLS, SD 57105

Minnehaha County (605) 328-7500

DR. DEVIN BISSOON M.D.

Internal Medicine (Pulmonary Disease)

1205 S GRANGE AVE, STE 407
SIOUX FALLS, SD 57105

Minnehaha County (605) 328-8900

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 Barry Bauer's NPI number?

The NPI number for Barry Bauer is 1831195569. It was assigned to this individual provider in the NPPES registry on June 27, 2005.

Where is Barry Bauer located?

Barry Bauer practices at 1205 S Grange Ave Ste 307, Sioux Falls, SD 57105. The listed phone number is (605) 328-7800.

What is Barry Bauer's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Barry Bauer enrolled in Medicare?

Yes. Barry Bauer is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Barry Bauer's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Barry Bauer reassigns Medicare benefits to 2 organizations: Sanford Clinic (Sioux Falls, SD) and Sanford Medical Center (Sioux Falls, SD). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Barry Bauer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Barry Bauer accept?

Health plans from Sanford Health Plan, Wellmark Health Plan of Iowa, Inc. and Wellmark of South Dakota, Inc. list Barry Bauer 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.

When was this NPI record last updated?

The NPPES record for Barry Bauer was last updated on March 31, 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.