BENJAMIN J SHIVES M.D.
NPI 1871812602
Emergency Medicine in Sioux Falls, SD
About Benjamin J Shives M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BENJAMIN J SHIVES M.D. (NPI 1871812602) is an individual emergency medicine provider in Sioux Falls, South Dakota, licensed in South Dakota (9715) and active in the NPI registry since May 2010. He is enrolled in Medicare PECOS, is affiliated with Avera Mckennan Hospital & University Health Center, and is a graduate of Sanford School Of Medicine Of University Of South Dakota (2010).
NPPES Registry Identity
Specialties & Licenses
Accepted 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
Benjamin J Shives 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.
Medicare Billing Reassignments
4Medicare enrollment records show Benjamin Shives reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Sioux Falls, SD 57105
- Reassigned Medicare billing, South Dakota enrollment
- 1,277 clinicians in this Medicare group
Eagle Butte, SD 57625
- Reassigned Medicare billing, Texas enrollment
- 282 clinicians in this Medicare group
Martin, SD 57551
- Reassigned Medicare billing, Texas enrollment
- 426 clinicians in this Medicare group
Belcourt, ND 58316
- Reassigned Medicare billing, Texas enrollment
- 193 clinicians in this Medicare group
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 3
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Avera Mckennan Hospital & University Health Center
Acute Care Hospitals · Sioux Falls, SDPhysician 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.
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.
SIOUX FALLS, SD 57105
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 Benjamin Shives's NPI number?
The NPI number for Benjamin Shives is 1871812602. It was assigned to this individual provider in the NPPES registry on May 18, 2010.
Where is Benjamin Shives located?
Benjamin Shives practices at 1325 S Cliff Ave, Sioux Falls, SD 57105. The listed phone number is (605) 322-8000.
What is Benjamin Shives's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Benjamin Shives enrolled in Medicare?
Yes. Benjamin Shives 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.
Which organizations bill Medicare for Benjamin Shives's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Benjamin Shives reassigns Medicare benefits to 4 organizations: Avera Mckennan (Sioux Falls, SD), Eagle Butte Indian Health Service Hospital (Eagle Butte, SD), Pine Ridge Indian Health Service Hospital (Martin, SD) and Quentin N Burdick Comprehensive Health Care Facility (Belcourt, ND). 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 Benjamin Shives's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Benjamin Shives accept?
Health plans from Wellmark Health Plan of Iowa, Inc. and Wellmark of South Dakota, Inc. list Benjamin Shives 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 Benjamin Shives affiliated with any hospitals?
According to CMS data, Benjamin Shives is affiliated with Avera Mckennan Hospital & University Health Center.
When was this NPI record last updated?
The NPPES record for Benjamin Shives was last updated on December 22, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.