DR. SHAWN DAVID BARTEL MD
NPI 1912077249
Pediatrics in Aberdeen, SD
About Dr. Shawn David Bartel Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. SHAWN DAVID BARTEL MD (NPI 1912077249) is an individual pediatrics provider in Aberdeen, South Dakota, licensed in South Dakota (9090) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, is affiliated with Avera St Lukes, and maintains a secondary practice location in Aberdeen.
NPPES Registry Identity
Specialties & Licenses 3
Secondary Practice Location 1
Other Identifiers 1
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
Dr. Shawn David Bartel 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.
Areas of Expertise CMS Part B claims 7
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 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Avera St Lukes
Acute Care Hospitals · Aberdeen, SDSanford Medical Center Aberdeen
Acute Care Hospitals · Aberdeen, SDPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 57401 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Referred Medical Equipment & Supplies CMS DME claims 11
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
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 Shawn Bartel's NPI number?
The NPI number for Shawn Bartel is 1912077249. It was assigned to this individual provider in the NPPES registry on November 8, 2006.
Where is Shawn Bartel located?
Shawn Bartel practices at 3015 3rd Ave SE, Aberdeen, SD 57401. The listed phone number is (605) 226-5601.
What is Shawn Bartel's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Shawn Bartel enrolled in Medicare?
Yes. Shawn Bartel 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 Shawn Bartel accept?
Health plans from Blue Cross Blue Shield of North Dakota, Medica, Oscar Insurance Company, Sanford Health Plan and Security Health Plan list Shawn Bartel 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 Shawn Bartel affiliated with any hospitals?
According to CMS data, Shawn Bartel is affiliated with Avera St Lukes and Sanford Medical Center Aberdeen.
When was this NPI record last updated?
The NPPES record for Shawn Bartel was last updated on October 18, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.
