CARL PETER RASMUSSEN M.D.
NPI 1942567086
Family Medicine in Sioux Falls, SD

Q: What is Carl Rasmussen's NPI number?

The NPI number for Carl Rasmussen is 1942567086. It was assigned to this individual provider in the NPPES registry on April 13, 2012.

Q: What is Carl Rasmussen's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Carl Rasmussen was last updated on March 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 April 13, 2012PECOS Enrolled

76.69/100

CMS Quality Rating

3401 W 49TH ST, SIOUX FALLS, SD 57106(605) 328-1850 Get Directions Write a Review

NPPES record last updated: March 4, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 4, 2023, Dec 4, 2020, Jun 20, 2018 (3 updates tracked since 2018).

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About Carl Peter Rasmussen M.d. NPPES

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

CARL PETER RASMUSSEN M.D. (NPI 1942567086) is an individual family medicine provider in Sioux Falls, South Dakota, licensed in South Dakota (13903) and active in the NPI registry since April 2012. He is enrolled in Medicare PECOS, is affiliated with Sanford Luverne Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1942567086

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameCARL PETER RASMUSSENCredential: M.D.

Location Address3401 W 49TH STSioux Falls, SD 57106-2322

Mailing AddressPo Box 5074Sioux Falls, SD 57117-5074 · (605) 328-6585

Phone(605) 328-1850

Sole ProprietorNo

Medical School CMSOtherGraduated 2012

Enumeration DateApril 13, 2012

Last NPPES UpdateMarch 4, 20233 updates tracked since enumeration

NPPES CertifiedMarch 4, 2023

✔ NPI 1942567086 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in SD · 13903

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedFamily Medicine · Sports MedicineTaxonomy 207QS0010X · License 63192 (MN)

3401 W 49TH ST, Sioux Falls, SD 57106

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Secondary Practice Locations 2

Location 13181 SW Sam Jackson Park Rd, OHSUPortland, OR 97239-3011 · Phone (503) 494-9992

Location 21400 Woodland AveDuluth, MN 55803 · Phone (218) 249-8800

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Sanford Health Plan, Security 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 (PECOS)

Carl Peter Rasmussen M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3577709757

PECOS Enrollment IDI20230320001949

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 6

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

159 services116 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

104 services76 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

24 services23 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

20 services20 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

16 services15 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

16 services16 patients

Hospital Affiliations CMS Care Compare 3

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

Sanford Luverne Medical Center

Critical Access Hospitals · Luverne, MN

OwnershipVoluntary non-profit - Private

CMS Certification Number241371

Location1600 N Kniss AvenueLuverne, MN 56156 · Rock County

Emergency services

Sanford Usd Medical Center

Acute Care Hospitals · Sioux Falls, SD

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number430027

Location1305 W 18th St Post Office Box 5039Sioux Falls, SD 57117 · Minnehaha County

Emergency services Birthing friendly

Sanford Canton-Inwood Medical Center - Cah

Critical Access Hospitals · Canton, SD

OwnershipVoluntary non-profit - Private

CMS Certification Number431333

Location440 North Hiawatha DriveCanton, SD 57013 · Lincoln County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57106 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.

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.

76.69/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

78.56

Promoting Interoperability

Improvement Activities

Cost

44.56

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

6 suppliers21 claims45 services$6.01 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

WILLIAM C MEREDITH PT

Physical Therapist

3401 W 49TH ST, STE 2
SIOUX FALLS, SD 57106

Minnehaha County (605) 328-8145

MACKENZIE MERTZ DO

Psychiatry & Neurology (Psychiatry)