PAUL DAVID BERNDT M.D.
NPI 1962936856
Family Medicine in Parkston, SD

Q: What is Paul Berndt's NPI number?

The NPI number for Paul Berndt is 1962936856. It was assigned to this individual provider in the NPPES registry on April 18, 2017.

Q: What is Paul Berndt'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 Paul Berndt was last updated on August 19, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 18, 2017PECOS EnrolledAccepts Medicare Assignment

401 W GLYNN DR, PARKSTON, SD 57366(605) 928-7961(605) 928-4417 Get Directions Write a Review

NPPES record last updated: August 19, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 19, 2020, Apr 18, 2017 (2 updates tracked since 2017).

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About Paul David Berndt M.d. NPPES

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

PAUL DAVID BERNDT M.D. (NPI 1962936856) is an individual family medicine provider in Parkston, South Dakota, licensed in South Dakota (12083) and active in the NPI registry since April 2017. 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 (2017).

NPPES Registry Identity

NPI1962936856

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NamePAUL DAVID BERNDTCredential: M.D.

Location Address401 W GLYNN DRParkston, SD 57366-9605

Mailing Address401 W Glynn DrParkston, SD 57366-9605 · (605) 928-7961 · Fax (605) 928-4417

Phone(605) 928-7961

Fax(605) 928-4417

Sole ProprietorNo

Medical School CMSSanford School Of Medicine Of University Of South DakotaGraduated 2017

Enumeration DateApril 18, 2017

Last NPPES UpdateAugust 19, 20202 updates tracked since enumeration

NPPES CertifiedAugust 19, 2020

✔ NPI 1962936856 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in SD · 12083

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.

401 W GLYNN DR, Parkston, SD 57366

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter Health and more.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

Paul David Berndt 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.

PECOS PAC ID749604577

PECOS Enrollment IDI20200727000611

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

32 services25 patients

Hospital discharge day management, 30 minutes or less 99238

Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.

14 services14 patients

Hospital Affiliations CMS Care Compare 4

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, SD

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number430016

Location1325 S Cliff AveSioux Falls, SD 57117 · Minnehaha County

Emergency services Birthing friendly

Wagner Community Memorial Hospital - Cah

Critical Access Hospitals · Wagner, SD

OwnershipVoluntary non-profit - Private

CMS Certification Number431315

Location513 3rd St SWWagner, SD 57380 · Charles Mix County

Emergency services

Avera St Benedict Health Center - Cah

Critical Access Hospitals · Parkston, SD

OwnershipVoluntary non-profit - Private

CMS Certification Number431330

Location401 West Glynn DriveParkston, SD 57366 · Hutchinson County

Avera Queen Of Peace

Critical Access Hospitals · Mitchell, SD

OwnershipVoluntary non-profit - Private

CMS Certification Number431340

Location525 N FosterMitchell, SD 57301 · Davison County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57366 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.

Referred Medical Equipment & Supplies CMS DME claims 9

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

4 suppliers18 claims53 services$6.10 avg. paid by Medicare

Full face mask used with positive airway pressure device, each A7030

DME-Other DME · category DE001N

2 suppliers13 claims13 services$105.04 avg. paid by Medicare

Face mask interface, replacement for full face mask, each A7031

DME-Other DME · category DE001N

2 suppliers11 claims32 services$40.46 avg. paid by Medicare

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

2 suppliers12 claims12 services$22.96 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

2 suppliers13 claims66 services$3.02 avg. paid by Medicare

Humidifier, heated, used with positive airway pressure device E0562

DME-Other DME · category DE001N

2 suppliers39 claims39 services$17.87 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.

KERRI LUTJENS CNP

Nurse Practitioner (Family)