CHRISTIAN JAY GAFFNEY MD
NPI 1972860534
Orthopaedic Surgery in Rapid City, SD

Active since April 19, 2012PECOS EnrolledAccepts Medicare Assignment
80.71/100
CMS Quality Rating
4141 5TH ST, RAPID CITY, SD 57701(605) 341-1414(605) 341-7062 Get Directions Write a Review

NPPES record last updated: July 22, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 22, 2024, Jan 16, 2023, Jan 7, 2019 and 1 more (4 updates tracked since 2018).

About Christian Jay Gaffney Md NPPES

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

CHRISTIAN JAY GAFFNEY MD (NPI 1972860534) is an individual orthopaedic surgery provider in Rapid City, South Dakota, licensed in South Dakota (11207) and active in the NPI registry since April 2012. He is enrolled in Medicare PECOS, is affiliated with Chadron Community Hospital And Health Services, and is a graduate of Harvard Medical School (2011).

NPPES Registry Identity

NPI1972860534
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameCHRISTIAN JAY GAFFNEYCredential: MD
Location Address4141 5TH STRapid City, SD 57701-6021
Mailing AddressPo Box 6850Rapid City, SD 57709-6850 · Fax (605) 341-7062
Fax(605) 341-7062
Sole ProprietorNo
Medical School CMSHarvard Medical SchoolGraduated 2011
Enumeration DateApril 19, 2012
Last NPPES UpdateJuly 22, 20244 updates tracked since enumeration
NPPES CertifiedJuly 22, 2024
NPI 1972860534 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in SD · 11207
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
4141 5TH ST, Rapid City, SD 57701

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

Christian Jay Gaffney 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.

PECOS PAC ID4183856156
PECOS Enrollment IDI20190215000414, I20190607002228, I20211222001801
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 20

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 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.
286 services252 patients
X-ray of lower and sacral spine, minimum of 4 views 72110
An X-ray of the lower and sacral spine involves capturing images of your lower back and tailbone area. It helps in identifying issues like fractures, arthritis, or other abnormalities. At least four different angles or 'views' are taken to get a comprehensive picture.
161 services156 patients
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.
122 services108 patients
X-ray of lower and sacral spine, 2-3 views 72100
An X-ray of the lower and sacral spine involves capturing images of your lower back area, including the tailbone. This procedure helps in identifying problems like fractures, infections, or deformities. 2-3 different angle views provide a comprehensive picture.
98 services78 patients
Insertion of cage or mesh device to spine bone and disc space during spine fusion 22853
Spine fusion is a procedure to join two or more vertebrae. During this process, a cage or mesh device is inserted into the spine bone and disc space. This helps to stabilize the spine, reduce pain, and improve functionality. The device acts as a bridge for new bone to grow on.
87 services64 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
57 services57 patients

Hospital Affiliations CMS Care Compare 5

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

Chadron Community Hospital And Health Services

Critical Access Hospitals · Chadron, NE
OwnershipVoluntary non-profit - Private
CMS Certification Number281341
Location825 Centennial DriveChadron, NE 69337 · Dawes County
Emergency services

Monument Health Rapid City Hospital

Acute Care Hospitals · Rapid City, SD
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number430077
Location353 Fairmont BlvdRapid City, SD 57701 · Pennington County
Emergency services Birthing friendly

Black Hills Surgical Hospital LLP

Acute Care Hospitals · Rapid City, SD
OwnershipProprietary
CMS Certification Number430091
Location216 Anamaria DrRapid City, SD 57703 · Pennington County

Fall River Hospital - Cah

Critical Access Hospitals · Hot Springs, SD
OwnershipGovernment - Local
CMS Certification Number431322
Location1201 Highway 71 SouthHot Springs, SD 57747 · Fall River County
Emergency services

Monument Health Custer Hospital

Critical Access Hospitals · Custer, SD
OwnershipVoluntary non-profit - Private
CMS Certification Number431323
Location1220 Montgomery StreetCuster, SD 57730 · Custer County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57701 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
$69.20 typical visit price
range $18.08 – $137.08
Typical copayment $17.30 (range $4.52 – $34.27)
Most-billed visit code 99213
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.

80.71/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality75.89
Improvement Activities40
Cost79.91

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.

Walker, folding, wheeled, adjustable or fixed height E0143
DME-Other DME · category DE000N
1 supplier11 claims11 services$61.90 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.

Neurological Surgery
4141 5TH ST
RAPID CITY, SD 57701
Physical Medicine & Rehabilitation
4141 5TH ST
RAPID CITY, SD 57701
Physical Therapist
4141 5TH ST
RAPID CITY, SD 57701
Physical Therapist
4141 5TH ST
RAPID CITY, SD 57701
Physical Therapist
4141 5TH ST
RAPID CITY, SD 57701
Physical Therapist
4141 5TH ST
RAPID CITY, SD 57701
Physician Assistant
4141 5TH ST
RAPID CITY, SD 57701
Physical Therapist
4141 5TH ST
RAPID CITY, SD 57701

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 Christian Gaffney's NPI number?

The NPI number for Christian Gaffney is 1972860534. It was assigned to this individual provider in the NPPES registry on April 19, 2012.

Where is Christian Gaffney located?

Christian Gaffney practices at 4141 5th St, Rapid City, SD 57701. The listed phone number is (605) 341-1414.

What is Christian Gaffney's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Christian Gaffney enrolled in Medicare?

Yes. Christian Gaffney 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 Christian Gaffney accept?

Health plans from Blue Cross Blue Shield of Wyoming, Medica, Oscar Insurance Company and Sanford Health Plan list Christian Gaffney 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 Christian Gaffney affiliated with any hospitals?

According to CMS data, Christian Gaffney is affiliated with Chadron Community Hospital And Health Services, Monument Health Rapid City Hospital, Black Hills Surgical Hospital LLP, Fall River Hospital - Cah and Monument Health Custer Hospital.

When was this NPI record last updated?

The NPPES record for Christian Gaffney was last updated on July 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.