MR. DAVID FOSSUM PAC
NPI 1992757348
Physician Assistant in Pierre, SD

Active since May 16, 2006PECOS Enrolled
101 MERCURY ST, PIERRE, SD 57501(605) 891-4839(605) 612-7251 Get Directions Write a Review

NPPES record last updated: March 19, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. David Fossum Pac NPPES

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

MR. DAVID FOSSUM PAC (NPI 1992757348) is an individual physician assistant in Pierre, South Dakota, licensed in South Dakota (0413) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1992757348
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. DAVID FOSSUMCredential: PAC
Location Address101 MERCURY STPierre, SD 57501-5672
Mailing Address101 Mercury StPierre, SD 57501-5672 · (605) 891-4839 · Fax (612) 725-1318
Fax(605) 612-7251
Sole ProprietorNo
Enumeration DateMay 16, 2006
Last NPPES UpdateMarch 19, 2024
NPPES CertifiedMarch 19, 2024
NPI 1992757348 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in SD · 0413
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
101 MERCURY ST, Pierre, SD 57501

Other Identifiers 1

Medicaid6826162SD

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 (PECOS)

Mr. David Fossum Pac is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57501 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.

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 David Fossum's NPI number?

The NPI number for David Fossum is 1992757348. It was assigned to this individual provider in the NPPES registry on May 16, 2006.

Where is David Fossum located?

David Fossum practices at 101 Mercury St, Pierre, SD 57501. The listed phone number is (605) 891-4839.

What is David Fossum's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is David Fossum enrolled in Medicare?

Yes. David Fossum is registered in the Medicare PECOS enrollment system.

What insurance does David Fossum accept?

Health plans from Medica list David Fossum 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.

When was this NPI record last updated?

The NPPES record for David Fossum was last updated on March 19, 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.