Active NPI 1457322745 Individual Practitioner Male Practitioner

Dr. Gregory Rex Hill , MD

Orthopaedic Surgery • Fort Dodge, IA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Gregory Hill, MD is a certified Orthopaedic Surgery practicing in Fort Dodge, IA. With approximately 29 years of clinical experience since graduating from University Of Iowa, Rj & L Carver College Of Medicine in 1997, Dr. Hill delivers high-quality medical care to the local community at 802 KENYON ROAD.

Dr. Hill is affiliated with Iowa Physicians Clinic Medical Foundation and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, triamcinolone acetonide, not otherwise specified, 10 mg, established patient outpatient office visit, x-ray of shoulder, minimum of 2 views. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

802 Kenyon Road

Fort Dodge, IA 50501

Telephone 6052172667

Fax 6052172900

Associated Practice Facility / Clinic

🏢 Cnos Pc Facility NPI 1881604320

Medicare Profile & Education

Medical School

University Of Iowa, Rj & L Carver College Of Medicine

Graduation Year

1997

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Fort Dodge, IA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

29 Yrs -0.5 yrs vs City Avg

City Avg: 29.5 Yrs

State Avg: 24.7 Yrs

Regional Practice Density

4 Specialists

Practicing in Fort Dodge, IA (271 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

70.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Hill (29 Years) 29 Yrs

Fort Dodge Specialty Average (29.5 Years) 29.5 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	240	43	$14.02	$0.99
99213 Established patient office or other outpatient visit, typically 15 minutes	142	103	$154.80	$87.20
73030 X-ray of shoulder, minimum of 2 views	122	80	$93.76	$32.73
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	75	58	$223.95	$122.82
20610 Aspiration and/or injection of fluid from large joint	56	45	$197.99	$65.38
36415 Insertion of needle into vein for collection of blood sample	55	44	$13.13	$8.65
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	44	39	$33.95	$5.82
85652 Red blood cell sedimentation rate, to detect inflammation, automated	41	36	$16.00	$2.65
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	40	36	$27.00	$7.61
81001 Manual urinalysis test with examination using microscope, automated	36	32	$18.00	$3.11
80053 Blood test, comprehensive group of blood chemicals	35	31	$37.00	$10.35
73562 X-ray of knee, 3 views	33	21	$96.00	$38.60
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	29	29	$329.48	$161.64
73200 Ct scan of arm without contrast	28	26	$453.00	$99.33
73564 X-ray of knee, 4 or more views	27	21	$103.00	$44.66
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	23	23	$211.00	$108.04
23472 Prosthetic repair of shoulder joint, total shoulder	21	21	$4482.62	$1372.10
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	20	20	$304.85	$174.75
73221 Mri scan of arm joint without contrast	20	19	$935.00	$131.22
23020 Release of tendon of shoulder joint	11	11	$1772.00	$308.38

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	237	47	$14.00	$1.07
99213 Established patient office or other outpatient visit, typically 15 minutes	159	118	$142.00	$83.85
73030 X-ray of shoulder, minimum of 2 views	128	89	$84.00	$32.19
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	103	91	$212.00	$119.06
36415 Insertion of needle into vein for collection of blood sample	70	65	$10.00	$8.28
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	69	69	$315.67	$154.24
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	68	66	$27.00	$5.61
20610 Aspiration and/or injection of fluid from large joint	52	47	$166.92	$64.40
73564 X-ray of knee, 4 or more views	51	40	$103.00	$43.39
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	44	42	$27.00	$7.44
85652 Red blood cell sedimentation rate, to detect inflammation, automated	42	40	$16.00	$2.59
80053 Blood test, comprehensive group of blood chemicals	42	40	$37.00	$10.11
81001 Manual urinalysis test with examination using microscope, automated	41	39	$18.00	$3.03
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	34	34	$211.00	$104.52
73562 X-ray of knee, 3 views	33	18	$96.00	$36.30
23472 Prosthetic repair of shoulder joint, total shoulder	27	27	$3825.19	$1318.99
80048 Blood test, basic group of blood chemicals (calcium, total)	26	26	$30.00	$8.00
73200 Ct scan of arm without contrast	26	26	$453.00	$96.94
73221 Mri scan of arm joint without contrast	19	19	$935.00	$134.61
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	19	19	$273.00	$122.72
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	18	17	$286.00	$168.52
29881 Removal of knee cartilage using an endoscope	14	13	$1400.00	$501.61
73721 Mri scan of leg joint without contrast	12	11	$937.00	$129.00
27447 Replacement of knee joint, both sides of knee	11	11	$3515.00	$1086.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	155	114	$141.74	$85.60
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	144	32	$14.00	$1.12
73030 X-ray of shoulder, minimum of 2 views	105	67	$82.94	$32.02
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	100	82	$212.00	$120.45
36415 Insertion of needle into vein for collection of blood sample	76	64	$10.00	$2.96
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	72	66	$27.00	$5.45
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	53	53	$211.00	$102.88
85652 Red blood cell sedimentation rate, to detect inflammation, automated	51	44	$16.00	$2.67
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	51	44	$27.00	$7.67
80053 Blood test, comprehensive group of blood chemicals	49	44	$37.00	$10.43
81001 Manual urinalysis test with examination using microscope, automated	49	43	$18.00	$3.13
73564 X-ray of knee, 4 or more views	47	40	$103.00	$42.88
73562 X-ray of knee, 3 views	46	25	$88.98	$38.35
20610 Aspiration and/or injection of fluid from large joint	37	35	$159.19	$60.45
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	24	24	$323.00	$157.20
73200 Ct scan of arm without contrast	23	22	$453.00	$97.91
23472 Prosthetic repair of shoulder joint, total shoulder	21	21	$3780.00	$1333.48
80048 Blood test, basic group of blood chemicals (calcium, total)	21	21	$30.00	$8.35
27447 Replacement of knee joint, both sides of knee	16	15	$3330.46	$1122.70
23020 Release of tendon of shoulder joint	15	15	$1772.00	$320.43
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	15	15	$273.00	$126.49
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	14	12	$286.00	$170.65
73221 Mri scan of arm joint without contrast	13	13	$935.00	$136.81

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	200	41	$14.02	$1.26
99213 Established patient office or other outpatient visit, typically 15 minutes	175	116	$142.00	$85.82
73030 X-ray of shoulder, minimum of 2 views	100	64	$84.00	$31.55
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	98	78	$212.00	$122.13
36415 Insertion of needle into vein for collection of blood sample	62	56	$10.00	$2.95
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	54	51	$27.00	$5.78
73564 X-ray of knee, 4 or more views	52	43	$103.00	$42.79
73562 X-ray of knee, 3 views	51	24	$89.00	$37.59
20610 Aspiration and/or injection of fluid from large joint	51	40	$156.52	$59.39
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	48	48	$211.00	$105.84
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	44	38	$27.00	$7.63
85652 Red blood cell sedimentation rate, to detect inflammation, automated	41	36	$16.00	$2.65
80053 Blood test, comprehensive group of blood chemicals	40	37	$37.00	$10.35
81001 Manual urinalysis test with examination using microscope, automated	39	35	$18.00	$3.11
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	25	25	$323.00	$158.69
73200 Ct scan of arm without contrast	24	24	$453.00	$96.91
80048 Blood test, basic group of blood chemicals (calcium, total)	18	18	$30.00	$8.46
27447 Replacement of knee joint, both sides of knee	17	14	$3515.00	$1196.23
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	16	16	$273.00	$128.37
73221 Mri scan of arm joint without contrast	14	14	$935.00	$146.51
23472 Prosthetic repair of shoulder joint, total shoulder	14	14	$3780.00	$1350.76
23430 Anchoring of biceps tendon	12	12	$1924.00	$348.24
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	11	11	$286.00	$171.71

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	304	52	$14.01	$1.46
99213 Established patient office or other outpatient visit, typically 15 minutes	153	108	$142.00	$69.98
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	117	94	$212.00	$101.59
73030 X-ray of shoulder, minimum of 2 views	102	66	$82.92	$30.22
20610 Aspiration and/or injection of fluid from large joint	71	52	$163.73	$60.03
36415 Insertion of needle into vein for collection of blood sample	70	57	$10.00	$2.95
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	68	61	$27.00	$7.47
73564 X-ray of knee, 4 or more views	48	36	$103.00	$40.60
85652 Red blood cell sedimentation rate, to detect inflammation, automated	47	41	$16.00	$2.64
80053 Blood test, comprehensive group of blood chemicals	46	40	$37.00	$10.32
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	45	39	$27.00	$7.59
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	42	42	$211.00	$100.35
73562 X-ray of knee, 3 views	37	22	$89.00	$34.89
81001 Manual urinalysis test with examination using microscope, automated	36	31	$18.00	$3.17
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	29	29	$323.00	$149.31
23472 Prosthetic repair of shoulder joint, total shoulder	26	26	$3780.00	$1369.61
73200 Ct scan of arm without contrast	20	19	$453.00	$97.24
80048 Blood test, basic group of blood chemicals (calcium, total)	20	17	$30.00	$8.40
29876 Removal of joint lining from multiple knee joint compartments using an endoscope	15	15	$1690.00	$613.87
27447 Replacement of knee joint, both sides of knee	15	14	$3515.00	$1226.46
83036 Hemoglobin A1C level	13	11	$34.00	$9.62
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	13	13	$273.00	$131.61
29881 Removal of knee cartilage using an endoscope	12	12	$1394.00	$180.27

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	348	68	$14.03	$1.57
99213 Established patient office or other outpatient visit, typically 15 minutes	161	106	$142.00	$69.50
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	132	99	$212.00	$99.88
73030 X-ray of shoulder, minimum of 2 views	83	57	$82.99	$27.74
20610 Aspiration and/or injection of fluid from large joint	82	67	$158.78	$56.93
73564 X-ray of knee, 4 or more views	64	47	$103.00	$37.79
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	57	57	$211.00	$99.79
36415 Insertion of needle into vein for collection of blood sample	52	49	$10.00	$2.82
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	49	46	$27.00	$7.43
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	33	33	$323.00	$152.40
80053 Blood test, comprehensive group of blood chemicals	29	28	$37.00	$11.18
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	29	28	$27.00	$8.22
85652 Red blood cell sedimentation rate, to detect inflammation, automated	28	27	$16.00	$2.85
73562 X-ray of knee, 3 views	27	17	$89.00	$34.54
81000 Manual urinalysis test with examination using microscope, non-automated	25	24	$18.00	$3.81
80048 Blood test, basic group of blood chemicals (calcium, total)	22	22	$30.00	$8.94
23472 Prosthetic repair of shoulder joint, total shoulder	16	16	$3780.00	$1368.92
73721 Mri scan of leg joint without contrast	14	14	$1043.29	$160.27
73221 Mri scan of arm joint without contrast	14	12	$1041.29	$144.75
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	14	14	$273.00	$131.06
27447 Replacement of knee joint, both sides of knee	12	11	$3515.00	$1274.36

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7325 Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg	624	11	$19.08	$11.88
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	242	50	$6.45	$1.76
99213 Established patient office or other outpatient visit, typically 15 minutes	191	120	$141.58	$67.14
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	125	105	$211.98	$100.28
73030 X-ray of shoulder, minimum of 2 views	108	66	$83.22	$26.46
73564 X-ray of knee, 4 or more views	71	55	$101.77	$36.43
20610 Aspiration and/or injection of fluid from large joint	70	57	$158.31	$56.28
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	58	58	$211.00	$98.91
36415 Insertion of needle into vein for collection of blood sample	53	46	$10.00	$2.94
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	45	43	$26.93	$7.55
73562 X-ray of knee, 3 views	43	21	$87.98	$32.73
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	35	30	$27.00	$9.40
85652 Red blood cell sedimentation rate, to detect inflammation, automated	34	31	$16.00	$3.26
81001 Manual urinalysis test with examination using microscope, automated	33	29	$18.00	$3.84
80053 Blood test, comprehensive group of blood chemicals	33	29	$37.00	$12.78
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	31	31	$323.00	$150.76
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	22	22	$273.00	$129.34
80048 Blood test, basic group of blood chemicals (calcium, total)	18	17	$30.00	$10.23
23472 Prosthetic repair of shoulder joint, total shoulder	16	16	$3780.00	$1350.30
29876 Removal of joint lining from multiple knee joint compartments using an endoscope	14	14	$1690.00	$607.38
73721 Mri scan of leg joint without contrast	13	13	$937.00	$153.55
23430 Anchoring of biceps tendon	12	12	$1924.00	$344.08
73221 Mri scan of arm joint without contrast	11	11	$935.00	$154.03

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7325 Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg	624	11	$19.00	$12.53
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	284	67	$3.00	$1.74
99213 Established patient office or other outpatient visit, typically 15 minutes	196	126	$139.40	$67.07
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	148	120	$209.57	$96.62
73030 X-ray of shoulder, minimum of 2 views	127	81	$82.93	$25.10
20610 Aspiration and/or injection of fluid from large joint	84	72	$164.40	$54.73
36415 Insertion of needle into vein for collection of blood sample	77	66	$10.40	$2.87
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	70	66	$24.00	$7.40
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	50	50	$320.30	$152.65
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	50	45	$27.00	$10.28
85652 Red blood cell sedimentation rate, to detect inflammation, automated	49	44	$16.00	$3.57
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	49	49	$209.29	$96.34
81001 Manual urinalysis test with examination using microscope, automated	45	42	$18.00	$4.26
80053 Blood test, comprehensive group of blood chemicals	42	40	$36.52	$14.20
73562 X-ray of knee, 3 views	40	25	$87.50	$32.52
73564 X-ray of knee, 4 or more views	35	27	$100.89	$35.86
80048 Blood test, basic group of blood chemicals (calcium, total)	26	25	$29.69	$10.93
23472 Prosthetic repair of shoulder joint, total shoulder	21	21	$3738.10	$1347.32
29876 Removal of joint lining from multiple knee joint compartments using an endoscope	19	19	$1666.79	$585.25
73200 Ct scan of arm without contrast	19	19	$448.89	$97.75
29881 Removal of knee cartilage using an endoscope	17	17	$1372.29	$216.89
23430 Anchoring of biceps tendon	15	15	$1909.07	$343.23
27447 Replacement of knee joint, both sides of knee	14	13	$3619.50	$1253.83
73721 Mri scan of leg joint without contrast	14	13	$919.64	$146.00
73221 Mri scan of arm joint without contrast	12	11	$928.25	$132.32

Medical Specialties & State Licenses

CMS Verified: 2026-02-27

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License IA MD-35185

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

1290973 (IA)

Commercial Insurance / Payer ID Blue Cross Blue Shield

38470 (IA)

Hospital & Practice Group Affiliations

Iowa Physicians Clinic Medical Foundation

804 Kenyon Rd, Fort Dodge, IA 505015742

Phone: 5155748333

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners

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Neurological Surgery

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Doctor of Medicine (M.D.)

Paul Wilson , ATHLETIC TRAINER

Specialist/Technologist - Athletic Trainer

NPI 1023128550

ATHLETICTRAINER

Nicholas Nielsen

Physical Therapist

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Dr. Ryan Meis , MD

Orthopaedic Surgery

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Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events

📍

Updated Practice Location February 27, 2026

Registered at 802 KENYON ROAD, FORT DODGE, IA 50501 (Tel: 6052172667)

📍

Updated Business Mailing Address February 27, 2026

Registered at 575 N SIOUX POINT ROAD, DAKOTA DUNES, SD 570495312 (Tel: 6052172667)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 27, 2026

Orthopaedic Surgery (License #MD-35185 in IA)

✅

NPI Profile Active February 09, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location February 09, 2014

Registered at 202 10TH STREET SE, CEDAR RAPIDS, IA 524032404 (Tel: 3193981545)

📍

Updated Business Mailing Address February 09, 2014

Registered at PO BOX 3178, CEDAR RAPIDS, IA 524063178 (Tel: 3193981583)

👤

Provider Name / Credentials Updated February 09, 2014

Recorded as GREGORY HILL, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 09, 2014

Orthopaedic Surgery (License #35185 in IA)

🟢

Initial NPI Registration & Enumeration January 27, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1457322745

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: January 27, 2006

Last Update: February 27, 2026

Sole Proprietor: No

Update or Correct Profile

Mailing Address

575 N Sioux Point Road

Dakota Dunes, SD 570495312

Phone: 6052172667

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.