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Active NPI 1013938844 Individual Practitioner Male Practitioner

Dr. Darrell W Plumage , MD

Internal Medicine • Pierre, SD

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Darrell Plumage, MD is a certified Internal Medicine practicing in Pierre, SD. With approximately 31 years of clinical experience since graduating from Sanford School Of Medicine Of University Of South Dakota in 1995, Dr. Plumage delivers high-quality medical care to the local community at 1601 N HARRISON AVE STE 6.

Dr. Plumage is affiliated with Avera St Marys and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's, routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1601 N Harrison Ave Ste 6

Pierre, SD 575012383

Telephone 6059451371
Fax 6059453237
Associated Practice Facility / Clinic
🏢 Bernard J Linn Facility NPI 1548351620

Medicare Profile & Education

Medical School

Sanford School Of Medicine Of University Of South Dakota

Graduation Year

1995

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Pierre, SD

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
31 Yrs -0.5 yrs vs City Avg
City Avg: 31.5 Yrs
State Avg: 24.8 Yrs
Regional Practice Density
6 Specialists

Practicing in Pierre, SD (268 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
42.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Plumage (31 Years) 31 Yrs
Pierre Specialty Average (31.5 Years) 31.5 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
889 401 $124.93 $91.79
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's
491 249 $15.86 $15.62
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only
352 292 $21.70 $7.65
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
314 314 $126.90 $124.36
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes
110 52 $103.61 $102.29
99285 Emergency department visit for life threatening or functioning severity
52 50 $711.83 $161.62
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes
47 30 $71.67 $70.85
99213 Established patient office or other outpatient visit, typically 15 minutes
37 35 $88.08 $62.10
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes
35 19 $103.55 $101.94
99306 Initial nursing facility visit, typically 45 minutes per day
33 30 $175.26 $172.60
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
31 29 $175.52 $136.16
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes
29 24 $147.92 $145.72
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes
28 20 $71.67 $70.81
99306 Initial nursing facility visit, typically 45 minutes per day
28 26 $174.77 $172.16
99284 Emergency department visit with moderate level of medical decision making
26 26 $649.00 $111.82
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and
20 18 $52.26 $51.43
G0405 Electrocardiogram, routine ecg with 12 leads; interpretation and report only, performed as a screening for the initial preventive physical examination
17 17 $7.74 $7.65
17000 Destruction of skin growth
11 11 $66.17 $53.08

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License SD 4470

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
10853 (ND)
Medicaid State Provider ID
6003610 (SD)
Commercial Insurance / Payer ID Railroad Medicare
110174982 (SD)
Commercial Insurance / Payer ID Bcbs
0005774 (SD)

Hospital & Practice Group Affiliations

Avera St Marys

801 E Sioux Ave, Pierre, SD 575013323

Phone: 6052245901

Practice Associates & Co-Workers

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

3 Associated Practitioners
Dr. Barry Monfore , MD

Radiology - Diagnostic Radiology

NPI 1225051873

Doctor of Medicine (M.D.)

Dr. Christopher Stanley , MD

Radiology - Diagnostic Radiology

NPI 1497801179

Doctor of Medicine (M.D.)

Dr. Bernard Linn , MD

Internal Medicine

NPI 1740201086

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active February 21, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location February 21, 2013

Registered at 1601 N HARRISON AVE STE 6, PIERRE, SD 575012383 (Tel: 6059451371)

📍
Updated Business Mailing Address February 21, 2013

Registered at 1601 N HARRISON AVE STE 1B, PIERRE, SD 575012376 (Tel: 6059451371)

👤
Provider Name / Credentials Updated February 21, 2013

Recorded as DARRELL PLUMAGE, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 21, 2013

Internal Medicine (License #4470 in SD)

🟢
Initial NPI Registration & Enumeration July 21, 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: 1013938844
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 21, 2006
Last Update: February 21, 2013
Sole Proprietor: Yes

Mailing Address

1601 N Harrison Ave Ste 1b

Pierre, SD 575012376

Phone: 6059451371

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.