NPIMap

Individual provider Active NPI

Drew Moss, MD

  • Family Medicine Physician
  • Fort Meade, SD
National Provider Identifier
1003234097
Registry record updated Apr 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
10418 Issued in SD
Practice address
113 Comanche Rd
Fort Meade, SD 57741-1002
Phone
(605) 347-2511
NPI assigned
Apr 7, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 10418 SD Primary

Addresses

Primary practice location

113 Comanche Rd
Fort Meade, SD 57741-1002

Mailing address

113 Comanche Rd
Fort Meade, SD 57741-1002
Phone (605) 347-2511

Other practice location 1

815 10th St S
LA Crosse, WI 54601-4764
Phone (608) 392-7390

Other practice location 2

1420 N 10th St
Spearfish, SD 57783-1532
Phone (605) 717-8595

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD, MT2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20171003004709 SD Practitioner - Family Practice 6901194133 Reassigns benefits to 4 organizations
I20241024002000 MT Practitioner - Family Practice 6901194133 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Creighton University School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Travis J Ptacek MD PLLCGroup PAC ID 1658725692, 10 clinicians

Practice addresses (Care Compare)

1620 N 7TH St
Rapid City, SD 57701-0511
Phone (317) 370-2013

2000 Montana Ave
Glendive, MT 59330-3700
Phone (605) 223-0011

Hospital & facility affiliations

  • Glendive Medical Center Hospital, Glendive, MT, CCN 271332
  • Monument Health Spearfish Hospital Hospital, Spearfish, SD, CCN 430048
  • Monument Health Rapid City Hospital Hospital, Rapid City, SD, CCN 430077
  • Eastern Montana Veterans Home Nursing home, Glendive, MT, CCN 275144
  • Avantara Arrowhead Nursing home, Rapid City, SD, CCN 435051

Merit-based Incentive Payment System (MIPS)

Final score
93.78 of 100Reported as apm
Quality
80.38
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Careconnectmd South Dakota PC CurrentSince May 7, 2025 Accepting new patients
Monument Health Network, Inc. CurrentSince Aug 14, 2017 Accepting new patients
Travis J Ptacek MD PLLC CurrentSince Jul 16, 2024 Accepting new patients
Monument Health Network, Inc. Current Accepting new patients
Monument Health Network, Inc. Family Medicine CurrentSince Aug 14, 2017 Accepting new patients
Arrowhead SD Skilled Nursing Facility LLC Past Accepting new patients
Glendive Nursing and Rehab Center, LLC Past Accepting new patients

Locations

3090 Bristol St
Ste 200
Costa Mesa, CA 92626
Phone (714) 992-1182

2000 Montana Ave
Glendive, MT 59330
Phone (406) 345-8855

353 Fairmont Blvd
Rapid City, SD 57701
Phone (605) 719-1000

2500 Arrowhead Dr
Rapid City, SD 57702
Phone (317) 370-2013

1620 N 7th St
Rapid City, SD 57701
Phone (605) 343-4958

101 S Reid St
Ste 307
Sioux Falls, SD 57103
Phone (605) 221-6244

1440 N Main St
Spearfish, SD 57783
Phone (605) 644-4000

1420 N 10th St
Spearfish, SD 57783
Phone (605) 642-8414

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 23

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 23

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1396828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744070400000",
    "number": "1003234097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 COMANCHE RD",
            "city": "FORT MEADE",
            "state": "SD",
            "postal_code": "577411002",
            "telephone_number": "605-347-2511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 COMANCHE RD",
            "city": "FORT MEADE",
            "state": "SD",
            "postal_code": "577411002",
            "telephone_number": "605-347-2511"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "815 10th St S",
            "address_purpose": "LOCATION",
            "city": "LA Crosse",
            "state": "WI",
            "postal_code": "546014764",
            "country_code": "US",
            "telephone_number": "608-392-7390",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1420 N 10th St",
            "address_purpose": "LOCATION",
            "city": "Spearfish",
            "state": "SD",
            "postal_code": "577831532",
            "country_code": "US",
            "telephone_number": "605-717-8595",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOSS",
        "first_name": "DREW",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-07",
        "last_updated": "2025-04-08",
        "certification_date": "2025-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SD",
            "license": "10418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Meade, SD

Sources for this page

Verify at the official NPI Registry.