NPIMap

Individual provider Active NPI

Kevin D Benson, MD

  • Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
  • Sioux Falls, SD
National Provider Identifier
1649259227
Registry record updated Dec 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) PhysicianTaxonomy code 207VF0040X
License
4585 Issued in SD
Practice address
1500 W 22ND St
Ste 402
Sioux Falls, SD 57105-7702
Phone
(605) 328-8750
Fax
(605) 328-8751
NPI assigned
Jan 12, 2006
Last updated
Dec 12, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 4585 SD
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician 207VF0040X 4585 SD Primary

Addresses

Primary practice location

1500 W 22ND St
Ste 402
Sioux Falls, SD 57105-7702

Mailing address

PO Box 5074
Sioux Falls, SD 57117-5074
Phone (605) 328-6585

Other identifiers 1

IdentifierTypeStateIssuer
6201200MedicaidSD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD, MN, IA3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20040624000587 SD Practitioner - Other (Physician)Practitioner - Obstetrics/Gynecology 9638155443 Reassigns benefits to 2 organizations
I20040720001564 MN Practitioner - Obstetrics/Gynecology 9638155443 Reassigns benefits to 1 organization
I20200226000490 IA Practitioner - Obstetrics/Gynecology 9638155443 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Sanford School of Medicine of University of South Dakota, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sanford ClinicGroup PAC ID 0244143824, shared by 7 NPIs, 268 clinicians
Sanford Medical CenterGroup PAC ID 8325950215, 847 clinicians

Practice addresses (Care Compare)

1000 Lincoln Cir SE
Orange City, IA 51041-1836

1018 6TH Ave
Worthington, MN 56187-2202
Phone (507) 372-2941

118 N 7TH Ave
Sheldon, IA 51201-1235

1500 W 22ND St
Sioux Falls, SD 57105-1503

1500 W 22ND St
Suite 402
Sioux Falls, SD 57105-1522
Phone (605) 328-8750

20 S Plum St
Vermillion, SD 57069-3346
Phone (605) 677-3700

350 Oak Tree LN
Dakota Dunes, SD 57049-5357
Phone (605) 242-4750

450 Eastvold Ave
Ortonville, MN 56278-1252
Phone (320) 839-2502

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.32 of 100Reported as group
Quality
75.87
Promoting interoperability
100
Improvement activities
40
Cost
68.53

Merit-based Incentive Payment System (MIPS)

Final score
80.21 of 100Reported as group
Quality
92.56
Promoting interoperability
100
Improvement activities
40
Cost
41.48

Merit-based Incentive Payment System (MIPS)

Final score
76.84 of 100Reported as group
Quality
86.15
Promoting interoperability
100
Improvement activities
40
Cost
36.65

Merit-based Incentive Payment System (MIPS)

Final score
84.78 of 100Reported as group
Quality
78.77
Promoting interoperability
100
Improvement activities
40
Cost
70.49

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus27

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4585SDMDFemale Pelvic Medicine and Reconstructive Surgery (Obstetrics & Gynecology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sanford Clinic CurrentSince Aug 16, 1999 Accepting new patients
Sanford Medical Center Obstetrics & Gynecology CurrentSince Aug 24, 2018 Accepting new patients
Sanford Clinic CurrentSince Dec 22, 2019 Accepting new patients
Sanford Clinic Current Accepting new patients
Sanford Clinic Current Accepting new patients
Sanford Clinic CurrentSince Aug 16, 1999 Accepting new patients
Sanford Clinic Current Accepting new patients
Sanford Clinic CurrentSince Jan 1, 2002 Accepting new patients
Sanford Clinic Past Accepting new patients

Locations

1000 Lincoln Cir SE
Orange City, IA 51041
Phone (712) 737-2000

2720 Stone Park Blvd
Sioux City, IA 51104
Phone (712) 259-3000

450 Eastvold Ave
Ortonville, MN 56278
Phone (320) 839-2502

1018 6th Ave
Worthington, MN 56187
Phone (507) 343-6100

1305 W 18th St
Sioux Falls, SD 57105
Phone (605) 312-7300

1500 W 22nd St
Ste 301
Sioux Falls, SD 57105
Phone (605) 328-7700

1500 W 22nd St
Ste 402
Sioux Falls, SD 57105
Phone (605) 328-8750

4405 E 26th St
Sioux Falls, SD 57103
Phone (605) 328-9000

20 S Plum St
Vermillion, SD 57069
Phone (605) 624-2611

901 4th St NW
Watertown, SD 57201
Phone (605) 882-8780

Organizations & group practices 9

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

Hospital & facility affiliations 28

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

View all 28

NPI Registry JSON

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

{
    "created_epoch": "1137024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576108800000",
    "number": "1649259227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5074",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571175074",
            "telephone_number": "605-328-6585",
            "fax_number": "605-328-6512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 W 22ND ST",
            "address_2": "STE 402",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571057702",
            "telephone_number": "605-328-8750",
            "fax_number": "605-328-8751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENSON",
        "first_name": "KEVIN",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-12",
        "last_updated": "2019-12-12",
        "certification_date": "2019-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "SD",
            "license": "4585",
            "primary": false
        },
        {
            "code": "207VF0040X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery",
            "state": "SD",
            "license": "4585",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6201200",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

Verify at the official NPI Registry.