Jay D Bogard, MD
Individual provider Active NPI Family Medicine Physician · Spearfish, SD
NPI 1720051741 · NPPES record last updated Feb 6, 2013
Key facts
- NPI
- 1720051741
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 5061 (SD)
- Practice address
- 1420 N 10TH St
Spearfish, SD 57783 - Phone
- (605) 642-8414
- Fax
- (605) 642-8618
- NPI assigned
- Feb 9, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 14
Hospital & facility affiliations 24
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Sanford School of Medicine of University of South Dakota, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Monument Health Network Inc
Practice addresses (Care Compare)
1420 N 10TH St
Spearfish, SD 57783-1532
Phone (605) 717-8595
1440 N Main St
Spearfish, SD 57783-1505
Phone (605) 644-4000
Hospital & facility affiliations
- Monument Health Home Plus Home Health
- Monument Health Spearfish Hospital
- Monument Health Rapid City Hospital
- Monument Health Sturgis Hospital
- Monument Health Lead-Deadwood Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.78 of 100
- Quality
- 80.38
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 18 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SD
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070724000588 | SD | Practitioner - Family Practice | 1658265863 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Monument Health Network, Inc. | Family Medicine | Current |
Accepting new patients |
| Monument Health Network, Inc. | Current | Accepting new patients | |
| Monument Health Network, Inc. | Current |
Accepting new patients | |
| Monument Health Network, Inc. | Past | Accepting new patients | |
| Queen City Regional Medical Clinic | Past | Accepting new patients |
Locations
1445 North Ave
Spearfish, SD 57783
Phone (605) 347-2536
1420 N 10th St
Spearfish, SD 57783
Phone (605) 642-8414
1440 N Main St
Spearfish, SD 57783
Phone (605) 644-4000
2140 Junction Ave
Sturgis, SD 57785
Phone (605) 720-2400
Interoperability endpoints
- jbogard.7728@regionalhealth.sdhealthlink.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 5061 | SD | Yes |
Addresses
Primary practice location
1420 N 10TH St
Spearfish, SD 57783
Mailing address
353 Fairmont Blvd
Atten Medical Staff Services
Rapid City, SD 57701-6000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5611320 | Medicaid | SD |
Other providers in Spearfish, SD
- Black Hills Surgical Hospital, LLP
- Black Hills Transit Inc
- Jessica Mae Blankenship
- William Harold Blauer
- Bob'S Pharmacy, Inc.
- Brandon Benjamin Boke
- Lucretia Lynn Bowen
- Forrest S Brady
- Dylan Brandenburg
- Brian Ruben Brandt
All providers in Spearfish, SD · Family Medicine Physician in South Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 6, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.