NPIMap

Individual provider Active NPI

Scott Peterson, MD

  • Family Medicine Physician
  • Flandreau, SD
National Provider Identifier
1811188741
Registry record updated Sep 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
7864 Issued in SD
Practice address
212 N Prairie St
Flandreau, SD 57028-1243
Phone
(605) 997-2471
Fax
(605) 997-2418
NPI assigned
Aug 6, 2007
Last updated
Sep 2, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2011

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 7864 SD Primary

Addresses

Primary practice location

212 N Prairie St
Flandreau, SD 57028-1243

Mailing address

212 N Prairie St
Flandreau, SD 57028-1243
Phone (605) 997-2471

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100820000230 SD Practitioner - Family Practice 0840324208 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Sanford School of Medicine of University of South Dakota, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Avera McKennanGroup PAC ID 0345157103, shared by 52 NPIs, 957 clinicians

Practice addresses (Care Compare)

203 N Elk St
Elkton, SD 57026-2103
Phone (605) 542-7701

212 N Prairie St
Flandreau, SD 57028-1243

214 N Prairie St
Flandreau, SD 57028-1243
Phone (605) 997-2433

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Avera McKennan CurrentSince Sep 1, 2010 Accepting new patients
Avera McKennan CurrentSince Sep 24, 2025 Accepting new patients
Avera McKennan Current Accepting new patients
Avera McKennan CurrentSince Sep 1, 2010 Accepting new patients
Avera McKennan Family Medicine Past Accepting new patients
Riverview SNF Operations, LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: scott.peterson@avera.sdhealthlink.net

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Firesteel HealthcareMitchell, SD, CCN 435109 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Aug 31, 2023
Aug 31, 2023
Riverview HealthcareFlandreau, SD, CCN 435086 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Aug 31, 2023
Aug 31, 2023

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 6

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 37

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

View all 37

NPI Registry JSON

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

{
    "created_epoch": "1186358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314921600000",
    "number": "1811188741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 N PRAIRIE ST",
            "city": "FLANDREAU",
            "state": "SD",
            "postal_code": "570281243",
            "telephone_number": "605-997-2471",
            "fax_number": "605-997-2418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 N PRAIRIE ST",
            "city": "FLANDREAU",
            "state": "SD",
            "postal_code": "570281243",
            "telephone_number": "605-997-2471",
            "fax_number": "605-997-2418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "SCOTT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-06",
        "last_updated": "2011-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SD",
            "license": "7864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flandreau, SD

Sources for this page

Verify at the official NPI Registry.