Gary L Famestad, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

1934 Issued in SD

Practice address

1210 W 18TH St
Ste LL03
Sioux Falls, SD 57104-4647

Phone

(605) 328-1410

Fax

(605) 328-1412

NPI assigned

Apr 3, 2006

Last updated

Apr 3, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MN, SD, IA3 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 3

Specialty

Diagnostic Radiology

Education

Sanford School of Medicine of University of South Dakota, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sanford ClinicGroup PAC ID 0244143824, 268 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Sanford Worthington Medical Center Hospital, Worthington, MN, CCN 240022
• Sanford Sheldon Medical Center Hospital, Sheldon, IA, CCN 161381

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Sanford Clinic

  dba Sanford Health Psychiatry & Psychology Clinic

  • Psychologist
  • Sioux Falls, SD
  • NPI 1396764254
  Medicare reassignment Care Compare group NPD
• Sanford Clinic

  dba Sanford Vascular Associates

  • Surgery Physician
  • Sioux Falls, SD
  • NPI 1194733535

  MN

  Medicare reassignment NPD
• Sanford Medical Center

  dba Edith Sanford Breast Specialty Clinic

  • Family Medicine Physician
  • Sioux Falls, SD
  • NPI 1093090342
  Medicare reassignment NPD
• Orange City Municipal Hospital

  dba Northwest Surgery

  • Specialist
  • Orange City, IA
  • NPI 1265479323
  Medicare reassignment NPD
• Orange City Municipal Hospital

  dba Orange City Area Health System

  • Critical Access Hospital
  • Orange City, IA
  • NPI 1700856796
  Medicare reassignment NPD
• Sanford Clinic

  dba Sanford Clinic Neurocritical Care

  • Critical Care Medicine (Internal Medicine) Physician
  • Sioux Falls, SD
  • NPI 1235439506
  NPD
• Sanford Clinic

  dba Sanford Clinic Watertown

  • Family Medicine Physician
  • Watertown, SD
  • NPI 1801840632
  NPD
• Orange City Municipal Hospital

  dba Orange City Area Health System

  • Emergency Medicine Physician
  • Orange City, IA
  • NPI 1003886367

  Diagnostic Radiology

  NPD
• Orange City Municipal Hospital

  dba Prairie Ridge Care Center

  • Skilled Nursing Facility
  • Orange City, IA
  • NPI 1013987007
  NPD
• Sanford Clinic

  dba Sanford Virtual Health Services

  • Diagnostic Radiology Physician
  • Fargo, ND
  • NPI 1306641345
  NPD
• Sanford Clinic

  dba Sanford Health Adrian Clinic

  • Family Medicine Physician
  • Adrian, MN
  • NPI 1831178052
  NPD
• Sanford Clinic

  dba Sanford Gynecologic Oncology Clinic

  • Gynecologic Oncology Physician
  • Sioux Falls, SD
  • NPI 1396089900
  NPD (past)

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

• Sanford Health Network

  dba Sanford Worthington Medical Center

  • Rural Acute Care Hospital
  • Worthington, MN
  • NPI 1396712618
  Care Compare affiliation
• Sanford Health Network

  dba Sanford Health Adrian Clinic

  • Rural Acute Care Hospital
  • Worthington, MN
  • NPI 1679859912
  Care Compare affiliation
• Sanford Health Network

  dba Sanford Sheldon Medical Center

  • Critical Access Hospital
  • Sheldon, IA
  • NPI 1841200623
  Care Compare affiliation

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

{
    "created_epoch": "1144022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333411200000",
    "number": "1811959323",
    "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": "1210 W 18TH ST",
            "address_2": "STE LL03",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571044647",
            "telephone_number": "605-328-1410",
            "fax_number": "605-328-1412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAMESTAD",
        "first_name": "GARY",
        "middle_name": "L",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-03",
        "last_updated": "2012-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "SD",
            "license": "1934",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7202370",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Falls Creek Counseling LLC
• Falls Dental, LLC (Falls Dental)
• Falls Edge Chiropractic
• Falls Medride LLC
• Justin Lee Falon, MS LPC
• Family & Implant Dentistry, LTD
• Family Chiropractic Center, PC
• Family Dental Center P.C.
• Family Drug Inc
• Family Eye Care Center, P.C.

• Diagnostic Radiology Physician in Sioux Falls, SD
• Providers in Sioux Falls, SD by specialty
• Diagnostic Radiology Physician in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.