2026 NPPES data Diagnostic Radiology Physician NPI 1295153617 M.D.
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DAVID KRAUSE, M.D.

Diagnostic Radiology Physician in SIOUX FALLS, South Dakota. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
MIPS score
77.9984/100
▼ 5 pts below national avg 83.1 · [object Object]

What the federal data shows

DAVID KRAUSE, M.D. reported a CMS MIPS final score of 77.9984/100 — below the 83.1 national average.

77.9984/100
MIPS score · -5 vs avg
Likely
board-certified (heuristic)

Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) — no proprietary rating or editorial opinion is applied.

DAVID KRAUSE, M.D.'s MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

78 24th percentile higher than 24% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). This entry sits in this band. 80–90: 129,887 scored providers (27%). Above this entry. 90–100: 189,403 scored providers (40%). Above this entry. This provider 0 100 every MIPS-scored clinician, bucketed by value

Each bar is a band; taller bars hold more scored providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

Source CMS Merit-based Incentive Payment System (MIPS) · 2023

Board certification likely (heuristic — not verified)

DAVID KRAUSE, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about DAVID KRAUSE, M.D.?

Below national average

NPI registry status

Active

Issued 04/02/2014

NPI 1295153617

Primary specialty

Diagnostic Radiology Physician

Mid-sized

39,474 US NPIs in this specialty

MIPS final score

77.9984/100 5.101599999999991% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in South Dakota

How Diagnostic Radiology Physician compares to other specialties among South Dakota providers

South Dakota providers

Diagnostic Radiology Physician share within South Dakota

1. Diagnostic Radiology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Diagnostic Radiology Physician share within South Dakota

Medicare quality performance — MIPS

DAVID KRAUSE, M.D.'s 2023 MIPS final score plotted against the Diagnostic Radiology Physician national average

Below national average
MIPS Final Score
77.9984/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Diagnostic Radiology Physician) — 77.9984/100 vs national avg 83.1

0%100%National avg83%78%
MIPS final score (Diagnostic Radiology Physician) — 77.9984/100 vs national avg 83.1

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

DAVID KRAUSE, M.D. is a Diagnostic Radiology Physician provider practicing in SIOUX FALLS, South Dakota, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1295153617. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

DAVID KRAUSE, M.D. appears in the CMS NPPES registry as a Diagnostic Radiology Physician provider holding M.D. credentials at 1210 W 18TH ST STE LL03, SIOUX FALLS, SD, 57104, with a listed phone of (605) 328-1410. NPI 1295153617 was issued on 04/02/2014. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what KRAUSE most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D prescribing data is not currently published for this NPI, which typically means the provider either wrote fewer than 11 Part D claims in the most recent reporting year, does not participate in Medicare, or practices in a specialty that rarely prescribes outpatient drugs. Absence of prescribing data is not a quality signal — many Diagnostic Radiology Physician providers operate outside Part D entirely. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 77.9984/100 for the 2023 performance year (Quality 80.1358, Cost 47.3589), compared with the national average of 83.1.

Diagnostic Radiology Physician is a mid-sized specialty nationwide, with 39,474 enrolled providers across 56 states and an average of 63 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

1210 W 18TH ST STE LL03
SIOUX FALLS, SD 57104

Provider Details

NPI 1295153617
Specialty Diagnostic Radiology Physician
Credentials M.D.
Gender Male
NPI Issued 04/02/2014

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

77.9984
Final Score
Avg: 83.1
80.1358
Quality
47.3589
Cost
99
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where DAVID KRAUSE, M.D. bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

SANFORD CLINIC
SIOUX FALLS, SD

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Diagnostic Radiology Physician Overview

How DAVID KRAUSE, M.D. fits within the Diagnostic Radiology Physician landscape nationally.

39,474
Diagnostic Radiology Physician Providers in US
56
States with Diagnostic Radiology Physician
63
Avg Claims per Provider

Nearby Diagnostic Radiology Physician Providers in South Dakota

Other clinicians with the same primary specialty enrolled in South Dakota, drawn from the same CMS NPPES roster as KRAUSE.

Compare Diagnostic Radiology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is DAVID KRAUSE, M.D.'s specialty?
DAVID KRAUSE, M.D. specializes in Diagnostic Radiology Physician and practices in SIOUX FALLS, South Dakota. Credentials: M.D..
What is DAVID KRAUSE, M.D.'s Medicare quality score?
DAVID KRAUSE, M.D. has a CMS MIPS Final Score of 77.9984/100 (Quality: 80.1358, Cost: 47.3589). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is DAVID KRAUSE, M.D. located?
DAVID KRAUSE, M.D. is located at 1210 W 18TH ST STE LL03, SIOUX FALLS, SD, 57104. Phone: (605) 328-1410.
What is DAVID KRAUSE, M.D.'s NPI number?
DAVID KRAUSE, M.D.'s National Provider Identifier (NPI) is 1295153617, issued on 04/02/2014.
How many Diagnostic Radiology Physician providers are there in the US?
There are 39,474 Diagnostic Radiology Physician providers across 56 states in the US. The average Diagnostic Radiology Physician provider writes 63 Medicare Part D claims per year.
Does DAVID KRAUSE, M.D. accept Medicare?
DAVID KRAUSE, M.D. appears in CMS Medicare data. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify DAVID KRAUSE, M.D.'s credentials?
DAVID KRAUSE, M.D.'s NPI is 1295153617 with credentials M.D.. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) — 2023 performance year.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology