NPI registry status
Active
2026 NPPES data Internal Medicine Physician NPI 1043430572 DO
Verify on CMS → Kelly Steffen, DO
Internal Medicine Physician in Sioux Falls, South Dakota.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 172,737 in Internal Medicine Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
8K
Medicare Part D claims · 1K beneficiaries · Internal Medicine Physician avg: 3K
MIPS score
79.6/100
▼ 4 pts below national avg 83.1 · Above neutral
Industry payments
$56.76
3 payments · CMS Open Payments (Sunshine Act)
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Kelly Steffen, DO reported a CMS MIPS final score of 79.6/100 - below the 83.1 national average - and filed 7,826 Medicare Part D claims in 2023.
- 79.6/100
- MIPS score · -4 vs avg
- 8K
- Part D claims, 2023
- 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.
Kelly Steffen, DO's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
80 30th percentile higher than 30% of 477,587 scored providers
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
Where Kelly Steffen, DO sits
This provider among internal medicine physician peers
Across the 36,260 internal medicine physician providers who report both Medicare Part D prescribing and a MIPS quality score, Kelly Steffen, DO writes more Part D claims than 88% of them and scores higher on MIPS quality than 31% - placing this provider in the high-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Part D claim volume vs MIPS quality, by specialty percentile
Each dot is one internal medicine physician peer from a representative sample of 60; the gold marker is Kelly Steffen, DO. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Kelly Steffen, DO 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 Kelly Steffen, DO?
Near national averagePrimary specialty
Internal Medicine Physician
Medicare Part D claims
7,826 188% vs specialty avg
MIPS final score
79.6/100 3.5 pts vs avg
Specialty distribution in South Dakota
How Internal Medicine Physician compares to other specialties among South Dakota providers
Medicare quality performance, MIPS
Kelly Steffen, DO's 2023 MIPS final score plotted against the Internal Medicine Physician national average
- MIPS Final Score
- 79.6/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Internal Medicine Physician) - 79.6/100 vs national avg 83.1
How MIPS and board certification work
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).
Kelly Steffen, DO appears in the CMS NPPES registry as an Internal Medicine Physician provider holding DO credentials at 4520 W 69TH ST, Sioux Falls, SD, 57108, with a listed phone of (605) 977-5000. NPI 1043430572 was issued on 04/26/2007.
Medicare Part D records for calendar year 2023 show 7,826 prescription claims written by this provider, covering 1,211 Medicare beneficiaries and totaling roughly $1.1 million in drug spend. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 79.6/100 for the 2023 performance year (Quality 83.9, Cost 49.7), compared with the national average of 83.1.
Internal Medicine Physician is a high-volume specialty nationwide, with 172,737 enrolled providers across 56 states and an average of 2,716 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
Provider Details
| NPI | 1043430572 |
|---|---|
| Specialty | Internal Medicine Physician |
| Credentials | DO |
| Gender | Female |
| NPI Issued | 04/26/2007 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
79.5985
Final Score
Avg: 83.1
83.9127
Quality
49.7489
Cost
98
Promoting Interoperability
Reporting: Group practice
Hospital and facility affiliations
Facilities where Kelly Steffen, DO 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.
Heart Hospital OF South Dakota LLC
Spencer, IA
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
Industry payments received (2024) - CMS Open Payments transparency data
The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for Kelly Steffen, DO. Source: openpaymentsdata.cms.gov.
Total received
$57
Largest payer
Novartis Pharmaceuticals Corporation
Most common payment type
Food and Beverage
Industry payments are not necessarily indicators of bias, they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
7,826
Total Claims
$1.1M
Total Drug Cost
1,211
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 16,712
- Total Day Supply
- 494,324
- Generic Drug Cost
- $126K
Patient Demographics
- Average Patient Age
- 74.8 years
- Avg HCC Risk Score
- 1.33
- Gender Split
- 58% female / 42% male
- Age Distribution
- <65: 75, 65-74: 531, 75-84: 448, 85+: 157
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Kelly Steffen, DO prescribes most
Top Medicare Part D drugs by claim count, 2023
- Metoprolol Tartrate
Metoprolol Tartrate
687 claims
- Metoprolol Succinate
Metoprolol Succinate
648 claims
- Atorvastatin Calcium
Atorvastatin Calcium
598 claims
- Amlodipine Besylate
Amlodipine Besylate
580 claims
- Eliquis
Eliquis
499 claims
- Furosemide
Furosemide
498 claims
- Rosuvastatin Calcium
Rosuvastatin Calcium
329 claims
- Losartan Potassium
Losartan Potassium
322 claims
| Drug | Claims |
|---|---|
| Metoprolol Tartrate | 687 |
| Metoprolol Succinate | 648 |
| Atorvastatin Calcium | 598 |
| Amlodipine Besylate | 580 |
| Eliquis Apixaban | 499 |
| Furosemide | 498 |
| Rosuvastatin Calcium | 329 |
| Losartan Potassium | 322 |
| Clopidogrel Clopidogrel Bisulfate | 303 |
| Xarelto Rivaroxaban | 298 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Internal Medicine Physician Overview
How Kelly Steffen, DO fits within the Internal Medicine Physician landscape nationally.
172,737
Internal Medicine Physician Providers in US
56
States with Internal Medicine Physician
2,716
Avg Claims per Provider
Kelly Steffen, DO's 7,826 claims are above the specialty average of 2,716.
Nearby Internal Medicine Physician Providers in South Dakota
Other clinicians with the same primary specialty enrolled in South Dakota, drawn from the same CMS NPPES roster as Steffen.
Dr. Mouhanna Abu Ghanimeh
M.D.
Sioux Falls, SD
Dr. Emad Abu Sitta
M.D
Sioux Falls, SD
Dr. Joyce Achenjang
M.D
Pine Ridge, SD
Dr. Comfort Agaba
MD
Sioux Falls, SD
Dr. Abdalah Ahmed
MD
Sioux Falls, SD
Compare Internal Medicine Physician nationally: see state-by-state distribution →
Before you book an appointment
Use this federal record as your verification checklist, not as a recommendation.
- Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
- Check the active license and any disciplinary history with the South Dakota medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Internal Medicine Physician peer on Medicare volume and prescribing patterns. Compare providers
Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.
Healthcare Guides
Learn more about finding, verifying, and understanding healthcare providers.
How to Find a Doctor
Step-by-step guide to choosing a provider
Verify Credentials
Check NPI, board certification & license status
Medical Specialties Explained
Who treats what and how specialties differ
Understanding Medicare Claims Data
What prescribing data reveals about a provider
In-Network vs Out-of-Network
How insurance networks affect your costs
Telehealth Guide
Virtual care options and coverage in 2026
Explore South Dakota
Frequently Asked Questions
What is Kelly Steffen, DO's specialty? ▼
Kelly Steffen, DO specializes in Internal Medicine Physician and practices in Sioux Falls, South Dakota. Credentials: DO.
How much does Kelly Steffen, DO prescribe under Medicare Part D? ▼
In 2023, Kelly Steffen, DO wrote 7,826 Medicare Part D claims totaling $1.1M in drug costs for 1,211 beneficiaries.
What is Kelly Steffen, DO's Medicare quality score? ▼
Kelly Steffen, DO has a CMS MIPS Final Score of 79.6/100 (Quality: 83.9, Cost: 49.7). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Kelly Steffen, DO located? ▼
Kelly Steffen, DO is located at 4520 W 69TH ST, Sioux Falls, SD, 57108. Phone: (605) 977-5000.
What is Kelly Steffen, DO's NPI number? ▼
Kelly Steffen, DO's National Provider Identifier (NPI) is 1043430572, issued on 04/26/2007.
How many Internal Medicine Physician providers are there in the US? ▼
There are 172,737 Internal Medicine Physician providers across 56 states in the US. The average Internal Medicine Physician provider writes 2,716 Medicare Part D claims per year.
What drugs does Kelly Steffen, DO prescribe most often? ▼
Based on 2023 Medicare Part D data, Kelly Steffen, DO's most frequently prescribed drugs include Metoprolol Tartrate, Metoprolol Succinate, Atorvastatin Calcium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Kelly Steffen, DO accept Medicare? ▼
Kelly Steffen, DO appears in CMS Medicare data with 7,826 Part D claims and 1,211 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Kelly Steffen, DO's credentials? ▼
Kelly Steffen, DO's NPI is 1043430572 with credentials DO. 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
View source datasets and methodology notes
- 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.
- Prescribing Data
- CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
- 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
Compiled from official public sources by the PlainDoctor editorial team.
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of May 2026.