Dr Andrew Scott Qualm, OD - Medicare Optometrist in Kyle, SD

Dr Andrew Scott Qualm, OD is a medicare enrolled "Optometrist" provider in Kyle, South Dakota. He went to Southern College Of Optometry and graduated in 1985 and has 39 years of diverse experience with area of expertise as Optometry. He is a member of the group practice Pine Ridge Indian Health Service Hospital, Wanblee Indian Health Service, Pine Ridge Indian Health Service Hospital and his current practice location is 1000 Health Center Road, Kyle, South Dakota. You can reach out to his office (for appointments etc.) via phone at (605) 455-8216.

Dr Andrew Scott Qualm is licensed to practice in South Dakota (license number 170) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1881669661.

Contact Information

Dr Andrew Scott Qualm, OD
1000 Health Center Road,
Kyle, SD 57752
(605) 455-8216
(605) 455-1529

Map and Direction




Healthcare Provider's Profile

Full NameDr Andrew Scott Qualm
GenderMale
SpecialityOptometry
Experience39 Years
Location1000 Health Center Road, Kyle, South Dakota
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Andrew Scott Qualm attended and graduated from Southern College Of Optometry in 1985
  NPI Data:
  • NPI Number: 1881669661
  • Provider Enumeration Date: 02/23/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 6709962418
  • Enrollment ID: I20080320000509

Medical Identifiers

Medical identifiers for Dr Andrew Scott Qualm such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1881669661NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist 170 (South Dakota)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Pine Ridge Indian Health Service Hospital468857132688
Wanblee Indian Health Service46886541307
Pine Ridge Indian Health Service Hospital72148253718

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Andrew Scott Qualm allows following entities to bill medicare on his behalf.
Provider NamePine Ridge Indian Health Service Hospital
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1497786412
PECOS PAC ID: 4688571326
Enrollment ID: O20031218000966
Provider NamePine Ridge Indian Health Service Hospital
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1003963497
PECOS PAC ID: 7214825371
Enrollment ID: O20040309001203
Provider NameWanblee Indian Health Service
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1962559518
PECOS PAC ID: 4688654130
Enrollment ID: O20040723000965

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Andrew Scott Qualm is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Andrew Scott Qualm, OD
23805 Placer Pl,
Rapid City, SD 57702-6573

Ph: (605) 574-2297
Dr Andrew Scott Qualm, OD
1000 Health Center Road,
Kyle, SD 57752

Ph: (605) 455-8216

Reviews and Comments


Optometrist in Kyle, SD


Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.