Doctor profile · Federal record
Dr. Clayton Vanbalen, MD
Occupational Medicine Physician (CMS: Preventive Medicine) · Preventive Medicine/Occupational Environmental Medicine Physician · Family Medicine Physician · Sioux Falls, SD
- NPI 1316943251
- Accepts Medicare
- 47 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
900 E 54Th St N
Sioux Falls, SD 57104
(605) 338-9300
fax (605) 338-9301 - Mailing address
-
Po Box 5074
Sioux Falls, SD 571175074
Credentials & registration
- NPI registered
- June 2005 — 21 yrs on file
- Profile last updated
- March 2, 2021
- Year of graduation
- 1979 — 47 yrs since
- Specialty taxonomy
- 2083X0100X — NUCC code
- State license (1)
- South Dakota #2540
- Medicaid
- SD #5602923
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1316943251. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
456
Distinct HCPCS
5
Medicare allowed
$35,302
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 239 | 209 | $95 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 158 | 142 | $64 | |
93010 |
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 29 | 29 | $8 | |
99202 |
New patient office or other outpatient visit, 15-29 minutes | 16 | 16 | $46 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 14 | 13 | $111 |
In context: peer comparison
Among 1 peers in this city , average services per provider: 91. This provider delivers 5.0× the peer median.Open Payments
Industry payments received
All-time total
$510
Transactions
32
Manufacturers
7
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Lilly USA, LLC | 10 | $161.12 | |
| E.R. Squibb & Sons, L.L.C. | 12 | $143.62 | |
| PFIZER INC. | 4 | $66.86 | |
| Amgen Inc. | 2 | $39.09 | |
| Daiichi Sankyo Inc. | 1 | $38.46 | |
| Boston Scientific Corporation | 1 | $30.86 | |
| Exact Sciences Corporation | 2 | $30.12 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
66
Patients
64
Total drug cost
$582
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Amoxicillin-Clavulanate Potass (Amoxicillin/Potassium Clav) | Brand | 23 | 22 | $233 |
| Cephalexin | Generic | 18 | 17 | $126 |
| Nitrofurantoin Mono-Macro (Nitrofurantoin Monohyd/M-Cryst) | Brand | 13 | 13 | $188 |
| Prednisone | Generic | 12 | 12 | $35 |
Hospital affiliations
Frequently asked questions
What is Dr. Clayton Vanbalen's medical specialty?
Dr. Clayton Vanbalen practices Occupational Medicine Physician in Sioux Falls, SD.
Where does Dr. Clayton Vanbalen practice?
Dr. Clayton Vanbalen practices at 900 E 54Th St N, Sioux Falls, SD 57104. Office phone: 6053389300.
What is Dr. Clayton Vanbalen's NPI?
Dr. Clayton Vanbalen's National Provider Identifier (NPI) is 1316943251, issued by NPPES.
Does Dr. Clayton Vanbalen accept Medicare assignment?
Yes. Dr. Clayton Vanbalen accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Clayton Vanbalen commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99214); Established patient office or other outpatient visit (HCPCS 99213); Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only (HCPCS 93010). Source: CMS Medicare Physician & Other Practitioners file.