Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Mark J Ptacek, MD

Individual provider Family Medicine Physician · NPI 1083611958

Dr. Mark J Ptacek, MD is a Family Practice in Deadwood, South Dakota. Graduated from University of Nebraska College of Medicine in 1984, 42 years ago. Practices with Travis J Ptacek MD PLLC, an 11-clinician group and accepts Medicare assignment. Licensed in Nebraska and South Dakota.

Years since qualifying
42
Trained at
University of Nebraska College of Medicine
Licensed in
NE, SD
In the registry since
2005
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

71 Charles St
Deadwood, SD 57732-1303
Phone: (605) 717-6431
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 4872 (SD)
Family Medicine Physician Taxonomy 207Q00000X · Licence 16764 (NE)

Record details

NPI number1083611958
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 7, 2005
Last updated in NPPESJuly 21, 2022
Mailing address353 Fairmont Blvd, Attn Mss, Rapid City, SD 57701-7375

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
Graduated 1984 (42 years in practice)
Group practice Travis J Ptacek Md Pllc — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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