Mikaela Theobald, PA-C
NPI 1124627898ActiveIndividual· Physician Assistant· Rapid City, SD
Physician Assistant (PA-C) with Monument Health Rapid City Hospital Inc, practicing in Rapid City, South Dakota. Mostly services rather than prescriptions: Medicare paid $11,040 for 153 patients in 2024, with only 43 Part D claims. Medtronic, Inc. was the largest of 2 companies reporting payments in 2025, $406.66 in all, mostly food and beverage. Lists Campbell County Health and 4 other hospitals as hospital affiliations.
Overview
| NPI | 1124627898 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Oct 22, 2020 |
| Last updated in NPPES | Jun 29, 2023 |
| Certified by provider | Jun 29, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (SD) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 153 |
|---|---|
| Services billed | 188 across 15 procedure codes |
| Paid by Medicare | $11,040 |
Part D prescriptions in 2024
| Prescriptions (claims) | 43 · 59 30-day fills |
|---|---|
| Patients | 14 |
| Total drug cost | $1,434 |
| Generic share | 95% of claims |
Education and affiliations
| Graduation year | 2020 |
|---|---|
| Medicare specialty | Physician Assistant |
| Telehealth | Offers telehealth |
Medical group
- Monument Health Rapid City Hospital IncRapid City, SD · 564 clinicians
Hospital affiliations
- Campbell County HealthGillette, WY
- Monument Health Custer HospitalCuster, SD
- Monument Health Rapid City HospitalRapid City, SD
- Monument Health Spearfish HospitalSpearfish, SD
- Monument Health Sturgis HospitalSturgis, SD
Industry payments (Open Payments)
- 2025$406.66 · 13 payments from 2 companies
- 2024$436.29 · 14 payments from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Medtronic, Inc. | $307.74 | 9 |
| Depuy Synthes Sales Inc. | $98.92 | 4 |
What the 2025 payments were for
- Food and Beverage$406.66 · 13 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other physician assistants in Rapid City
- 1023329919
- 1023664620
- 1033488614
- 1043937154
- 1053459347
- 1053838268
- 1073241790
- 1104293851
- 1124756234
- 1164469185
- 1174136246
- 1174633614
All 131 physician assistants in Rapid City · All physician assistants in South Dakota