Clayton Gerald Vanbalen, MD
NPI 1316943251ActiveIndividual· Preventive Medicine, Occupational Medicine· Sioux Falls, SD
Preventive Medicine, Occupational Medicine (MD) in Sioux Falls, South Dakota, trained at Sanford School of Medicine of University of South Dakota (class of 1979). In 2024 Medicare paid $22,936 for 396 patients, and Part D covered 202 of their prescriptions, 87% of them generic. Lilly USA, LLC was the largest of 9 companies reporting payments in 2025, $365.66 in all, mostly food and beverage.
Overview
| NPI | 1316943251 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Jun 24, 2005 |
| Last updated in NPPES | Mar 2, 2021 |
| Certified by provider | Mar 2, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Preventive Medicine, Occupational Medicine Primary | 2083X0100X | 2540 | SD |
| Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine | 2083P0500X | 2540 | SD |
| Family Medicine | 207Q00000X | 2540 | SD |
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 - Preventive Medicine (SD) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 396 |
|---|---|
| Services billed | 537 across 32 procedure codes |
| Paid by Medicare | $22,936 |
Part D prescriptions in 2024
| Prescriptions (claims) | 202 · 202 30-day fills |
|---|---|
| Patients | 148 |
| Total drug cost | $3,665 |
| Generic share | 87% of claims |
Education and affiliations
| Medical school | Sanford School of Medicine of University of South Dakota |
|---|---|
| Graduation year | 1979 |
| Medicare specialty | Preventive Medicine |
Medical group
- Avera St MarysPierre, SD · 97 clinicians
Hospital affiliation
- Avera St Mary's HospitalPierre, SD
Industry payments (Open Payments)
- 2025$365.66 · 22 payments from 9 companies
- 2024$510.13 · 32 payments from 7 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Lilly USA, LLC | $102.60 | 6 |
| E.R. Squibb & Sons, L.L.C. | $61.98 | 4 |
| Vertex Pharmaceuticals Incorporated | $47.41 | 3 |
| Novo Nordisk Inc | $36.55 | 2 |
| Abbvie Inc. | $36.23 | 2 |
What the 2025 payments were for
- Food and Beverage$365.66 · 22 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Preventive Medicine, Occupational Medicine providers in Sioux Falls
- 1053792465
- 1700905650
- 1336214402
- 1083610935
- 1811351802
All Preventive Medicine, Occupational Medicine providers in South Dakota