Richard M. Little, MD
NPI 1609849579ActiveIndividual· Orthopaedic Surgery· Spearfish, SD
Orthopaedic Surgery (MD) in Spearfish, South Dakota, trained at University of Minnesota Medical School (class of 1991). 310 Medicare patients in 2024, $150,376 paid; nearly all of their 345 Part D prescriptions were generic (99%). Vertex Pharmaceuticals Incorporated was the largest of 2 companies reporting payments in 2025, $60.33 in all, mostly food and beverage.
Overview
| NPI | 1609849579 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Feb 9, 2006 |
| Last updated in NPPES | Feb 5, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Orthopaedic Surgery Primary | 207X00000X | 4300 | SD |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Orthopedic Surgery (SD); Practitioner - Orthopedic Surgery (WY) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 310 |
|---|---|
| Services billed | 642 across 49 procedure codes |
| Paid by Medicare | $150,376 |
Part D prescriptions in 2024
| Prescriptions (claims) | 345 · 351 30-day fills |
|---|---|
| Patients | 157 |
| Total drug cost | $1,368 |
| Generic share | 99% of claims |
Education and affiliations
| Medical school | University of Minnesota Medical School |
|---|---|
| Graduation year | 1991 |
| Medicare specialty | Orthopedic Surgery |
Medical groups
- Monument Health Network IncSpearfish, SD · 160 clinicians
- Omaha Therapy IncDickinson, ND · 65 clinicians
Hospital affiliations
- Monument Health Lead-Deadwood HospitalDeadwood, SD
- Monument Health Spearfish HospitalSpearfish, SD
- Monument Health Sturgis HospitalSturgis, SD
- Southwest Healthcare ServicesBowman, ND
- Weston County Health ServicesNewcastle, WY
Industry payments (Open Payments)
- 2025$60.33 · 3 payments from 2 companies
- 2024$68.95 · 2 payments from 2 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Vertex Pharmaceuticals Incorporated | $32.44 | 2 |
| Zimmer Biomet Holdings, Inc. | $27.89 | 1 |
What the 2025 payments were for
- Food and Beverage$60.33 · 3 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Orthopaedic Surgery providers in Spearfish
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