Quick answers
- Does Richard M. Little accept Medicare assignment?
- Yes. Medicare's clinician data says Richard M. Little accepts Medicare assignment (the Medicare-approved amount as full payment for covered services), as of October 2, 2026. Ask the office to confirm before your visit.
- How many Medicare patients does Richard M. Little see?
- In 2024, CMS data shows 310 Original Medicare patients and 642 services for Richard M. Little. This counts Original Medicare only and measures volume, not quality.
- What is Richard M. Little's NPI number?
- 1609849579. The NPI (National Provider Identifier) is the clinician's permanent federal ID; you can look it up in the official NPI Registry.
Medicare activity in 2024
Official CMS public-use data for Richard M. Little, data year 2024 (released May 21, 2026). It covers Original Medicare (fee-for-service) patients only, not Medicare Advantage or other insurance. It shows volume, not quality or outcomes. CMS hides any count of 10 or fewer patients.
| Original Medicare patients | 310 |
|---|---|
| Services billed to Medicare | 642 |
| Different services or procedures | 49 |
| Participating Medicare provider | Yes |
| Average age of these patients | 73 |
Most frequent services
- Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more (99214)130 services
- Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more (99213)114 services
- Replacement of knee joint, both sides of knee (27447)75 services
- Aspiration and/or injection of fluid from large joint (20610)63 services
- New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more (99204)47 services
Chronic conditions among these patients
Share of this clinician’s Original Medicare patients with each condition, as published by CMS (it describes the patients, not the care given).
- Arthritis75%
- High blood pressure66%
- High cholesterol58%
- Osteoporosis23%
- Diabetes20%
- Depression20%
Hospitals where Richard M. Little works
Medicare's Facility Affiliation Data lists Richard M. Little at these hospitals (updated October 2, 2026). Each hospital page shows its address, phone, emergency services, Medicare rating and all its clinicians. Star rating and emergency services: Hospital General Information (CMS), data updated October 26, 2026.
- Monument Health Lead-Deadwood HospitalDeadwood, SD · Critical Access Hospital · Emergency services: listed by Medicare · CCN 431320
- Monument Health Spearfish HospitalSpearfish, SD · Acute Care Hospital · Medicare rating: 4 of 5 stars · Emergency services: listed by Medicare · CCN 430048
- Monument Health Sturgis HospitalSturgis, SD · Critical Access Hospital · Emergency services: listed by Medicare · CCN 431321
- Southwest Healthcare ServicesBowman, ND · Critical Access Hospital · Emergency services: listed by Medicare · CCN 351313
- Weston County Health ServicesNewcastle, WY · Critical Access Hospital · Emergency services: listed by Medicare · CCN 531303
Practice locations
Addresses where Richard M. Little is enrolled with Medicare (CMS data updated October 2, 2026).
- 1445 N AveSpearfish, SD 57783 (605) 644‑4170
- 2479 E Colorado BlvdSpearfish, SD 57783 (605) 644‑4460
- 683 State AveDickinson, ND 58601 (701) 483‑9400
Group practices
Medicare enrollment lists Richard M. Little as a member of these groups (CMS data updated October 2, 2026).
- Monument Health Network Inc160 clinicians in the group
- Omaha Therapy Inc65 clinicians in the group
Specialties
- Orthopedic Surgeryprimary
Other orthopedic surgeons in Spearfish
Clinicians with the same Medicare primary specialty in Spearfish, SD — not a recommendation.
Other clinicians in Monument Health Network Inc
Medicare enrollment lists these clinicians in the same group practice — not a recommendation.
Clinician information
| Credential | MD |
|---|---|
| Medical school | University Of Minnesota Medical School |
| Graduation year | 1991 (35 years since medical school) |
| Gender (as listed) | Male |
| Medicare assignment | Accepts (Medicare-approved amount as full payment) |
| NPI (National Provider Identifier) | 1609849579 |
| Corrections | Report an error or suggest an update → |
Most corrections must be made at the source: clinicians update their NPI Registry record (NPPES) and their Medicare enrollment (PECOS); this page follows the next data release.
Sources
- Facility Affiliation Data — Centers for Medicare & Medicaid Services (CMS), data updated October 2, 2026, retrieved October 29, 2026
- Hospital General Information — CMS, data updated October 26, 2026, retrieved November 13, 2026
- National Downloadable File (Doctors and Clinicians) — CMS, data updated October 2, 2026, retrieved October 29, 2026
- Medicare Physician & Other Practitioners - by Provider — CMS, data year 2024, released May 21, 2026; Medicare Physician & Other Practitioners - by Provider and Service
- NPI Registry — U.S. Department of Health and Human Services (NPPES), the clinician’s official record
- Medicare Care Compare — official Medicare tool to look up clinicians