State rate
13.03 /1k physicians
Serious actions per 1,000 physicians, 2021–2023
Physician Disciplinary Actions — 2021 to 2023
State rate
13.03 /1k physicians
Serious actions per 1,000 physicians, 2021–2023
National rank
#15
of 51 jurisdictions
Federal exclusions
234
Currently barred from Medicare and Medicaid (HHS OIG LEIE)
Each bar shows a category's share of South Dakota's 234 federal exclusions, expressed as a ratio of the leading category. Descriptive only — exclusion categories are HHS OIG LEIE statutory designations, not measures of relative severity.
Source: HHS Office of Inspector General — List of Excluded Individuals and Entities (LEIE) + Federation of State Medical Boards (FSMB) Physician Discipline data South Dakota physician disciplinary actions (2021-2023) + active OIG LEIE exclusions · 2024 OIG LEIE updated monthly; FSMB Physician Data Center publishes the consolidated state board action data. Disciplinary action rates normalize against active physician licensee counts at the state level.
Between 2021 and 2023, South Dakota recorded 40 serious disciplinary actions against its 3,070 licensed physicians — a rate of 13.03 per 1,000, which ranks the state #15 of 51 nationally. That rate is 28% above the national average of 10.19. Separately, 234 individuals and entities tied to South Dakota are currently excluded from Medicare, Medicaid, and all federal healthcare programs by the HHS Office of Inspector General — a separate, stricter sanction that overrides any state-level license status.
South Dakota's discipline rate of 13.03 per 1,000 physicians is above the national average of 10.19, indicating moderately active enforcement by the South Dakota State Board of Medical and Osteopathic Examiners. Rate differences across states are driven less by physician behavior than by how each medical board resources investigations, what complaint volume they receive, and whether they favor public sanctions over confidential remediation. In South Dakota, the most common federal exclusion category is License Revocation or Suspension with 62 cases, followed by Conviction: Program-Related Crime (53). Each category reflects a different regulatory pathway, and exclusions can persist even when a state license remains technically valid.
For patients in South Dakota, the practical workflow is simple: verify the state license with the South Dakota State Board of Medical and Osteopathic Examiners for current status and any public disciplinary orders, then cross-check the OIG LEIE at oig.hhs.gov for any federal exclusion flag. Both databases update on different cadences — state boards typically post new actions within weeks, while the LEIE is rebuilt monthly. A provider can be licensed in good standing at the state level yet still barred from federal programs, which is why both checks matter before choosing a physician, hiring a clinician, or authorizing a billing relationship.
234 individuals and entities in South Dakota are currently excluded from Medicare, Medicaid, and all federal healthcare programs by the HHS Office of Inspector General.
| Name | Category | Exclusion Type | Date |
|---|---|---|---|
| ISRAEL ALEXANDER BARRAZA | Healthcare Employee | Misdemeanor: Healthcare Fraud | 2026-03-19 |
| DAWN SIOUX BRAVE | Licensed Healthcare Professional | Conviction: Healthcare Fraud | 2026-03-19 |
| WAYNE LEE MUILENBURG | Licensed Healthcare Professional | Conviction: Controlled Substance | 2026-03-19 |
| RACHAEL EMMA HAMMRICH | Licensed Healthcare Professional | Conviction: Program-Related Crime | 2025-12-18 |
| JENNIFER LYNN SPENCER | Licensed Healthcare Professional | Conviction: Healthcare Fraud | 2025-09-18 |
| CINDY KAY SPEAR | Licensed Healthcare Professional | License Revocation or Suspension | 2025-08-20 |
| CHARLES JAY ADELSON | Licensed Healthcare Professional | License Revocation or Suspension | 2025-07-20 |
| ARUTYAN KARKOTSYAN | Business Owner/Executive | Conviction: Program-Related Crime | 2025-07-20 |
| ERIC LEE NORDSTROM | Healthcare Employee | Conviction: Patient Abuse or Neglect | 2025-05-20 |
| JENNY MICHELLE LOEPP | Licensed Healthcare Professional | Conviction: Controlled Substance | 2025-04-20 |
| BRITTANY A ENSTAD | Licensed Healthcare Professional | Conviction: Controlled Substance | 2025-02-20 |
| MORGAN MIRALLES | Licensed Healthcare Professional | Conviction: Controlled Substance | 2025-02-20 |
| LIONEL LEE EAGLE HAWK | Healthcare Employee | Conviction: Patient Abuse or Neglect | 2025-01-20 |
| STACY JO JOHNSON | Healthcare Employee | Conviction: Patient Abuse or Neglect | 2024-12-19 |
| MARILYN DOREEN SKIDMORE | Licensed Healthcare Professional | Conviction: Healthcare Fraud | 2024-12-19 |
Source: HHS OIG LEIE. Showing most recent exclusions. Total excluded in South Dakota: 234.
To verify a physician's current license status, check for disciplinary history, or file a complaint, contact the board directly.
South Dakota's discipline rate of 13.03 per 1,000 physicians is above the national average of 10.19, indicating moderately active enforcement by the South Dakota State Board of Medical and Osteopathic Examiners.
Between 2021 and 2023, South Dakota recorded 40 serious disciplinary actions across 3,070 licensed physicians. "Serious" actions include revocations, surrenders, suspensions, probation, and restrictions — excluding minor sanctions like letters of reprimand when used as standalone penalties.
If you believe a physician has acted unprofessionally or provided substandard care, you can file a complaint with the South Dakota State Board of Medical and Osteopathic Examiners. The process typically involves:
You can also contact the board by phone at (605) 334-8343 for guidance on the complaint process.
South Dakota ranks #15 out of 51 states for serious physician disciplinary actions. With a rate of 13.03 per 1,000 physicians (2021-2023), South Dakota's rate is 28% above the national average of 10.19. Discipline rates vary widely and reflect each state board's enforcement approach, complaint volume, and regulatory framework.
To verify a doctor's license in South Dakota, visit the South Dakota State Board of Medical and Osteopathic Examiners website at https://doh.sd.gov/licensing/boards/medical/. Most state boards offer a free online physician lookup tool where you can search by name or license number. The results typically show current license status, any disciplinary actions, and board orders. For multi-state verification, use the FSMB's DocInfo service (docinfo.org), which aggregates records from all state boards. The National Practitioner Data Bank (NPDB) also allows patients to request their own physician's records through a self-query process.
When a physician is disciplined in South Dakota, the South Dakota State Board of Medical and Osteopathic Examiners can impose sanctions ranging from a letter of concern (least severe) to full license revocation. Common actions include probation (practicing under restrictions), suspension (temporary loss of license), fines, and required continuing education. The action becomes part of the physician's public record and is reported to the National Practitioner Data Bank. Depending on the severity, the physician may continue practicing under conditions, or may be permanently barred from medicine in South Dakota. Patients can verify any physician's current status through the board's license lookup tool.
Federal exclusion means a healthcare provider is barred from participating in Medicare, Medicaid, and all federal healthcare programs. The HHS Office of Inspector General (OIG) maintains the List of Excluded Individuals/Entities (LEIE). In South Dakota, 234 individuals and entities are currently excluded. Exclusion can result from criminal convictions related to healthcare fraud, patient abuse, felony controlled substance violations, or certain licensing board actions. Hiring or billing through an excluded provider can result in civil monetary penalties for healthcare organizations.
The physician discipline process in South Dakota typically takes 6 to 24 months from initial complaint to final board action. After the South Dakota State Board of Medical and Osteopathic Examiners receives a complaint, it conducts a preliminary review (1-3 months), followed by a formal investigation if warranted (3-12 months). If the board finds sufficient evidence of a violation, it may offer a consent agreement or proceed to a formal hearing. Emergency suspensions can occur immediately when patient safety is at imminent risk. Throughout the process, complaint details are generally confidential until a final public action is taken.
In South Dakota, final disciplinary actions taken by the South Dakota State Board of Medical and Osteopathic Examiners are public record and can be accessed through the board's online license verification system. This includes revocations, suspensions, probation orders, and formal reprimands. However, complaints under investigation, dismissed complaints, and informal remediation (like confidential letters of concern) are generally not publicly disclosed. Federal exclusions are always public through the OIG LEIE database. The National Practitioner Data Bank (NPDB) maintains comprehensive records but limits direct public access — patients can request their own provider's records through a self-query.
Guides to help you navigate physician discipline data and protect yourself as a patient
Free tools and step-by-step process for verifying physician background and disciplinary history.
Understand the difference between revocations, suspensions, probation, and other sanctions.
The complaint process, investigation timeline, and what triggers board action.
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