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Travis D Hand, CNA

Certified Registered Nurse Anesthetist (Crna) · Fargo

NPI 1578210076

Medicare standing
1 flag on the record
Listed below.
Plans that list them
Not verified
Not the same as out of network.
Offices
8
Since medical school
5 years
Graduated 2021

On the public record

  • Medicare does not list them as allowed to order and refer

Offices

8 locations · Sanford Medical Center Fargo · Centracare Clinic Southwest LLC

Looking this up.

Hospitals listed: Centracare- Rice Memorial Hospital · Sanford. That is not proof they admit you there this week.

Plan participation

Not verified

We could not verify current plan participation for this doctor. This does not mean they are out of network. Call Travis D Hand’s office to ask if they take your plan before you enroll.

Hospitals they work in

2 hospitals

These rate the hospital, not this clinician. Most measures at most hospitals are no different from the national rate.

  • Centracare- Rice Memorial HospitalWillmar, MNAcute Care Hospital · Government - Local · Has an emergency department · Birthing-friendlyPart of CentraCare, which runs 10 hospitalsPatients rate it 3 of 5 · 54% would definitely recommend it
    Overall rating: 3 of 5 starsBetter than the national rate — Clostridium Difficile (C.Diff): 0, Oct 2024 – Sep 2025
  • Sanford Medical Center FargoFargo, NDAcute Care Hospital · Voluntary non-profit - Private · Has an emergency department · Birthing-friendlyPart of Sanford Health, which runs 41 hospitals in 5 statesPatients rate it 3 of 5 · 72% would definitely recommend it
    Overall rating: 4 of 5 starsWorse than the national rate — Abdominopelvic accidental puncture or laceration rate: 1.96 (1.16 to 2.75) · 2,599 cases, Jul 2022 – Jun 2024Better than the national rate — Catheter Associated Urinary Tract Infections (ICU + select Wards): 0.103, Oct 2024 – Sep 2025Better than the national rate — Central Line Associated Bloodstream Infection (ICU + select Wards): 0.265, Oct 2024 – Sep 2025Better than the national rate — Clostridium Difficile (C.Diff): 0.326, Oct 2024 – Sep 2025Better than the national rate — MRSA Bacteremia: 0.342, Oct 2024 – Sep 2025
See every measure and the patient survey for Centracare- Rice Memorial Hospital

Behind the star rating — Deaths: 0 better, 4 the same, 0 worse of 4 measures. Safety: 0 better, 2 the same, 0 worse of 2 measures. Readmissions: 1 better, 5 the same, 1 worse of 7 measures. The star rating is worked out from an earlier period than the measures below, so the two can disagree.

Every scored measure at Centracare- Rice Memorial Hospital
Clostridium Difficile (C.Diff)Infections0BetterOct 2024 – Sep 2025
Abdominopelvic accidental puncture or laceration rateComplications and deaths0.99 (0 to 2.05) · 143 casesNo differentJul 2022 – Jun 2024
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths0.99 (0.53 to 1.44)No differentJul 2022 – Jun 2024
Death rate for heart failure patientsComplications and deaths10.3 · 78 casesNoneJul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths12.2 · 124 casesNoneJul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths10.4 · 75 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths3.5 · 679 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.2 (0 to 0.43) · 1,108 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.31 (0.09 to 0.52) · 1,114 casesNo differentJul 2022 – Jun 2024
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths3.66 (1.13 to 6.18) · 177 casesNo differentJul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths1.62 (0 to 3.32) · 81 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths2.22 (0.53 to 3.91) · 164 casesNo differentJul 2022 – Jun 2024
Postoperative respiratory failure rateComplications and deaths10.1 (0.87 to 19.34) · 81 casesNo differentJul 2022 – Jun 2024
Postoperative sepsis rateComplications and deaths5.73 (1.55 to 9.91) · 77 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths1.74 (0.22 to 3.27) · 65 casesNo differentJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths0.45 (0 to 1.59) · 770 casesNo differentJul 2022 – Jun 2024
Heart failure (HF) 30-Day Readmission RateUnplanned return visits21.4 · 136 casesNoneJul 2023 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits-20.7 · 88 casesNoneJul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits-63.8 · 126 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits16.7 · 215 casesNoneJul 2023 – Jun 2025
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyUnplanned return visits5.6 (3.9 to 8) · 95 casesNo differentJan 2024 – Dec 2024
Rate of inpatient admissions for patients receiving outpatient chemotherapyUnplanned return visits8.7 (6.3 to 11.7) · 95 casesNo differentJan 2024 – Dec 2024
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits20.3 · 54 casesNoneJul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits13.9 (10.4 to 18.8) · 104 casesNo differentJan 2022 – Dec 2024
Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits1.1 (0.8 to 1.5) · 97 casesNo differentJan 2024 – Dec 2024

What patients said (317 patients answered, 21% of those asked)

Patient survey stars by topic at Centracare- Rice Memorial Hospital
Cleanliness3
Nurse communication3
Doctor communication3
Communication about medicines3
Discharge information3
Overall hospital rating2
Quietness4
Recommend hospital2
Share of patients giving the best answer at Centracare- Rice Memorial Hospital
Room was "always" clean68%
Nurses "always" communicated well77%
Doctors "always" communicated well77%
Staff "always" explained60%
Yes, staff "did" give patients this information86%
Yes, staff "did" give patients information about help after discharge84%
Doctors "always" explained things so they could understand72%
Doctors "always" listened carefully77%
Doctors "always" treated them with courtesy and respect82%
Patients who gave a rating of "9" or "10" (high)60%
Staff "always" explained new medications76%
Nurses "always" explained things so they could understand73%
Nurses "always" listened carefully73%
Nurses "always" treated them with courtesy and respect85%
"Always" quiet at night64%
"YES", patients would definitely recommend the hospital54%
Staff "always" explained possible side effects45%
Yes, staff "did" give patients information about possible symptoms87%
See every measure and the patient survey for Sanford Medical Center Fargo

Behind the star rating — Deaths: 1 better, 7 the same, 0 worse of 8 measures. Safety: 4 better, 3 the same, 0 worse of 7 measures. Readmissions: 3 better, 8 the same, 0 worse of 11 measures. The star rating is worked out from an earlier period than the measures below, so the two can disagree.

Every scored measure at Sanford Medical Center Fargo
Abdominopelvic accidental puncture or laceration rateComplications and deaths1.96 (1.16 to 2.75) · 2,599 casesWorseJul 2022 – Jun 2024
Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections0.103BetterOct 2024 – Sep 2025
Central Line Associated Bloodstream Infection (ICU + select Wards)Infections0.265BetterOct 2024 – Sep 2025
Clostridium Difficile (C.Diff)Infections0.326BetterOct 2024 – Sep 2025
MRSA BacteremiaInfections0.342BetterOct 2024 – Sep 2025
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths1.07 (0.85 to 1.3)No differentJul 2022 – Jun 2024
Death rate among surgical inpatients with serious treatable complicationsComplications and deaths187.76 (147.71 to 227.82) · 208 casesNo differentJul 2022 – Jun 2024
Death rate for CABG surgery patientsComplications and deaths1.8 · 215 casesNoneJul 2022 – Jun 2025
Death rate for COPD patientsComplications and deaths8.7 · 223 casesNoneJul 2022 – Jun 2025
Death rate for heart attack patientsComplications and deaths11.3 · 451 casesNoneJul 2022 – Jun 2025
Death rate for heart failure patientsComplications and deaths8.5 · 695 casesNoneJul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths10.2 · 503 casesNoneJul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths12.1 · 569 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths3.4 · 5,285 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.2 (0.02 to 0.38) · 11,914 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.26 (0.08 to 0.43) · 12,264 casesNo differentJul 2022 – Jun 2024
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths3.26 (1.77 to 4.75) · 3,841 casesNo differentJul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths2.32 (1.01 to 3.63) · 1,472 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths3.26 (2.1 to 4.41) · 3,592 casesNo differentJul 2022 – Jun 2024
Postoperative respiratory failure rateComplications and deaths6.29 (1.84 to 10.73) · 1,450 casesNo differentJul 2022 – Jun 2024
Postoperative sepsis rateComplications and deaths5.89 (3.05 to 8.73) · 1,436 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths1.79 (0.48 to 3.09) · 841 casesNo differentJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths0.9 (0.45 to 1.35) · 9,956 casesNo differentJul 2022 – Jun 2024
Rate of complications for hip/knee replacement patientsComplications and deaths4.2 · 170 casesNoneApr 2023 – Mar 2025
SSI - Colon SurgeryInfections0.803No differentOct 2024 – Sep 2025
Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits12.9 · 603 casesNoneJul 2023 – Jun 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits19.9 · 938 casesNoneJul 2023 – Jun 2025
Hospital return days for heart attack patientsUnplanned return visits-7.1 · 470 casesNoneJul 2022 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits-9.2 · 795 casesNoneJul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits-38 · 518 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits15.6 · 610 casesNoneJul 2023 – Jun 2025
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyUnplanned return visits5.1 (4 to 6.7) · 660 casesNo differentJan 2024 – Dec 2024
Rate of inpatient admissions for patients receiving outpatient chemotherapyUnplanned return visits12.3 (10.3 to 14.7) · 660 casesNo differentJan 2024 – Dec 2024
Rate of readmission after hip/knee replacementUnplanned return visits5.5 · 164 casesNoneJul 2023 – Jun 2025
Rate of readmission for CABGUnplanned return visits11.2 · 267 casesNoneJul 2023 – Jun 2025
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits19.7 · 326 casesNoneJul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits11.3 (9 to 14.2) · 2,760 casesNo differentJan 2022 – Dec 2024
Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits1 (0.8 to 1.2) · 2,166 casesNo differentJan 2024 – Dec 2024

What patients said (452 patients answered, 29% of those asked)

Patient survey stars by topic at Sanford Medical Center Fargo
Cleanliness2
Nurse communication2
Doctor communication2
Communication about medicines2
Discharge information4
Overall hospital rating3
Quietness3
Recommend hospital4
Share of patients giving the best answer at Sanford Medical Center Fargo
Room was "always" clean61%
Nurses "always" communicated well70%
Doctors "always" communicated well72%
Staff "always" explained51%
Yes, staff "did" give patients this information87%
Yes, staff "did" give patients information about help after discharge86%
Doctors "always" explained things so they could understand64%
Doctors "always" listened carefully72%
Doctors "always" treated them with courtesy and respect80%
Patients who gave a rating of "9" or "10" (high)65%
Staff "always" explained new medications63%
Nurses "always" explained things so they could understand63%
Nurses "always" listened carefully68%
Nurses "always" treated them with courtesy and respect77%
"Always" quiet at night58%
"YES", patients would definitely recommend the hospital72%
Staff "always" explained possible side effects39%
Yes, staff "did" give patients information about possible symptoms88%

Original Medicare doctor bills

$23,157

Medicare paid this office $23,157 for 130 people.

This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.

Largest Original Medicare bills
Anesthesia for electroshock therapy21$2,490$80

Procedures year by year

Procedures billed to Original Medicare by year
Procedure2021202220232024
Insertion of artery tube for blood sampling or infusion through skin–12––

Times billed to Original Medicare each year. A blank year means fewer than 11 people had it, or none: Medicare does not publish smaller counts. Medicare Advantage patients are not included.

Who their Medicare patients are

130 Original Medicare patients in 2024. Average age 71 · Under 65 16% · 85 and older 9% · Women 49% · Also on Medicaid 20% · Health risk score 1.58. Above the middle of the specialty; the typical certified registered nurse anesthetist (crna) clinician is at 1.45.

Conditions among them: High blood pressure 74% · Depression 44% · Diabetes 41% · Chronic kidney disease 35% · Coronary heart disease 30% · Atrial fibrillation 30% · Heart failure 27% · COPD 23% · Cancer 22% · Stroke 9%.

The office billed $162,616, Medicare allowed $29,438 and paid $23,157; for 142 services of 46 kinds.

Original Medicare patients only. A risk score of 1.0 is the average Medicare patient; higher means sicker. Any count under 11 is hidden.

Year by year

Original Medicare by year
2024130142711.58$162,616$23,157
2023163170711.86$209,457$29,779
2022143152731.59$184,284$28,125
20211212671.52$11,074$1,632

Original Medicare only. A service billed for fewer than 11 people in a year is hidden, so the lines can add up to less than the year's total.

See the services billed each year

2023: 3 services

Original Medicare services billed in 2023
Anesthesia for procedure for total knee joint replacement12$2,985$249
Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope17$2,147$126
Anesthesia for other procedure on large bowel using an endoscope15$993$66

2022: 3 services

Original Medicare services billed in 2022
Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope19$2,283$120
Anesthesia for other procedure on large bowel using an endoscope11$1,157$105
Insertion of artery tube for blood sampling or infusion through skin11$408$34

Checkups this office reported

Medicare did not publish checkup rates for this clinician.

Medicare’s overall office score
83.0 / 100
Scores the office’s reporting and systems. It is not a grade for how the doctor treats you.

Professional record

NPI
1578210076
Licence
ND R43357
Group
Sanford Medical Center Fargo · Centracare Clinic Southwest LLC
Gender
Male
More record details
Sole proprietor
Yes
Taxonomy
Federal specialty code 367500000X (367500000X)
Mailing address
Po Box 5074, Sioux Falls, SD, 57117
NPI first listed
2022-03-04
NPI last updated
2022-04-15
NPI record certified
2022-04-15

This is when the NPI record was last certified, not a medical board exam.

Extra NPI addresses: 801 Broadway N, Fargo, ND, 58102