Health care · Small-town market · South Dakota
Medical and dental practices in the Spearfish, SD area
The medical and dental practices in the Spearfish, SD area, the household spending behind them and how the market ranks against other small-town markets.
Groundwork market score · out of 100
Score 46 out of 100: Lower middle
Ranked #319 of 538 scored small-town markets
#7 of 9 scored small-town markets based in South Dakota
- Listings
- 132
- 11 chain locations (8%)
- Official establishments
- 42
- +10.5% since 2019
- Household spending a year
- $16.4M
- On medical and dental services · $1,365 a household
- Spending per listing
- $125K
- 18% below the U.S.
- Listings per 10k households
- 109.5
- 30% above the U.S.
- Population, 2025
- 29,459
- +14.0% since 2020
See the medical and dental practices around any address in the Spearfish area
The site report maps the medical and dental practices on map listings near the address, by name and distance, and sizes the households and spending around it. Or open the report at the center of the Spearfish area. Signed out, you see a blurred preview; on an account, each report is one action.
Free10 actions over 3 days, no cardSurvey estimates 2020–2024 · population estimates 2025 · official business counts 2023 · map listings September 2026 · Data credits · How we measure
What this means
At $1,365 per household (6% above the U.S. average), households in the Spearfish area spend about $16.4M a year on medical and dental services. That works out to $125K per practice, 18% below the U.S. figure of $152K.
The Spearfish area has 132 medical and dental practices on map listings as of September 2026. Chain locations make up 8% of them, against 11% across the U.S. That comes to 109.5 for every 10,000 households, 30% above the U.S. rate of 84.5.
In 2023, official counts showed 42 businesses with payroll in the Spearfish area classed as offices of physicians, dentists, chiropractors, optometrists and therapists, and urgent care centers, up 10.5% from 2019. That is one for every 287 households, against one for every 270 across the U.S. Another 25 one-person businesses have no payroll, by official counts.
Population estimates show the Spearfish area grew 14.0% from 2020 to 2025, faster than the U.S. (+3.1%). For medical and dental practices, the Spearfish area has a Groundwork market score of 46 (lower middle): #319 of 538 scored small-town markets and #7 of 9 scored small-town markets based in South Dakota.
How the Spearfish area compares
The same measures for South Dakota and the whole U.S. Spending per listing divides a year of household spending on all medical and dental services by the medical and dental practices counted, so it measures the demand for each competitor, not any business’s revenue. Households per establishment does the same with the official count.
| Measure | Spearfish area | South Dakota | U.S. |
|---|---|---|---|
| Listings per 10k households | 109.5 | 74.6 | 84.5 |
| Spending per listing | $125K | $188K | $152K |
| Households per official establishment | 287 | 312 | 270 |
| Official establishment growth, 2019–2023 | +10.5% | +12.3% | +1.5% |
| Population growth, 2020–2025 | +14.0% | +5.3% | +3.1% |
| Spending per household on medical and dental services | $1,365 | $1,402 | $1,288 |
| Median household income | $73,384 | $75,081 | $80,734 |
| Groundwork market score | 46 | 77 |
Official counts and lending
Businesses
- Official establishments, 2019 to 2023
- 42+10.5% over the period
- Employees, 2023
- 470
- Annual payroll, 2023
- $40.8M
- One-person businesses, 2023
- 25Businesses with no payroll
- Map listings, September 2026
- 13211 chain locations
- Listings at the U.S. rate for this spending
- 108The U.S. ratio of listings to household spending, applied here
SBA-backed loans since fiscal 2022
- Loans
- 0
- Amount
- $0
SBA-backed loans to businesses classed as offices of physicians, dentists, chiropractors, optometrists and therapists, and urgent care centers in the Spearfish area, through June 2026, placed by the borrower’s ZIP code. Official establishments are businesses with payroll; the official counts leave out places with fewer than 3.
Population and households in the Spearfish area
- Population, 2025 estimate
- 29,459+14.0% since 2020
- Households
- 12,054
- Median age
- 44.5
- Homes lived in by their owners
- 65%
- Vehicles per household
- 2.1
- Land area
- 800 sq. mi.
- People per square mile
- 34
- Median household income
- $73,384+39.4% vs. 2015–2019, before inflation
- Average household income
- $94,174
- Median home value
- $346,500
- Jobs located here
- 13,155
- Daytime population
- 27,824Residents who don’t work, plus everyone whose job is here
Looking at a specific site in the Spearfish area?
These figures cover the whole small-town market. A site report draws rings around one address and counts what’s inside them: households, spending, jobs, and the medical and dental practices on map listings by name and distance.
Or open the report at the center of the Spearfish area. Signed out, you see a blurred preview; on an account, each report is one action.
Free10 actions over 3 days, no cardDoctors, dentists and clinics across South Dakota
Every South Dakota market ranked →The highest-scoring small-town markets in South Dakota for medical and dental practices, numbered among those based in South Dakota, with the Spearfish area marked.
Top small-town markets in South Dakota
| Market | Score | Listings | Per 10k households | Spending per listing | Population growth | U.S. rank |
|---|---|---|---|---|---|---|
| 1Huron, SD | 86 | 33 | 43.8 | $302K | +2.4% | #8 of 538 |
| 2Vermillion, SD | 72 | 25 | 45.1 | $284K | +0.2% | #68 of 538 |
| 3Brookings, SD | 71 | 88 | 63.8 | $214K | +9.6% | #82 of 538 |
| 4Mitchell, SD | 58 | 64 | 58.3 | $228K | +0.6% | #184 of 538 |
| 5Yankton, SD | 49 | 100 | 103.1 | $132K | +1.5% | #283 of 538 |
| 6Watertown, SD | 46 | 104 | 83.0 | $161K | +4.3% | #314 of 538 |
| 7Spearfish, SD | 46 | 132 | 109.5 | $125K | +14.0% | #319 of 538 |
| 8Pierre, SD | 45 | 74 | 86.6 | $167K | −0.5% | #328 of 538 |
| 9Aberdeen, SD | 42 | 143 | 79.8 | $173K | −1.5% | #347 of 538 |
Other business types in the Spearfish area
Each with its Groundwork market score here, out of 100, where it has one.
Food and drink
Groceries and convenience
Auto
Beauty and personal care
Fitness and classes
Health care
- Doctors, dentists and clinics46
- Dentists and orthodontists68
- Primary care and pediatrics75
- Urgent care and walk-in clinics
- Chiropractors45
- Physical therapy67
- Optometrists and eye care43
Child care
Clothing and laundry
Home services
Real estate
Funeral services
Questions
How many medical and dental practices are in the Spearfish, SD area?
Map listings as of September 2026 show 132 medical and dental practices in the Spearfish area. 11 of them (8%) are chain locations. The listings count every outpatient clinic and practice, and urgent care. Official counts show 42 businesses with payroll classed as offices of physicians, dentists, chiropractors, optometrists and therapists, and urgent care centers in 2023, up 10.5% from 2019. Official counts list 25 one-person businesses without payroll.
How much do households in the Spearfish, SD area spend on medical and dental services?
About $16.4M a year, or $1,365 per household. That is 6% above the U.S. average (an index of 106, where 100 is the U.S. average). Spread across the 132 medical and dental practices on map listings, it comes to $125K per practice. It is estimated from the incomes of the 12,054 households in the Spearfish area and national spending patterns by income.
How does the Spearfish, SD area compare with the U.S. for medical and dental practices?
The Spearfish area has 109.5 medical and dental practices per 10,000 households, 30% above the U.S. rate of 84.5. Spending per practice is $125K, 18% below the U.S. figure of $152K. At the U.S. ratio of medical and dental practices to household spending, the Spearfish area would have about 108, against 132 on map listings. There is one business with payroll in the industry for every 287 households, against one for every 270 across the U.S. The official count rose 10.5% from 2019 to 2023, against +1.5% for the U.S.
How fast is the Spearfish, SD area growing?
Population estimates put the Spearfish area at 29,459 people in 2025, up 14.0% since 2020, faster than the U.S. (+3.1%). It has 12,054 households. The median household income in the Spearfish area is $73,384 a year, 9% below the U.S. median of $80,734. That rose 39.4% from the 2015–2019 survey, before inflation.
What is the Groundwork market score?
The Groundwork market score runs from 0 to 100 and compares a market with others of its kind for one business type: states with states, metro areas with metro areas, small-town markets and counties with their own. A small-town market is a town of 10,000 to 50,000 people and the county or counties tied to it by commuting. It weighs household spending per competitor (35%), households per business with payroll (25%), population growth (20%) and spending power (20%), each ranked against those peers. A higher score means that, taken together, the market has more household spending and more households for each business already there, faster population growth and more spending per household than similar markets. It describes a market, not any one site or deal. The Spearfish area scores 46 for medical and dental practices (lower middle), #319 of 538 scored small-town markets.
How can I see the market around a specific site?
Run a Groundwork site report on an address in the Spearfish area. It maps the medical and dental practices on map listings near the site and sizes the households and spending within the distance you choose. New accounts get 10 actions over 3 days, no card.
How the score works · Top markets for medical and dental practices · All 56 business types in the Spearfish area
Screening a site or an acquisition in the Spearfish area?
A site report maps the competitors on map listings near an address and sizes the households and spending around it.
The button opens the report at the center of the Spearfish area. Signed out, you see a blurred preview; on an account, each report is one action.
This product uses the Census Bureau Data API but is not endorsed or certified by the Census Bureau.
Figures are estimates for research only. Not investment or real estate advice.