DR. ANDREW JAY ERIE M.D.
NPI 1013356781
Radiology - Diagnostic Radiology in Sioux Falls, SD
About Dr. Andrew Jay Erie M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. ANDREW JAY ERIE M.D. (NPI 1013356781) is an individual diagnostic radiology provider in Sioux Falls, South Dakota, licensed in South Dakota (11490) and active in the NPI registry since June 2013. He is enrolled in Medicare PECOS, is affiliated with Sanford Sheldon Medical Center, and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Andrew Jay Erie M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Andrew Erie reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Sioux Falls, SD 57104
- Reassigned Medicare billing, South Dakota enrollment
- 826 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 76
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Sanford Sheldon Medical Center
Critical Access Hospitals · Sheldon, IASanford Worthington Medical Center
Acute Care Hospitals · Worthington, MNOrtonville Area Health Services
Critical Access Hospitals · Ortonville, MNUnited Hospital District
Critical Access Hospitals · Blue Earth, MNSanford Usd Medical Center
Acute Care Hospitals · Sioux Falls, SDPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 57104 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 18
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SIOUX FALLS, SD 57104
SIOUX FALLS, SD 57104
SIOUX FALLS, SD 57104
SIOUX FALLS, SD 57104
SIOUX FALLS, SD 57104
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Andrew Erie's NPI number?
The NPI number for Andrew Erie is 1013356781. It was assigned to this individual provider in the NPPES registry on June 17, 2013.
Where is Andrew Erie located?
Andrew Erie practices at 1210 W 18th St Ste Ll03, Sioux Falls, SD 57104. The listed phone number is (605) 328-1410.
What is Andrew Erie's specialty?
The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.
Is Andrew Erie enrolled in Medicare?
Yes. Andrew Erie is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Andrew Erie's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Andrew Erie reassigns Medicare benefits to Sanford Clinic (Sioux Falls, SD). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Andrew Erie's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Andrew Erie accept?
Health plans from Wellmark Health Plan of Iowa, Inc. and Wellmark of South Dakota, Inc. list Andrew Erie as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Andrew Erie affiliated with any hospitals?
According to CMS data, Andrew Erie is affiliated with Sanford Sheldon Medical Center, Sanford Worthington Medical Center, Ortonville Area Health Services, United Hospital District and Sanford Usd Medical Center.
When was this NPI record last updated?
The NPPES record for Andrew Erie was last updated on October 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.