SCOTT A MCPHERSON
NPI 1013993195
Orthopaedic Surgery - Hand Surgery in Sioux Falls, SD

Active since December 20, 2005PECOS EnrolledAccepts Medicare Assignment
810 E 23RD ST, SIOUX FALLS, SD 57105(605) 331-5890(605) 336-3974 Get Directions Write a Review

NPPES record last updated: May 7, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 7, 2020, Feb 3, 2020, Nov 25, 2019 and 1 more (4 updates tracked since 2018).

About Scott A Mcpherson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SCOTT A MCPHERSON (NPI 1013993195) is an individual hand surgery provider in Sioux Falls, South Dakota, licensed in South Dakota (7703) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with Avera Mckennan Hospital & University Health Center, and is a graduate of University Of Minnesota Medical School (1981).

NPPES Registry Identity

NPI1013993195
Entity TypeIndividualMale
Primary Taxonomy207XS0106X
Provider Legal NameSCOTT A MCPHERSON
Location Address810 E 23RD STSioux Falls, SD 57105-2135
Mailing Address910 E 20th StSioux Falls, SD 57105-1012 · (605) 334-6730 · Fax (605) 444-8431
Fax(605) 336-3974
Sole ProprietorNo
Medical School CMSUniversity Of Minnesota Medical SchoolGraduated 1981
Enumeration DateDecember 20, 2005
Last NPPES UpdateMay 7, 20204 updates tracked since enumeration
NPPES CertifiedMay 7, 2020
NPI 1013993195 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyOrthopaedic Surgery · Hand SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207XS0106X
License Licensed in SD · 7703
Definition

An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist.

Also ListedSpecialistTaxonomy 174400000X · License 7703 (SD)
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License 7703 (SD)
810 E 23RD ST, Sioux Falls, SD 57105

Other Identifiers 2

Medicaid6402640SD
OtherP01139957SD · Rr Medicare

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Scott A Mcpherson 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.

PECOS PAC ID2860423761
PECOS Enrollment IDI20050830000455, I20121119000572
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 11

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
85 services68 patients
Release and/or relocation of hand nerve 64721
This procedure involves adjusting or moving a nerve in your hand to alleviate discomfort or improve function. The nerve may be compressed, causing pain or numbness. By releasing or relocating the nerve, these symptoms can be reduced, enhancing hand usage.
51 services50 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
50 services46 patients
Incision of tendon covering of finger 26055
This procedure involves making a small cut into the protective sheath around a finger tendon. It's typically done to relieve pressure or inflammation, improve finger movement, or treat conditions like trigger finger. It's a safe, often outpatient procedure.
31 services17 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
30 services30 patients
Aspiration and/or injection of fluid from small joint 20600
This procedure involves inserting a thin needle into a small joint to remove (aspirate) or inject fluid. It can help diagnose conditions, relieve discomfort, or administer medication directly into the joint. It's generally safe with minimal discomfort.
28 services19 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Avera Mckennan Hospital & University Health Center

Acute Care Hospitals · Sioux Falls, SD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number430016
Location1325 S Cliff AveSioux Falls, SD 57117 · Minnehaha County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57105 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.21 typical visit price
range $55.52 – $167.23
Typical copayment $21.30 (range $13.88 – $41.80)
Most-billed visit code 99203
Established Patient
$69.20 typical visit price
range $18.08 – $137.08
Typical copayment $17.30 (range $4.52 – $34.27)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Wrist hand orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment L3906
DME-Orthotic Devices · category DF000N
1 supplier15 claims15 services$304.70 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
810 E 23RD ST
SIOUX FALLS, SD 57105
Orthopaedic Surgery
810 E 23RD ST
SIOUX FALLS, SD 57105
Physician Assistant (Surgical)
810 E 23RD ST
SIOUX FALLS, SD 57105
Physical Therapist
810 E 23RD ST
SIOUX FALLS, SD 57105
Physician Assistant
810 E 23RD ST
SIOUX FALLS, SD 57105
Orthopaedic Surgery
810 E 23RD ST
SIOUX FALLS, SD 57105
Physician Assistant
810 E 23RD ST
SIOUX FALLS, SD 57105
Orthopaedic Surgery
810 E 23RD ST
SIOUX FALLS, SD 57105

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 Scott Mcpherson's NPI number?

The NPI number for Scott Mcpherson is 1013993195. It was assigned to this individual provider in the NPPES registry on December 20, 2005.

Where is Scott Mcpherson located?

Scott Mcpherson practices at 810 E 23rd St, Sioux Falls, SD 57105. The listed phone number is (605) 331-5890.

What is Scott Mcpherson's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Hand Surgery, with taxonomy code 207XS0106X.

Is Scott Mcpherson enrolled in Medicare?

Yes. Scott Mcpherson 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.

What insurance does Scott Mcpherson accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Avera Health Plans list Scott Mcpherson 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 Scott Mcpherson affiliated with any hospitals?

According to CMS data, Scott Mcpherson is affiliated with Avera Mckennan Hospital & University Health Center.

When was this NPI record last updated?

The NPPES record for Scott Mcpherson was last updated on May 7, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.