DR. THOMAS MATTHEW BOETEL D.O.
NPI 1043276645
Physical Medicine & Rehabilitation - Pain Medicine in Sioux Falls, SD

Q: What is Thomas Boetel's NPI number?

The NPI number for Thomas Boetel is 1043276645. It was assigned to this individual provider in the NPPES registry on April 22, 2006.

Q: What is Thomas Boetel's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Pain Medicine, with taxonomy code 2081P2900X.

Q: When was this NPI record last updated?

The NPPES record for Thomas Boetel was last updated on April 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.

Active since April 22, 2006PECOS EnrolledAccepts Medicare Assignment

76.69/100

CMS Quality Rating

1210 W 18TH ST, SUITE 100, SIOUX FALLS, SD 57104(605) 312-8500(605) 312-8501 Get Directions Write a Review

NPPES record last updated: April 4, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 4, 2022, Mar 17, 2020 (2 updates tracked since 2020).

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About Dr. Thomas Matthew Boetel D.o. NPPES

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

DR. THOMAS MATTHEW BOETEL D.O. (NPI 1043276645) is an individual pain medicine provider in Sioux Falls, South Dakota, licensed in South Dakota (7154) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Sanford Worthington Medical Center, and is a graduate of Midwestern University, Chicago College Of Osteopathic Med (2000).

NPPES Registry Identity

NPI1043276645

Entity TypeIndividualMale

Primary Taxonomy2081P2900X

Provider Legal NameDR. THOMAS MATTHEW BOETELCredential: D.O.

Location Address1210 W 18TH ST, SUITE 100Sioux Falls, SD 57104-9890

Mailing AddressPo Box 5074Sioux Falls, SD 57117-5074 · (605) 328-1848 · Fax (605) 328-1898

Phone(605) 312-8500

Fax(605) 312-8501

Sole ProprietorNo

Medical School CMSMidwestern University, Chicago College Of Osteopathic MedGraduated 2000

Enumeration DateApril 22, 2006

Last NPPES UpdateApril 4, 20222 updates tracked since enumeration

NPPES CertifiedApril 4, 2022

✔ NPI 1043276645 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysical Medicine & Rehabilitation · Pain MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2081P2900X

License✔ Licensed in SD · 7154

Definition

A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.

Also ListedPhysical Medicine & RehabilitationTaxonomy 208100000X · License OS013636 (PA), 7154 (SD)

1210 W 18TH ST, Sioux Falls, SD 57104

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Sanford Health Plan, Security Health Plan.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

Dr. Thomas Matthew Boetel D.o. 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 ID7315914256

PECOS Enrollment IDI20080205000114

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 9

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 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.

352 services225 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.

219 services219 patients

Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level 64483

This procedure involves injecting a mix of numbing and anti-inflammatory medication into a specific nerve root in the lower back. It helps manage pain and reduce inflammation. The process is guided by imaging technology for precision.

89 services66 patients

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.

86 services79 patients

Injection of lower or sacral spine facet joint using imaging guidance, single level 64493

This procedure involves injecting medication into the facet joint in your lower back or sacral spine. It's done under imaging guidance to ensure accuracy. The aim is to alleviate pain and inflammation. It's a safe, often effective method for managing spinal discomfort.

23 services17 patients

Injection of lower or sacral spine facet joint using imaging guidance, second level 64494

This procedure involves injecting medication into the facet joints of your lower or sacral spine to manage pain. Imaging guidance ensures accurate placement. It's the second level, meaning it's done on two different joint levels.

22 services16 patients

Hospital Affiliations CMS Care Compare 5

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

Sanford Worthington Medical Center

Acute Care Hospitals · Worthington, MN

OwnershipVoluntary non-profit - Private

CMS Certification Number240022

Location1018 Sixth Avenue PO Box 997Worthington, MN 56187 · Nobles County

Emergency services Birthing friendly

Sanford Luverne Medical Center

Critical Access Hospitals · Luverne, MN

OwnershipVoluntary non-profit - Private

CMS Certification Number241371

Location1600 N Kniss AvenueLuverne, MN 56156 · Rock County

Emergency services

Sanford Usd Medical Center

Acute Care Hospitals · Sioux Falls, SD

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number430027

Location1305 W 18th St Post Office Box 5039Sioux Falls, SD 57117 · Minnehaha County

Emergency services Birthing friendly

Sanford Clear Lake Medical Center

Critical Access Hospitals · Clear Lake, SD

OwnershipVoluntary non-profit - Private

CMS Certification Number431307

Location701 Third Avenue SouthClear Lake, SD 57226 · Deuel County

Emergency services

Sanford Canton-Inwood Medical Center - Cah

Critical Access Hospitals · Canton, SD

OwnershipVoluntary non-profit - Private

CMS Certification Number431333

Location440 North Hiawatha DriveCanton, SD 57013 · Lincoln County

Emergency services

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.

76.69/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

78.56

Promoting Interoperability

Improvement Activities

Cost

44.56

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.

JOHN P REINSCHMIDT MD

Radiology (Diagnostic Radiology)

1210 W 18TH ST
SIOUX FALLS, SD 57104

Minnehaha County (605) 328-3150

EUGENIO B MATOS M.D.

Psychiatry & Neurology (Neurology)

1210 W 18TH ST, STE 100
SIOUX FALLS, SD 57104

Minnehaha County (605) 312-8500

DR. KHALIL A YOUSEF M.D.

Radiology (Diagnostic Radiology)

1210 W 18TH ST, STE LL03
SIOUX FALLS, SD 57104

Minnehaha County (605) 328-1410

JOHN ELMER FORRETTE JR. DPM

Podiatrist

1210 W 18TH ST
SIOUX FALLS, SD 57104

Minnehaha County (605) 328-1395

BRETT ALLEN BASTIAN PAC

Physician Assistant

1210 W 18TH ST, STE 104
SIOUX FALLS, SD 57104

Minnehaha County (605) 328-8660

DR. CHRISTOPHER JANSSEN

Physical Medicine & Rehabilitation (Pain Medicine)

1210 W 18TH ST, STE 100
SIOUX FALLS, SD 57104

Minnehaha County (605) 312-8500

DR. ADAM HAILES NICHOLS D.P.M.

Podiatrist (Foot & Ankle Surgery)

1210 W 18TH ST, SUITE G01
SIOUX FALLS, SD 57104

Minnehaha County (605) 328-2663

SHAHAD MURAD NP

Nurse Practitioner

1210 W 18TH ST
SIOUX FALLS, SD 57104

Minnehaha County (605) 328-2663

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 Thomas Boetel's NPI number?

The NPI number for Thomas Boetel is 1043276645. It was assigned to this individual provider in the NPPES registry on April 22, 2006.

Where is Thomas Boetel located?

Thomas Boetel practices at 1210 W 18th St Suite 100, Sioux Falls, SD 57104. The listed phone number is (605) 312-8500.

What is Thomas Boetel's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Pain Medicine, with taxonomy code 2081P2900X.

Is Thomas Boetel enrolled in Medicare?

Yes. Thomas Boetel 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 Thomas Boetel accept?

Health plans from Medica, Sanford Health Plan and Security Health Plan list Thomas Boetel 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 Thomas Boetel affiliated with any hospitals?

According to CMS data, Thomas Boetel is affiliated with Sanford Worthington Medical Center, Sanford Luverne Medical Center, Sanford Usd Medical Center, Sanford Clear Lake Medical Center and Sanford Canton-Inwood Medical Center - Cah.

When was this NPI record last updated?

The NPPES record for Thomas Boetel was last updated on April 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.