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MELVIN WALLINGA M.D.
NPI 1053355669
Family Medicine in Tyndall, SD

Active since June 15, 2006PECOS EnrolledAccepts Medicare Assignment
92.59/100
CMS Quality Rating
410 WEST 16TH AVE, TYNDALL, SD 57066(605) 589-3341(605) 589-3288 Get Directions Write a Review

NPPES record last updated: August 25, 2020. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Aug 25, 2020, May 21, 2019, Oct 9, 2018 (3 updates tracked since 2018).

About Melvin Wallinga M.d. NPPES

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

MELVIN WALLINGA M.D. (NPI 1053355669) is an individual family medicine provider in Tyndall, South Dakota, licensed in South Dakota (5033) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with St Michael's Hospital - Cah, and is a graduate of University Of Iowa, Rj & L Carver College Of Medicine (1981).

NPPES Registry Identity

NPI1053355669
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMELVIN WALLINGACredential: M.D.
Location Address410 WEST 16TH AVETyndall, SD 57066-0027
Mailing AddressBon Homme Family Practice, 410 W 16th AveTyndall, SD 57066-2318 · (605) 589-2190 · Fax (605) 589-2115
Phone(605) 589-3341
Fax(605) 589-3288
Sole ProprietorNo
Medical School CMSUniversity Of Iowa, Rj & L Carver College Of MedicineGraduated 1981
Enumeration DateJune 15, 2006
Last NPPES UpdateAugust 25, 20203 updates tracked since enumeration
NPPES CertifiedAugust 25, 2020
✔ NPI 1053355669 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in SD · 5033
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
410 WEST 16TH AVE, Tyndall, SD 57066
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Other Identifiers 3

Medicaid5601810SD
Other4996770SD · Bcbs
Other9205043SD · Dakotacare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter Health and more.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

Melvin Wallinga 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.

PECOS PAC ID2961528229
PECOS Enrollment IDI20100924000237
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.

Hospital Affiliations CMS Care Compare

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

St Michael's Hospital - Cah

Critical Access Hospitals · Tyndall, SD
OwnershipGovernment - Local
CMS Certification Number431327
Location410 W 16th AveTyndall, SD 57066 · Bon Homme County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57066 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
$97.88 typical visit price
range $18.08 – $137.08
Typical copayment $24.47 (range $4.52 – $34.27)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

92.59/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality88.72
Promoting Interoperability96
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 8

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
2 suppliers24 claims39 services$5.57 avg. paid by Medicare
Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each A4385
DME-Orthotic Devices · category DF010N
1 supplier12 claims480 services$4.71 avg. paid by Medicare
Ostomy skin barrier, pectin-based, paste, per ounce A4406
DME-Orthotic Devices · category DF010N
1 supplier12 claims48 services$5.31 avg. paid by Medicare
Ostomy pouch, drainable; with barrier attached, (1 piece), each A5061
DME-Orthotic Devices · category DF010N
1 supplier12 claims120 services$2.57 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
2 suppliers11 claims57 services$2.76 avg. paid by Medicare
Humidifier, heated, used with positive airway pressure device E0562
DME-Other DME · category DE001N
2 suppliers20 claims20 services$16.96 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Melvin Wallinga's NPI number?

The NPI number for Melvin Wallinga is 1053355669. It was assigned to this individual provider in the NPPES registry on June 15, 2006.

Where is Melvin Wallinga located?

Melvin Wallinga practices at 410 West 16th Ave, Tyndall, SD 57066. The listed phone number is (605) 589-3341.

What is Melvin Wallinga's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Melvin Wallinga enrolled in Medicare?

Yes. Melvin Wallinga 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 Melvin Wallinga accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Avera Health Plans and 3 other insurers list Melvin Wallinga 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 Melvin Wallinga affiliated with any hospitals?

According to CMS data, Melvin Wallinga is affiliated with St Michael's Hospital - Cah.

When was this NPI record last updated?

The NPPES record for Melvin Wallinga was last updated on August 25, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.