DR. THOMAS H FLESHER III M.D.
NPI 1053407619
Orthopaedic Surgery in Sioux Falls, SD

Active since October 04, 2006PECOS EnrolledAccepts Medicare Assignment
82.28/100
CMS Quality Rating
1210 W 18TH ST STE G01, SIOUX FALLS, SD 57104(605) 328-3944 Get Directions Write a Review

NPPES record last updated: March 28, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 3, 2022, Mar 17, 2018, Mar 6, 2018 (3 updates tracked since 2018).

About Dr. Thomas H Flesher Iii M.d. NPPES

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

DR. THOMAS H FLESHER III M.D. (NPI 1053407619) is an individual orthopaedic surgery provider in Sioux Falls, South Dakota, licensed in South Dakota (10375) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Sanford Canby Medical Center, and maintains a secondary practice location in Oklahoma City.

NPPES Registry Identity

NPI1053407619
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. THOMAS H FLESHER IIICredential: M.D.
Location Address1210 W 18TH ST STE G01Sioux Falls, SD 57104-4651
Mailing AddressPo Box 5074Sioux Falls, SD 57117-5074
Sole ProprietorNo
Medical School CMSOklahoma State University College Of Osteopathic MedicineGraduated 1977
Enumeration DateOctober 4, 2006
Last NPPES UpdateMarch 28, 20223 updates tracked since enumeration
NPPES CertifiedMarch 28, 2022
NPI 1053407619 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Licenses Licensed in SD · 10375 Licensed in OK · 13455
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
1210 W 18TH ST STE G01, Sioux Falls, SD 57104

Secondary Practice Location 1

Location 13301 NW 50th StOklahoma City, OK 73112-5627 · Phone (405) 947-0911

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

Dr. Thomas H Flesher Iii 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 ID2163458712
PECOS Enrollment IDI20180302000051, I20190211003211, I20210727001045
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 7

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.
75 services51 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
70 services45 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
70 services15 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
46 services46 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
26 services20 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.
24 services19 patients

Hospital Affiliations CMS Care Compare 5

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

Sanford Canby Medical Center

Critical Access Hospitals · Canby, MN
OwnershipGovernment - Hospital District or Authority
CMS Certification Number241347
Location112 St Olaf Avenue SouthCanby, MN 56220 · Yellow Medcine 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

Pioneer Memorial Hospital - Cah

Critical Access Hospitals · Viborg, SD
OwnershipVoluntary non-profit - Private
CMS Certification Number431328
Location315 N Washington Ave Post Office Box 368Viborg, SD 57070 · Turner County
Emergency services

Sanford Chamberlain Medical Center

Critical Access Hospitals · Chamberlain, SD
OwnershipVoluntary non-profit - Private
CMS Certification Number431329
Location300 S ByronChamberlain, SD 57325 · Brule County
Emergency services

Sanford Vermillion Hospital

Critical Access Hospitals · Vermillion, SD
OwnershipVoluntary non-profit - Private
CMS Certification Number431336
Location20 South Plum StreetVermillion, SD 57069 · Clay County
Emergency services

Physician 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.

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.

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.

82.28/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality88.81
Promoting Interoperability99
Improvement Activities40
Cost52.95

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.

Orthopaedic Surgery (Hand Surgery)
1210 W 18TH ST STE G01
SIOUX FALLS, SD 57104
Physician Assistant
1210 W 18TH ST STE G01
SIOUX FALLS, SD 57104
Physical Therapist
1210 W 18TH ST STE G01
SIOUX FALLS, SD 57104
Orthopaedic Surgery
1210 W 18TH ST STE G01
SIOUX FALLS, SD 57104
Physical Therapist
1210 W 18TH ST STE G01
SIOUX FALLS, SD 57104
Orthopaedic Surgery
1210 W 18TH ST STE G01
SIOUX FALLS, SD 57104
Nurse Practitioner (Family)
1210 W 18TH ST STE G01
SIOUX FALLS, SD 57104
Physical Therapist
1210 W 18TH ST STE G01
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 Thomas Flesher's NPI number?

The NPI number for Thomas Flesher is 1053407619. It was assigned to this individual provider in the NPPES registry on October 4, 2006.

Where is Thomas Flesher located?

Thomas Flesher practices at 1210 W 18th St Ste G01, Sioux Falls, SD 57104. The listed phone number is (605) 328-3944.

What is Thomas Flesher's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Thomas Flesher enrolled in Medicare?

Yes. Thomas Flesher 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 Flesher accept?

Health plans from Medica, Oscar Insurance Company, Sanford Health Plan and Security Health Plan list Thomas Flesher 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 Flesher affiliated with any hospitals?

According to CMS data, Thomas Flesher is affiliated with Sanford Canby Medical Center, Sanford Usd Medical Center, Pioneer Memorial Hospital - Cah, Sanford Chamberlain Medical Center and Sanford Vermillion Hospital.

When was this NPI record last updated?

The NPPES record for Thomas Flesher was last updated on March 28, 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.