EDGARDO FORTUNO III DO
NPI 1053847152
Internal Medicine - Hospice and Palliative Medicine in Sioux Falls, SD

Q: What is Edgardo Fortuno's NPI number?

The NPI number for Edgardo Fortuno is 1053847152. It was assigned to this individual provider in the NPPES registry on May 10, 2017.

Q: What is Edgardo Fortuno's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hospice and Palliative Medicine, with taxonomy code 207RH0002X.

Q: When was this NPI record last updated?

The NPPES record for Edgardo Fortuno 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.

Active since May 10, 2017PECOS EnrolledAccepts Medicare Assignment

77.99/100

CMS Quality Rating

1309 W 17TH ST STE 101, SIOUX FALLS, SD 57104(605) 328-8000(605) 328-8001 Get Directions Write a Review

NPPES record last updated: March 28, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 21, 2021, Apr 10, 2018, May 10, 2017 (3 updates tracked since 2017).

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About Edgardo Fortuno Iii Do NPPES

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

EDGARDO FORTUNO III DO (NPI 1053847152) is an individual hospice and palliative medicine provider in Sioux Falls, South Dakota, licensed in South Dakota (12320) and active in the NPI registry since May 2017. He is enrolled in Medicare PECOS, is affiliated with Sanford Canby Medical Center, and is a graduate of Touro Un Col Of Osteopathic Medicine, New York (2017).

NPPES Registry Identity

NPI1053847152

Entity TypeIndividualMale

Primary Taxonomy207RH0002X

Provider Legal NameEDGARDO FORTUNO IIICredential: DO

Location Address1309 W 17TH ST STE 101Sioux Falls, SD 57104-8805

Mailing AddressPo Box 5074Sioux Falls, SD 57117-5074 · Fax (216) 445-1007

Phone(605) 328-8000

Fax(605) 328-8001

Sole ProprietorYes

Medical School CMSTouro Un Col Of Osteopathic Medicine, New YorkGraduated 2017

Enumeration DateMay 10, 2017

Last NPPES UpdateMarch 28, 20223 updates tracked since enumeration

NPPES CertifiedMarch 28, 2022

✔ NPI 1053847152 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Hospice and Palliative MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207RH0002X

License✔ Licensed in SD · 12320

Definition

An internal medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care.

Also ListedInternal MedicineTaxonomy 207R00000X · License 58.008242 (OH)

1309 W 17TH ST STE 101, 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

Edgardo Fortuno Iii Do 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 ID2365710373

PECOS Enrollment IDI20211007001497

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 6

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.

Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212

This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.

175 services62 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

132 services72 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

54 services54 patients

Advance care planning, first 30 minutes 99497

Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.

28 services25 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

23 services16 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.

21 services15 patients

Hospital Affiliations CMS Care Compare 3

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

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

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.

77.99/100

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

Scored as part of a group practice

Quality

80.13

Promoting Interoperability

Improvement Activities

Cost

47.35

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.

MATTHEW GRAHAM

Nurse Practitioner (Family)