1. Home
  2. Directory
  3. South Dakota
  4. Sioux Falls
  5. Otolaryngology
  6. NPI Profile

MARK JAMES JAMESON MD PHD
NPI 1073564993
Otolaryngology in Sioux Falls, SD

Active since May 15, 2006PECOS EnrolledAccepts Medicare Assignment
1417 S CLIFF AVE STE 300, SIOUX FALLS, SD 57105(605) 504-3000(605) 504-3001 Get Directions Write a Review

NPPES record last updated: February 1, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 1, 2022, Jul 31, 2021, Oct 13, 2020 (3 updates tracked since 2020).

About Mark James Jameson Md Phd NPPES

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

MARK JAMES JAMESON MD PHD (NPI 1073564993) is an individual otolaryngology provider in Sioux Falls, South Dakota, licensed in South Dakota (13192) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Lakes Regional Healthcare, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1073564993
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameMARK JAMES JAMESONCredential: MD PHD
Location Address1417 S CLIFF AVE STE 300Sioux Falls, SD 57105-1062
Mailing Address1417 S Cliff Ave Ste 300Sioux Falls, SD 57105-1062 · (605) 504-3000 · Fax (605) 504-3001
Phone(605) 504-3000
Fax(605) 504-3001
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateMay 15, 2006
Last NPPES UpdateFebruary 1, 20223 updates tracked since enumeration
NPPES CertifiedFebruary 1, 2022
✔ NPI 1073564993 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
Licenses✔ Licensed in SD · 13192✔ Licensed in VA · 0101241309
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
1417 S CLIFF AVE STE 300, Sioux Falls, SD 57105
Open in Google Maps ↗

Other Names 1

Former Name (1)Mark James Horney

Other Identifiers 4

OtherP00347197IA · Medicare Railroad
Other20003IA · Wellmark Bcbs
Medicaid1073564993VA
Medicaid0487819IA

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mark James Jameson Md Phd 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 ID7416967088
PECOS Enrollment IDI20220224002633
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Mark Jameson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Avera Mckennan
Same address
Maternal & Fetal Medicine
1417 S. CLIFF AVE., STE. 100
Sioux Falls, SD 57105
  • Reassigned Medicare billing, South Dakota enrollment
  • 1,277 clinicians in this Medicare group
NPI 1205808748 (605) 322-8937
University Of Virginia Physicians Group
1,025 mi
Neuromusculoskeletal Medicine, Sports Medicine
4105 LEWIS AND CLARK DR
Charlottesville, VA 22911
  • Reassigned Medicare billing, Virginia enrollment
  • 2,820 clinicians in this Medicare group
NPI 1033138250 (434) 295-1000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 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.
119 services68 patients
Diagnostic exam of voice box using a flexible endoscope 31575
This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.
75 services43 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.
39 services35 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.
33 services33 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.
28 services25 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.
26 services26 patients

Hospital Affiliations CMS Care Compare 5

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

Lakes Regional Healthcare

Acute Care Hospitals · Spirit Lake, IA
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number160124
Location2301 Highway 71Spirit Lake, IA 51360 · Dickinson County
Emergency services Birthing friendly

Pipestone County Medical Center

Critical Access Hospitals · Pipestone, MN
OwnershipGovernment - Local
CMS Certification Number241374
Location916 4th Avenue SouthwestPipestone, MN 56164 · Pipestone County
Emergency services

Avera Sacred Heart Hospital

Acute Care Hospitals · Yankton, SD
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number430012
Location501 Summit StYankton, SD 57078 · Yankton County
Emergency services Birthing friendly

Avera St Lukes

Acute Care Hospitals · Aberdeen, SD
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number430014
Location305 S State St Post Office Box 4450Aberdeen, SD 57401 · Brown County
Emergency services Birthing friendly

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
$126.78 typical visit price
range $55.52 – $167.23
Typical copayment $31.69 (range $13.88 – $41.80)
Most-billed visit code 99204
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.

Filter holder and integrated filter without adhesive, for use in a tracheostoma heat and moisture exchange system, each A7507
DME-Orthotic Devices · category DF000N
1 supplier11 claims840 services$2.01 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 7

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

KRISTEN LEIGH SELIGMAN COFFROTH MD
Surgery
1417 S CLIFF AVE STE 300
SIOUX FALLS, SD 57105
Minnehaha County (605) 504-3000
BENJAMIN GILLETTE DO
Student in an Organized Health Care Education/Training Program
1417 S CLIFF AVE STE 300
SIOUX FALLS, SD 57105
Minnehaha County (605) 504-3000
ALICIA ALI KHATT KUYPER PA-C
Physician Assistant
1417 S CLIFF AVE STE 300
SIOUX FALLS, SD 57105
Minnehaha County (605) 504-3037
AVERA MCKENNAN
Otolaryngology
1417 S CLIFF AVE STE 300
SIOUX FALLS, SD 57105
Minnehaha County (605) 504-3000
MISS MADISON MARIE FREIDEL CNP
Nurse Practitioner (Family)
1417 S CLIFF AVE STE 300
SIOUX FALLS, SD 57105
Minnehaha County (605) 504-3000
JENA BURGESS BSN, MSN, CNP
Nurse Practitioner (Family)
1417 S CLIFF AVE STE 300
SIOUX FALLS, SD 57105
Minnehaha County (605) 322-8630
MRS. HALEY JO BROWN M.S.,CCC-SLP
Speech-Language Pathologist
1417 S CLIFF AVE STE 300
SIOUX FALLS, SD 57105
Minnehaha County (605) 504-3042

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 Mark Jameson's NPI number?

The NPI number for Mark Jameson is 1073564993. It was assigned to this individual provider in the NPPES registry on May 15, 2006. The provider is also known as Mark James Horney.

Where is Mark Jameson located?

Mark Jameson practices at 1417 S Cliff Ave Ste 300, Sioux Falls, SD 57105. The listed phone number is (605) 504-3000.

What is Mark Jameson's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Mark Jameson enrolled in Medicare?

Yes. Mark Jameson 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.

Which organizations bill Medicare for Mark Jameson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mark Jameson reassigns Medicare benefits to 2 organizations: Avera Mckennan (Sioux Falls, SD) and University Of Virginia Physicians Group (Charlottesville, VA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mark Jameson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mark Jameson accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Sunflower Health Plan, Avera Health Plans and Wellmark Health Plan of Iowa, Inc. and 1 other insurer list Mark Jameson 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 Mark Jameson affiliated with any hospitals?

According to CMS data, Mark Jameson is affiliated with Lakes Regional Healthcare, Pipestone County Medical Center, Avera Sacred Heart Hospital, Avera St Lukes and Avera Mckennan Hospital & University Health Center.

When was this NPI record last updated?

The NPPES record for Mark Jameson was last updated on February 1, 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.