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GERALD FLETCHER MD
NPI 1093207417
Internal Medicine - Gastroenterology in Sioux Falls, SD

Active since June 01, 2018PECOS EnrolledAccepts Medicare Assignment
1420 W 22ND ST STE 510, SIOUX FALLS, SD 57105(605) 328-8500 Get Directions Write a Review

NPPES record last updated: July 24, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Gerald Fletcher Md NPPES

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

GERALD FLETCHER MD (NPI 1093207417) is an individual gastroenterology provider in Sioux Falls, South Dakota, licensed in South Dakota (14857) and active in the NPI registry since June 2018. He is enrolled in Medicare PECOS, is affiliated with Sanford Usd Medical Center, and maintains a secondary practice location in New York.

NPPES Registry Identity

NPI1093207417
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameGERALD FLETCHERCredential: MD
Location Address1420 W 22ND ST STE 510Sioux Falls, SD 57105-1507
Mailing AddressPo Box 5074Sioux Falls, SD 57117-5074
Phone(605) 328-8500
Sole ProprietorYes
Medical School CMSOtherGraduated 2009
Enumeration DateJune 1, 2018
Last NPPES UpdateJuly 24, 2024
NPPES CertifiedJuly 24, 2024
✔ NPI 1093207417 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in SD · 14857
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1420 W 22ND ST STE 510, Sioux Falls, SD 57105
Open in Google Maps ↗

Secondary Practice Location 1

Location 1506 Lenox Ave Rm 14106New York, NY 10037-1889 · Phone (623) 262-6966

Accepted Insurance

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

Gerald Fletcher Md 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 ID941747190
PECOS Enrollment IDI20240806000263
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.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
38 services35 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
26 services26 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
26 services26 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
21 services19 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
18 services17 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
15 services15 patients

Hospital Affiliations CMS Care Compare

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

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

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
$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.

Other Providers at the Same Location NPPES 3

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

DR. AHMED KURDI M.D.
Internal Medicine (Gastroenterology)
1420 W 22ND ST STE 510
SIOUX FALLS, SD 57105
Minnehaha County (605) 328-8500
SANFORD CLINIC
Neurological Surgery
1420 W 22ND ST STE 510
SIOUX FALLS, SD 57105
Minnehaha County (605) 312-8500
DYLAN BLAKE WALDNER
Nurse Practitioner
1420 W 22ND ST STE 510
SIOUX FALLS, SD 57105
Minnehaha County (605) 333-1000

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 Gerald Fletcher's NPI number?

The NPI number for Gerald Fletcher is 1093207417. It was assigned to this individual provider in the NPPES registry on June 1, 2018.

Where is Gerald Fletcher located?

Gerald Fletcher practices at 1420 W 22nd St Ste 510, Sioux Falls, SD 57105. The listed phone number is (605) 328-8500.

What is Gerald Fletcher's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Gerald Fletcher enrolled in Medicare?

Yes. Gerald Fletcher 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 Gerald Fletcher accept?

Health plans from Medica and Sanford Health Plan list Gerald Fletcher 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 Gerald Fletcher affiliated with any hospitals?

According to CMS data, Gerald Fletcher is affiliated with Sanford Usd Medical Center.

When was this NPI record last updated?

The NPPES record for Gerald Fletcher was last updated on July 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.