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BRIAN KEITH DUXBURY DO
NPI 1093210965
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Sioux Falls, SD

Active since March 24, 2018PECOS EnrolledAccepts Medicare Assignment
4520 W 69TH ST, SIOUX FALLS, SD 57108(605) 977-5000(605) 977-5377 Get Directions Write a Review

NPPES record last updated: September 8, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 8, 2025, Jun 9, 2023, Mar 24, 2018 (3 updates tracked since 2018).

About Brian Keith Duxbury Do NPPES

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

BRIAN KEITH DUXBURY DO (NPI 1093210965) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in Sioux Falls, South Dakota, licensed in South Dakota (17169) and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS, is affiliated with Brookings Health System, and is a graduate of Campbell Univ School Of Osteopathic Medicine (2018).

NPPES Registry Identity

NPI1093210965
Entity TypeIndividualMale
Primary Taxonomy208G00000X
Provider Legal NameBRIAN KEITH DUXBURYCredential: DO
Location Address4520 W 69TH STSioux Falls, SD 57108-8148
Mailing Address4520 W 69th StSioux Falls, SD 57108-8148 · (605) 977-5000 · Fax (605) 977-5377
Phone(605) 977-5000
Fax(605) 977-5377
Sole ProprietorNo
Medical School CMSCampbell Univ School Of Osteopathic MedicineGraduated 2018
Enumeration DateMarch 24, 2018
Last NPPES UpdateSeptember 8, 20253 updates tracked since enumeration
NPPES CertifiedSeptember 8, 2025
✔ NPI 1093210965 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians
Taxonomy Code208G00000X
License✔ Licensed in SD · 17169
Definition
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
4520 W 69TH ST, Sioux Falls, SD 57108
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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

Brian Keith Duxbury 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 ID345598314
PECOS Enrollment IDI20260102001395
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 Reassignment

Medicare enrollment records show Brian Duxbury reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Heart Hospital Of South Dakota LLC
Same address
Cardiovascular Disease
4520 W 69TH ST
Sioux Falls, SD 57108
  • Reassigned Medicare billing, South Dakota enrollment
  • 61 clinicians in this Medicare group
NPI 1407109705 (605) 977-5000

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

Hospital Affiliations CMS Care Compare 4

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

Brookings Health System

Acute Care Hospitals · Brookings, SD
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number430008
Location300 22nd AveBrookings, SD 57006 · Brookings County
Emergency services Birthing friendly

Avera St Mary's Hospital

Acute Care Hospitals · Pierre, SD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number430015
Location801 E SiouxPierre, SD 57501 · Hughes 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

Avera Heart Hospital Of South Dakota

Acute Care Hospitals · Sioux Falls, SD
5/5 CMS rating
OwnershipProprietary
CMS Certification Number430095
Location4500 W 69th StSioux Falls, SD 57108 · Lincoln County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57108 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
$167.23 typical visit price
range $55.52 – $167.23
Typical copayment $41.80 (range $13.88 – $41.80)
Most-billed visit code 99205
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.

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.

KELLY J STEFFEN DO
Internal Medicine (Cardiovascular Disease)
4520 W 69TH ST
SIOUX FALLS, SD 57108
Lincoln County (605) 977-5000
DR. ANURAG BAJAJ M.D.
Internal Medicine (Cardiovascular Disease)
4520 W 69TH ST
SIOUX FALLS, SD 57108
Lincoln County (605) 977-5000
MARY ANN MARIE SHERMAN PAC
Physician Assistant
4520 W 69TH ST
SIOUX FALLS, SD 57108
Lincoln County (605) 977-5000
STEPHANIE PREISTER
Nurse Practitioner (Family)
4520 W 69TH ST
SIOUX FALLS, SD 57108
Lincoln County (605) 977-5000
DR. PAUL E MEYER MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
4520 W 69TH ST
SIOUX FALLS, SD 57108
Lincoln County (605) 977-5000
HOLLI MARIE BAAN HOFMAN CNP
Nurse Practitioner (Family)
4520 W 69TH ST
SIOUX FALLS, SD 57108
Lincoln County (605) 977-5000
DR. MARK D FAUSCH MD
Internal Medicine (Cardiovascular Disease)
4520 W 69TH ST
SIOUX FALLS, SD 57108
Lincoln County (605) 977-5000
DR. DUSTIN JAMES WEISS M.D.
Surgery (Vascular Surgery)
4520 W 69TH ST
SIOUX FALLS, SD 57108
Lincoln County (605) 977-5000

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 Brian Duxbury's NPI number?

The NPI number for Brian Duxbury is 1093210965. It was assigned to this individual provider in the NPPES registry on March 24, 2018.

Where is Brian Duxbury located?

Brian Duxbury practices at 4520 W 69th St, Sioux Falls, SD 57108. The listed phone number is (605) 977-5000.

What is Brian Duxbury's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Is Brian Duxbury enrolled in Medicare?

Yes. Brian Duxbury 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 organization bills Medicare for Brian Duxbury's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brian Duxbury reassigns Medicare benefits to Heart Hospital Of South Dakota LLC (Sioux Falls, SD). The 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 Brian Duxbury's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Brian Duxbury 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 Brian Duxbury 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 Brian Duxbury affiliated with any hospitals?

According to CMS data, Brian Duxbury is affiliated with Brookings Health System, Avera St Mary's Hospital, Avera Mckennan Hospital & University Health Center and Avera Heart Hospital Of South Dakota.

When was this NPI record last updated?

The NPPES record for Brian Duxbury was last updated on September 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.