AVERA MEDICAL GROUP ORTHOPEDICS AND SPORTS MEDICINE
NPI 1093262131
Orthopaedic Surgery in Sioux Falls, SD

NPI Status: Active since September 07, 2016

Contact Information

6100 S LOUISE AVE STE 2100
SIOUX FALLS, SD
ZIP 57108
Phone: (605) 504-1100

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  • Organization
  • Orthopaedic Surgery
  • Accepts Insurance
  • Medicare Supplier
  • Accepts Medicare Approved Payment

About AVERA MEDICAL GROUP ORTHOPEDICS AND SPORTS MEDICINE

This page provides the complete NPI Profile along with additional information for Avera Medical Group Orthopedics And Sports Medicine, a provider established in Sioux Falls, South Dakota operating as a Orthopaedic Surgery. The healthcare provider is registered in the NPI registry with number 1093262131 assigned on September 2016. The practitioner's primary taxonomy code is 207X00000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's is doing business as Avera Medical Group Orthopedics And Sports Medicine. The authorized official of this NPI record is Ronald Place (Ceo/president)

NPI
1093262131
Provider Legal Name
AVERA MCKENNAN
Other Organization Name
AVERA MEDICAL GROUP ORTHOPEDICS AND SPORTS MEDICINE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
6100 S LOUISE AVE STE 2100 SIOUX FALLS, SD 57108
Location Phone
(605) 504-1100
Mailing Address
PO BOX 86370 SIOUX FALLS, SD 57118
Mailing Phone
(605) 322-7510
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-07-2016
Last Update Date
01-30-2024
Code Navigator



Avera Medical Group Orthopedics And Sports Medicine is a medicare supplier with PTAN 20667377 who accepts Medicare assignment for all durable medical equipment and supplies. The provider accepts the Medicare allowable as payment in full.The supplier carries the following product categories: Epoetin or Immunosuppressive Drugs or Nebulizer Drugs or Oral Anticancer Drugs or Oral Antiemetic Drugs.

Location Map

Secondary Locations

  • 6800 S Louise Ave
    Sioux Falls, SD 57108
    (605) 504-1100
  • 911 E 20th St Ste 300
    Sioux Falls, SD 57105
    (605) 504-1100

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Orthopaedic Surgery

Taxonomy Code
207X00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1332B00000XSuppliers

Durable Medical Equipment & Medical Supplies

 

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Complete Silver - EPO
  • Complete Silver + Vision + Adult Dental - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Everyday Gold - EPO
  • Everyday Gold + Vision + Adult Dental - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Gold - EPO
  • Elite Gold + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Everyday Gold - EPO
  • Everyday Gold + Vision + Adult Dental - EPO
  • Focused Silver - EPO
  • Focused Silver + Vision + Adult Dental - EPO
  • Choice Bronze HSA - EPO
  • Choice Bronze HSA + Vision + Adult Dental - EPO
  • Clear Gold - EPO
  • Clear Gold + Vision + Adult Dental - EPO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Elite Bronze - EPO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Clear Gold - EPO
  • Clear Gold + Vision + Adult Dental - EPO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Elite Silver - EPO
  • Elite Silver + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Focused Silver - EPO
  • Focused Silver + Vision + Adult Dental - EPO
  • ConnectPlus $0 Gold - PPO
  • ConnectPlus $0 Silver - PPO
  • ConnectPlus $10,600 HSA Eligible HDHP - PPO
  • ConnectPlus $1800 - PPO
  • ConnectPlus $4500 - PPO
  • ConnectPlus $6500 HSA Eligible HDHP - PPO
  • ConnectPlus $7500 HSA Eligible HDHP - PPO
  • ConnectPlus MyWeighForward $2000 - PPO
  • ConnectPlus MyWeighForward $6000 - PPO
  • ConnectPlus Standard $2000 - PPO
  • Medica Individual Choice Bronze $0 Copay PCP Visits - HMO
  • Medica Individual Choice Bronze Share - HMO
  • Medica Individual Choice Expanded Bronze Standard - HMO
  • Medica Individual Choice Gold $0 Copay PCP Visits - HMO
  • Medica Individual Choice Gold Share - HMO
  • Medica Individual Choice Gold Standard - HMO
  • Medica Individual Choice Silver $0 Copay PCP Visits - HMO
  • Medica Individual Choice Silver Share - HMO
  • Medica Individual Choice Silver Standard - HMO
  • Medica Insure Bronze $0 Copay PCP Visits - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

RONALD PLACE

Authorized Official Title
CEO/PRESIDENT
Authorized Official Phone
(605) 322-8000

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN
20667377
Accepts Medicare Assignment
YES
Specialities List
Pharmacy.
Competitive Bidding
NO

Supplies List

  • Epoetin - Epoetin is a man-made version of human erythropoietin (EPO)
  • Immunosuppressive Drugs - Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
  • Nebulizer Drugs - Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
  • Oral Anticancer Drugs - FDA anticancer drugs
  • Oral Antiemetic Drugs - FDA antiemetic drugs

Reviews for AVERA MEDICAL GROUP ORTHOPEDICS AND SPORTS MEDICINE

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1093262131, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
9
Doubled → 18 → 1 + 8
Pos 4
3
Unchanged
Pos 5
2
Doubled → 4
Pos 6
6
Unchanged
Pos 7
2
Doubled → 4
Pos 8
1
Unchanged
Pos 9
3
Doubled → 6
Check
1
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 9 → 18 → 9 2 → 4 2 → 4 3 → 6

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 1 + 8 + 3 + 4 + 6 + 4 + 1 + 6 + 24 = 59

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 59 is 60. The difference is the calculated check digit.

60 - 59 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1093262131.

Other Providers at the Same Location


The following 13 providers are registered at the same or a nearby location.

Orthopaedic Surgery
6100 S LOUISE AVE STE 2100
SIOUX FALLS, SD 57108
Orthopaedic Surgery (Sports Medicine)
6100 S LOUISE AVE STE 2100
SIOUX FALLS, SD 57108
Physician Assistant
6100 S LOUISE AVE STE 2100
SIOUX FALLS, SD 57108
Physician Assistant
6100 S LOUISE AVE STE 2100
SIOUX FALLS, SD 57108
Orthopaedic Surgery (Hand Surgery)
6100 S LOUISE AVE STE 2100
SIOUX FALLS, SD 57108
Podiatrist
6100 S LOUISE AVE STE 2100
SIOUX FALLS, SD 57108
Podiatrist (Foot & Ankle Surgery)
6100 S LOUISE AVE STE 2100
SIOUX FALLS, SD 57108
Nurse Practitioner (Family)
6100 S LOUISE AVE STE 2100
SIOUX FALLS, SD 57108
Nurse Practitioner (Family)
6100 S LOUISE AVE STE 2100
SIOUX FALLS, SD 57108
Orthopaedic Surgery
6100 S LOUISE AVE STE 2100
SIOUX FALLS, SD 57108
Orthopaedic Surgery
6100 S LOUISE AVE STE 2100
SIOUX FALLS, SD 57108
Physician Assistant (Surgical)
6100 S LOUISE AVE STE 2100
SIOUX FALLS, SD 57108
Physician Assistant
6100 S LOUISE AVE STE 2100
SIOUX FALLS, SD 57108

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1093262131, enumerated as an "organization" on September 07, 2016.

The provider is located at 6100 S LOUISE AVE STE 2100 SIOUX FALLS, SD 57108 and the phone number is (605) 504-1100.

Orthopaedic Surgery with taxonomy code 207X00000X.

The provider might be accepting Accepts: Ambetter from Home State Health, Ambetter from. Please consult your insurance carrier or call the provider to verify.