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

Active since September 07, 2016
6100 S LOUISE AVE STE 2100, SIOUX FALLS, SD 57108(605) 504-1100 Get Directions Write a Review

NPPES record last updated: January 30, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 15, 2020, Nov 1, 2019, Oct 24, 2018 (3 updates tracked since 2018).

About Avera Medical Group Orthopedics And Sports Medicine NPPES

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

AVERA MEDICAL GROUP ORTHOPEDICS AND SPORTS MEDICINE (NPI 1093262131) is a healthcare organization registered as an orthopaedic surgery in Sioux Falls, South Dakota and active in the NPI registry since September 2016. The organization maintains 2 additional practice locations and lists Ronald Place, Ceo/president, as its authorized official.

NPPES Registry Identity

NPI1093262131
Entity TypeOrganization
Primary Taxonomy207X00000X
Legal Business NameAVERA MCKENNAN
Location Address6100 S LOUISE AVE STE 2100Sioux Falls, SD 57108-6021
Mailing AddressPo Box 86370Sioux Falls, SD 57118-6370 · (605) 322-7510
Organization SubpartNo
Authorized OfficialRonald PlaceCeo/president · (605) 322-8000
Enumeration DateSeptember 7, 2016
Last NPPES UpdateJanuary 30, 20243 updates tracked since enumeration
NPPES CertifiedJanuary 30, 2024
✔ NPI 1093262131 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Definition
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.
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
6100 S LOUISE AVE STE 2100, Sioux Falls, SD 57108

Other Names 1

Doing Business AsAvera Medical Group Orthopedics And Sports Medicine

Secondary Practice Locations 2

Location 16800 S Louise AveSioux Falls, SD 57108-6026 · Phone (605) 504-1100
Location 2911 E 20th St Ste 300Sioux Falls, SD 57105-1045 · Phone (605) 504-1100

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Avera Medical Group Orthopedics And Sports Medicine is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateSouth DakotaEnrollment IDO20201105002236DME · Physician - Orthopedic/Orthopedic SurgeryDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

1,346

Medicare enrollment records show 1,346 clinicians reassign Medicare billing to Avera Medical Group Orthopedics And Sports Medicine, which bills Medicare for the services they deliver. Of these, 47 practice at this address and 760 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 59

Nurse Practitioner292
Family Practice130
Certified Registered Nurse Anesthetist (CRNA)115
Internal Medicine111
Pediatric Medicine80
Physical Therapist in Private Practice67
Obstetrics/Gynecology51
Emergency Medicine49
51 other specialties451

Nearest to this location (20)

See all 1,346
Nurse Practitioner
NPI 1386045862
6100 S LOUISE AVE STE 1110
Sioux Falls, SD 57108
(605) 504-1900
✔ PECOS✔ Accepts MedicareSame address
Obstetrics/Gynecology
NPI 1588629570
6100 S LOUISE AVE STE 1110
Sioux Falls, SD 57108
(605) 504-1900
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1992386486
6100 S LOUISE AVE STE 2100
Sioux Falls, SD 57108
(605) 504-1100
✔ PECOSSame address
Podiatry
NPI 1679860548
6100 S LOUISE AVE STE 2100
Sioux Falls, SD 57108
(605) 504-1100
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1093962706
6100 S LOUISE AVE STE 2100
Sioux Falls, SD 57108
(605) 504-1100
✔ PECOS✔ Accepts MedicareSame address
Rheumatology
NPI 1962899088
6100 S LOUISE AVE STE 1130
Sioux Falls, SD 57108
(605) 504-1600
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1629497615
6100 S LOUISE AVE STE 1120
Sioux Falls, SD 57108
(605) 504-1700
✔ PECOS✔ Accepts MedicareSame address
Orthopedic Surgery
NPI 1205281995
6100 S LOUISE AVE STE 2100
Sioux Falls, SD 57108
(605) 504-1100
✔ PECOS✔ Accepts MedicareSame address
Podiatry
NPI 1124437595
6100 S LOUISE AVE STE 2100
Sioux Falls, SD 57108
(605) 504-1100
✔ PECOS✔ Accepts MedicareSame address
Rheumatology
NPI 1386902450
6100 S LOUISE AVE STE 1130
Sioux Falls, SD 57108
(605) 504-1600
✔ PECOS✔ Accepts MedicareSame address
Orthopedic Surgery
NPI 1215385232
6100 S LOUISE AVE STE 2100
Sioux Falls, SD 57108
(605) 504-1100
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1932173622
6100 S LOUISE AVE STE 1120
Sioux Falls, SD 57108
(605) 504-1700
✔ PECOS✔ Accepts MedicareSame address
Orthopedic Surgery
NPI 1730396904
6100 S LOUISE AVE STE 2100
Sioux Falls, SD 57108
(605) 504-1100
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1336434737
6100 S LOUISE AVE STE 1120
Sioux Falls, SD 57108
(605) 504-1700
✔ PECOS✔ Accepts MedicareSame address
Rheumatology
NPI 1437182516
6100 S LOUISE AVE STE 1130
Sioux Falls, SD 57108
(605) 504-1600
✔ PECOS✔ Accepts MedicareSame address
Gastroenterology
NPI 1588829436
6100 S LOUISE AVE STE 3100
Sioux Falls, SD 57108
(605) 504-1400
✔ PECOS✔ Accepts MedicareSame address
Occupational Therapist in Private Practice
NPI 1689341588
6100 S LOUISE AVE
Sioux Falls, SD 57108
(952) 831-8742
✔ Accepts MedicareSame address
Hand Surgery
NPI 1750876470
6100 S LOUISE AVE
Sioux Falls, SD 57108
(605) 504-1000
✔ PECOS✔ Accepts MedicareSame address
Hand Surgery
NPI 1013282425
6100 S LOUISE AVE
Sioux Falls, SD 57108
(605) 504-1000
✔ PECOS✔ Accepts MedicareSame address
Occupational Therapist in Private Practice
NPI 1831341742
6100 S LOUISE AVE
Sioux Falls, SD 57108
(605) 504-4263
✔ Accepts MedicareSame address
See all 1,346 clinicians

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

Medical Equipment Supplier Medicare DMEPOS 5

Medicare supplier enrollment and the product categories Avera On Louise Pharmacy carries, from the Medicare DMEPOS supplier directory.

Avera On Louise Pharmacy

DMEPOS supplier · Sioux Falls, SDOperated by Avera Mckennan
✔

Accepts Medicare assignment

Avera On Louise Pharmacy agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20667377
Medicare Participant SinceAugust 1, 1996
Supplier Location6100 S Louise Ave Ste 1100Sioux Falls, SD 57108
Supplier Specialties
Pharmacy

Medicare Product Categories

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
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

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 Avera Mckennan's NPI number?

The NPI number for Avera Mckennan is 1093262131. It was assigned to this organization in the NPPES registry on September 7, 2016. The provider is doing business as Avera Medical Group Orthopedics And Sports Medicine.

Where is Avera Mckennan located?

Avera Mckennan is located at 6100 S Louise Ave Ste 2100, Sioux Falls, SD 57108. The listed phone number is (605) 504-1100.

What is Avera Mckennan's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Avera Mckennan enrolled in Medicare?

Yes. Avera Mckennan is registered in the Medicare PECOS enrollment system.

When is Avera Mckennan's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (South Dakota, Physician - Orthopedic/Orthopedic Surgery) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Avera Mckennan?

According to the CMS Revalidation Reassignment List (October 2026 release), 1,346 clinicians in 59 Medicare specialties reassign their Medicare billing to Avera Mckennan. A 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 the clinician's services. The largest specialties are Nurse Practitioner (292), Family Practice (130) and Certified Registered Nurse Anesthetist (CRNA) (115). Of these, 47 practice at this address and 760 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Avera Mckennan accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Avera On Louise Pharmacy accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

What insurance does Avera Mckennan accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Sunflower Health Plan and Avera Health Plans list Avera Mckennan 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.

When was this NPI record last updated?

The NPPES record for Avera Mckennan was last updated on January 30, 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.