SCOTT DOUGLAS RAWSON PA C
NPI 1093740417
Physician Assistant in Sioux Falls, SD

Active since July 12, 2006PECOS EnrolledAccepts Medicare Assignment
84.71/100
CMS Quality Rating
810 EAST 23RD STREET, ORTHOPEDIC INSTITUTE, SIOUX FALLS, SD 57117(605) 331-5890(605) 336-3974 Get Directions Write a Review

NPPES record last updated: November 16, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Scott Douglas Rawson Pa C NPPES

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

SCOTT DOUGLAS RAWSON PA C (NPI 1093740417) is an individual physician assistant in Sioux Falls, South Dakota, licensed in South Dakota (0472) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Avera Mckennan Hospital & University Health Center, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1093740417
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameSCOTT DOUGLAS RAWSONCredential: PA C
Location Address810 EAST 23RD STREET, ORTHOPEDIC INSTITUTESioux Falls, SD 57117-5116
Mailing AddressPo Box 5116, 810 East 23rd Street Orthopedic InstituteSioux Falls, SD 57117-5116 · (605) 331-5890 · Fax (605) 336-3974
Fax(605) 336-3974
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateJuly 12, 2006
Last NPPES UpdateNovember 16, 2007
NPI 1093740417 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in SD · 0472
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

810 EAST 23RD STREET, Sioux Falls, SD 57117

Other Identifiers 3

Medicaid6821790SD
Medicare UPINP30969
Medicare ID-Type Unspecified7741SD

Accepted 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

Scott Douglas Rawson Pa C 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 ID8729122593
PECOS Enrollment IDI20100217000130, I20191213001291
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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
1,240 services89 patients
X-ray of knee, 3 views 73562
An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.
221 services203 patients
Replacement of knee joint, both sides of knee 27447
A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.
213 services202 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
142 services103 patients
X-ray of hip, 2-3 views 73502
An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.
110 services100 patients
Replacement of thigh bone and hip joint with prosthesis 27130
This procedure, known as hip arthroplasty, involves replacing your damaged thigh bone and hip joint with artificial parts, called a prosthesis. It helps relieve pain, improve mobility, and enhance your quality of life.
108 services104 patients

Hospital Affiliations CMS Care Compare 4

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

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

Sioux Falls Specialty Hospital

Acute Care Hospitals · Sioux Falls, SD
OwnershipProprietary
CMS Certification Number430090
Location910 East 20th StreetSioux Falls, SD 57105 · Minnehaha County

Madison Regional Health System

Critical Access Hospitals · Madison, SD
OwnershipVoluntary non-profit - Private
CMS Certification Number431300
Location323 SW 10th StMadison, SD 57042 · Lake County
Emergency services

St Michael's Hospital - Cah

Critical Access Hospitals · Tyndall, SD
OwnershipGovernment - Local
CMS Certification Number431327
Location410 W 16th AveTyndall, SD 57066 · Bon Homme County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57117 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
$85.21 typical visit price
range $55.52 – $167.23
Typical copayment $21.30 (range $13.88 – $41.80)
Most-billed visit code 99203
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

84.71/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.63
Promoting Interoperability100
Improvement Activities40
Cost67.42

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Walker, folding, wheeled, adjustable or fixed height E0143
DME-Other DME · category DE000N
3 suppliers67 claims67 services$63.63 avg. paid by Medicare
Walker, heavy duty, wheeled, rigid or folding, any type E0149
DME-Other DME · category DE000N
1 supplier20 claims20 services$10.69 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 2

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

Physician Assistant
810 EAST 23RD STREET, ORTHOPEDIC INSTITUTE
SIOUX FALLS, SD 57117
Physician Assistant
810 EAST 23RD STREET, ORTHOPEDIC INSTITUTE
SIOUX FALLS, SD 57117

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 Scott Rawson's NPI number?

The NPI number for Scott Rawson is 1093740417. It was assigned to this individual provider in the NPPES registry on July 12, 2006.

Where is Scott Rawson located?

Scott Rawson practices at 810 East 23rd Street Orthopedic Institute, Sioux Falls, SD 57117. The listed phone number is (605) 331-5890.

What is Scott Rawson's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Scott Rawson enrolled in Medicare?

Yes. Scott Rawson 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 Scott Rawson accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 3 other insurers list Scott Rawson 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 Scott Rawson affiliated with any hospitals?

According to CMS data, Scott Rawson is affiliated with Avera Mckennan Hospital & University Health Center, Sioux Falls Specialty Hospital, Madison Regional Health System and St Michael's Hospital - Cah.

When was this NPI record last updated?

The NPPES record for Scott Rawson was last updated on November 16, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.