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DR. ANTHONY JAMES PFEIFFER M.D.
NPI 1104189497
Emergency Medicine in Sioux Falls, SD

Active since June 21, 2012PECOS EnrolledAccepts Medicare Assignment
93.51/100
CMS Quality Rating
1305 W 18TH ST, SIOUX FALLS, SD 57105(605) 333-1000 Get Directions Write a Review

NPPES record last updated: June 27, 2017. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Anthony James Pfeiffer M.d. NPPES

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

DR. ANTHONY JAMES PFEIFFER M.D. (NPI 1104189497) is an individual emergency medicine provider in Sioux Falls, South Dakota, licensed in Pennsylvania (MT201273) and active in the NPI registry since June 2012. He is enrolled in Medicare PECOS, is affiliated with Memorial Mission Hospital And Asheville Surgery Ce, and is a graduate of University Of Pittsburgh School Of Medicine (2012).

NPPES Registry Identity

NPI1104189497
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. ANTHONY JAMES PFEIFFERCredential: M.D.
Location Address1305 W 18TH STSioux Falls, SD 57105-0401
Mailing Address1305 W 18th StSioux Falls, SD 57105-0401 · (605) 333-1000
Phone(605) 333-1000
Sole ProprietorNo
Medical School CMSUniversity Of Pittsburgh School Of MedicineGraduated 2012
Enumeration DateJune 21, 2012
Last NPPES UpdateJune 27, 2017
✔ NPI 1104189497 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in PA · MT201273
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
1305 W 18TH ST, Sioux Falls, SD 57105
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Plan of North Carolina, Inc.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

Dr. Anthony James Pfeiffer M.d. 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 ID840419388
PECOS Enrollment IDI20200819002096
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 Reassignments

3

Medicare enrollment records show Anthony Pfeiffer reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Emergency Coverage, LLC
889 mi
Family Medicine
435 2ND ST
Newport, TN 37821
  • Reassigned Medicare billing, North Carolina enrollment
  • 557 clinicians in this Medicare group
NPI 1427005008 (423) 625-2200
Fletcher Hospital Inc
940 mi
Family Medicine
436 AIRPORT ROAD, SUITE 20
Arden, NC 28704
  • Reassigned Medicare billing, North Carolina enrollment
  • 349 clinicians in this Medicare group
NPI 1396041075 (828) 650-7282
Henderson County Hospital Corporation
941 mi
Physical Therapist
45 HENDERSONVILLE HWY
Pisgah Forest, NC 28768
  • Reassigned Medicare billing, North Carolina enrollment
  • 401 clinicians in this Medicare group
NPI 1447877238 (828) 435-8300

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

Areas of Expertise CMS Part B claims 3

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
130 services127 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
67 services66 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
59 services55 patients

Hospital Affiliations CMS Care Compare 2

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

Memorial Mission Hospital And Asheville Surgery Ce

Acute Care Hospitals · Asheville, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340002
Location509 Biltmore AveAsheville, NC 28801 · Buncombe County
Emergency services Birthing friendly

Margaret R Pardee Memorial Hospital

Acute Care Hospitals · Hendersonville, NC
5/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number340017
Location800 N Justice StHendersonville, NC 28791 · Henderson 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
$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
$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.

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.

93.51/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.23
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Emergency Medicine: Emergency Department Utilization of CT for Minor Blunt Head Trauma for Patients Aged 18 Years and Older
98%45 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

JEDD D BIALAS CRNA
Nurse Anesthetist, Certified Registered
1305 W 18TH ST
SIOUX FALLS, SD 57105
Minnehaha County (605) 333-1000
AARON DANIEL MORTENSEN CRNA
Nurse Anesthetist, Certified Registered
1305 W 18TH ST
SIOUX FALLS, SD 57105
Minnehaha County (605) 333-1000
DR. JULIANA JOHNSON FERRI GUERRA MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1305 W 18TH ST
SIOUX FALLS, SD 57105
Minnehaha County (605) 328-8700
PAUL E GILMORE CRNA
Nurse Anesthetist, Certified Registered
1305 W 18TH ST
SIOUX FALLS, SD 57105
Minnehaha County (605) 333-1000
BETH ABRAHAMSON
Nurse Practitioner (Neonatal)
1305 W 18TH ST
SIOUX FALLS, SD 57105
Minnehaha County (605) 328-3006
RYAN LAWRENCE TENNANT CNP
Nurse Practitioner
1305 W 18TH ST
SIOUX FALLS, SD 57105
Minnehaha County (605) 333-1000
LCM PATHOLOGISTS PC
Pathology (Anatomic Pathology & Clinical Pathology)
1305 W 18TH ST
SIOUX FALLS, SD 57105
Minnehaha County (800) 284-9806
ARLEIGH TRAINOR MD
Emergency Medicine
1305 W 18TH ST
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 Anthony Pfeiffer's NPI number?

The NPI number for Anthony Pfeiffer is 1104189497. It was assigned to this individual provider in the NPPES registry on June 21, 2012.

Where is Anthony Pfeiffer located?

Anthony Pfeiffer practices at 1305 W 18th St, Sioux Falls, SD 57105. The listed phone number is (605) 333-1000.

What is Anthony Pfeiffer's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Anthony Pfeiffer enrolled in Medicare?

Yes. Anthony Pfeiffer 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 organizations bill Medicare for Anthony Pfeiffer's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Anthony Pfeiffer reassigns Medicare benefits to 3 organizations: Emergency Coverage, LLC (Newport, TN), Fletcher Hospital Inc (Arden, NC) and Henderson County Hospital Corporation (Pisgah Forest, NC). Each 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 Anthony Pfeiffer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Anthony Pfeiffer accept?

Health plans from Oscar Health Plan of North Carolina, Inc list Anthony Pfeiffer 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 Anthony Pfeiffer affiliated with any hospitals?

According to CMS data, Anthony Pfeiffer is affiliated with Memorial Mission Hospital And Asheville Surgery Ce and Margaret R Pardee Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Anthony Pfeiffer was last updated on June 27, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.