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TODD A. SORENSEN MD
NPI 1104826692
Family Medicine in Sioux Falls, SD

Active since July 26, 2005PECOS EnrolledAccepts Medicare Assignment
76.69/100
CMS Quality Rating
3401 W 49TH ST, SIOUX FALLS, SD 57106(605) 328-1850(605) 328-1855 Get Directions Write a Review

NPPES record last updated: March 28, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Todd A. Sorensen Md NPPES

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

TODD A. SORENSEN MD (NPI 1104826692) is an individual family medicine provider in Sioux Falls, South Dakota, licensed in South Dakota (4724) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with Avera Mckennan Hospital & University Health Center, and is a graduate of Other (1997).

NPPES Registry Identity

NPI1104826692
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameTODD A. SORENSENCredential: MD
Location Address3401 W 49TH STSioux Falls, SD 57106-2318
Mailing AddressPo Box 5074Sioux Falls, SD 57117-5074 · (605) 328-9556 · Fax (605) 328-9501
Phone(605) 328-1850
Fax(605) 328-1855
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateJuly 26, 2005
Last NPPES UpdateMarch 28, 2022
NPPES CertifiedMarch 28, 2022
✔ NPI 1104826692 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in SD · 4724
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
3401 W 49TH ST, Sioux Falls, SD 57106
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Other Identifiers 1

Medicaid5610608SD

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Sanford Health Plan, Security Health Plan.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

Todd A. Sorensen Md 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 ID5496776791
PECOS Enrollment IDI20051214000722
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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
637 services267 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
255 services255 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
175 services130 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
29 services25 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.
24 services24 patients
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit G0438
An annual wellness visit is a yearly appointment with your doctor to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's an opportunity to discuss your health status and goals and get a plan tailored for you.
19 services19 patients

Hospital Affiliations CMS Care Compare 3

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

Sanford Usd Medical Center

Acute Care Hospitals · Sioux Falls, SD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number430027
Location1305 W 18th St Post Office Box 5039Sioux Falls, SD 57117 · Minnehaha County
Emergency services Birthing friendly

Sanford Canton-Inwood Medical Center - Cah

Critical Access Hospitals · Canton, SD
OwnershipVoluntary non-profit - Private
CMS Certification Number431333
Location440 North Hiawatha DriveCanton, SD 57013 · Lincoln County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57106 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.

76.69/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.56
Promoting Interoperability99
Improvement Activities40
Cost44.56

Referred Medical Equipment & Supplies CMS DME claims 22

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
26 suppliers130 claims290 services$5.84 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
11 suppliers29 claims33 services$1.02 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
9 suppliers44 claims44 services$38.29 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
4 suppliers14 claims14 services$94.90 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
4 suppliers13 claims39 services$35.61 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
3 suppliers23 claims101 services$19.19 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 20

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

WILLIAM C MEREDITH PT
Physical Therapist
3401 W 49TH ST, STE 2
SIOUX FALLS, SD 57106
Minnehaha County (605) 328-8145
MACKENZIE MERTZ DO
Psychiatry & Neurology (Psychiatry)
3401 W 49TH ST
SIOUX FALLS, SD 57106
Minnehaha County (605) 328-1850
BRETT HUDSON PT
Physical Therapist (Orthopedic)
3401 W 49TH ST
SIOUX FALLS, SD 57106
Minnehaha County (605) 328-1626
KELSEY WELDING
Dietitian, Registered
3401 W 49TH ST
SIOUX FALLS, SD 57106
Minnehaha County (605) 328-1850
PATRICIA JO BROOKS MD
Family Medicine
3401 W 49TH ST
SIOUX FALLS, SD 57106
Minnehaha County (605) 328-1850
JORDYN AGNES HOFER CNP
Nurse Practitioner (Family)
3401 W 49TH ST
SIOUX FALLS, SD 57106
Minnehaha County (605) 328-1850
SANFORD HEALTH
General Acute Care Hospital
3401 W 49TH ST, SUITE 2
SIOUX FALLS, SD 57106
Minnehaha County (605) 328-1626
SARAH HEWITT LPC
Counselor (Mental Health)
3401 W 49TH ST
SIOUX FALLS, SD 57106
Minnehaha County (605) 328-1850

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 Todd Sorensen's NPI number?

The NPI number for Todd Sorensen is 1104826692. It was assigned to this individual provider in the NPPES registry on July 26, 2005.

Where is Todd Sorensen located?

Todd Sorensen practices at 3401 W 49th St, Sioux Falls, SD 57106. The listed phone number is (605) 328-1850.

What is Todd Sorensen's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Todd Sorensen enrolled in Medicare?

Yes. Todd Sorensen 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 Todd Sorensen accept?

Health plans from Medica, Sanford Health Plan and Security Health Plan list Todd Sorensen 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 Todd Sorensen affiliated with any hospitals?

According to CMS data, Todd Sorensen is affiliated with Avera Mckennan Hospital & University Health Center, Sanford Usd Medical Center and Sanford Canton-Inwood Medical Center - Cah.

When was this NPI record last updated?

The NPPES record for Todd Sorensen was last updated on March 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.