WILLIAM H. AVERY DO
NPI 1144225392
Otolaryngology in Sioux Falls, SD

Q: What is William Avery's NPI number?

The NPI number for William Avery is 1144225392. It was assigned to this individual provider in the NPPES registry on June 15, 2005. The provider is also known as William Nelson Hole.

Q: What is William Avery's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Q: When was this NPI record last updated?

The NPPES record for William Avery was last updated on May 26, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.

Active since June 15, 2005PECOS EnrolledAccepts Medicare Assignment

84.33/100

CMS Quality Rating

1310 W 22ND ST, SIOUX FALLS, SD 57105(605) 328-8200(605) 328-8201 Get Directions Write a Review

NPPES record last updated: May 26, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About William H. Avery Do NPPES

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

WILLIAM H. AVERY DO (NPI 1144225392) is an individual otolaryngology provider in Sioux Falls, South Dakota, licensed in South Dakota (5586) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Hutchinson Health, and is a graduate of Chicago College Of Osteopathy (1984).

NPPES Registry Identity

NPI1144225392

Entity TypeIndividualMale

Primary Taxonomy207Y00000X

Provider Legal NameWILLIAM H. AVERYCredential: DO

Location Address1310 W 22ND STSioux Falls, SD 57105-1501

Mailing AddressPo Box 5074Sioux Falls, SD 57117-5074 · (605) 328-9556 · Fax (605) 328-9501

Phone(605) 328-8200

Fax(605) 328-8201

Sole ProprietorNo

Medical School CMSChicago College Of OsteopathyGraduated 1984

Enumeration DateJune 15, 2005

Last NPPES UpdateMay 26, 2009

✔ NPI 1144225392 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians

Taxonomy Code207Y00000X

License✔ Licensed in SD · 5586

Definition

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

1310 W 22ND ST, Sioux Falls, SD 57105

Open in Google Maps ↗

Other Names 1

Former Name (1)William Nelson Hole

Other Identifiers 5

Medicaid6520360SD

Medicare PINP00692810MN

Medicare PINP00348184SD

Medicare PINS100186SD

Medicare UPINB49170SD

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, Medica.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

William H. Avery Do 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 ID2860394665

PECOS Enrollment IDI20061109000298

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 5

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 straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

42 services28 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.

36 services33 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

34 services34 patients

Exam of ear using a microscope 92504

An exam of the ear using a microscope allows a detailed view of the ear structures. This non-invasive procedure helps identify issues such as infections, blockages, or ear damage. It's a safe, quick, and painless way to evaluate ear health.

26 services17 patients

New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202

This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.

20 services20 patients

Hospital Affiliations CMS Care Compare 2

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

Hutchinson Health

Acute Care Hospitals · Hutchinson, MN

OwnershipVoluntary non-profit - Private

CMS Certification Number240187

Location1095 Highway 15 SouthHutchinson, MN 55350 · Mc Leod County

Emergency services Birthing friendly

Glencoe Regional Health

Critical Access Hospitals · Glencoe, MN

OwnershipVoluntary non-profit - Other

CMS Certification Number241355

Location1805 Hennepin Avenue NorthGlencoe, MN 55336 · Mc Leod 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

$126.78 typical visit price

range $55.52 – $167.23

Typical copayment $31.69 (range $13.88 – $41.80)

Most-billed visit code 99204

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.

84.33/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

68.86

Promoting Interoperability

100

Improvement Activities

Cost

67.39

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.

JULIE RAYSBY MA

Audiologist