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

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: July 26, 2026.

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
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

Other Names 1

Former Name (1)William Nelson Hole

Other Identifiers 5

Medicaid6520360SD
Medicare PINP00692810MN
Medicare PINP00348184SD
Medicare PINS100186SD
Medicare UPINB49170SD

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

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

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

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
Quality68.86
Promoting Interoperability100
Improvement Activities40
Cost67.39

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.

Audiologist
1310 W 22ND ST
SIOUX FALLS, SD 57105
Dermatology
1310 W 22ND ST
SIOUX FALLS, SD 57105
Audiologist
1310 W 22ND ST
SIOUX FALLS, SD 57105
Otolaryngology
1310 W 22ND ST
SIOUX FALLS, SD 57105
Otolaryngology
1310 W 22ND ST
SIOUX FALLS, SD 57105
Nurse Practitioner
1310 W 22ND ST
SIOUX FALLS, SD 57105
Ophthalmology
1310 W 22ND ST
SIOUX FALLS, SD 57105
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1310 W 22ND ST
SIOUX FALLS, SD 57105

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 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.

Where is William Avery located?

William Avery practices at 1310 W 22nd St, Sioux Falls, SD 57105. The listed phone number is (605) 328-8200.

What is William Avery's specialty?

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

Is William Avery enrolled in Medicare?

Yes. William Avery 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 William Avery accept?

Health plans from HealthPartners and Medica list William Avery 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 William Avery affiliated with any hospitals?

According to CMS data, William Avery is affiliated with Hutchinson Health.

When was this NPI record last updated?

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