DR. ANTHONY JEROME RUPP M.D.
NPI 1154524288
Internal Medicine - Nephrology in Sioux Falls, SD

Q: What is Anthony Rupp's NPI number?

The NPI number for Anthony Rupp is 1154524288. It was assigned to this individual provider in the NPPES registry on June 6, 2007.

Q: What is Anthony Rupp's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Q: When was this NPI record last updated?

The NPPES record for Anthony Rupp was last updated on June 21, 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.

Active since June 06, 2007PECOS EnrolledAccepts Medicare Assignment

90.18/100

CMS Quality Rating

1205 S GRANGE AVE, SUITE 201, SIOUX FALLS, SD 57105(605) 328-8100(605) 328-8101 Get Directions Write a Review

NPPES record last updated: June 21, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Dr. Anthony Jerome Rupp M.d. NPPES

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

DR. ANTHONY JEROME RUPP M.D. (NPI 1154524288) is an individual nephrology provider in Sioux Falls, South Dakota, licensed in South Dakota (8081) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS, is affiliated with Sanford Tracy Medical Center, and is a graduate of Creighton University School Of Medicine (2009).

NPPES Registry Identity

NPI1154524288

Entity TypeIndividualMale

Primary Taxonomy207RN0300X

Provider Legal NameDR. ANTHONY JEROME RUPPCredential: M.D.

Location Address1205 S GRANGE AVE, SUITE 201Sioux Falls, SD 57105-0407

Mailing AddressPo Box 5074Sioux Falls, SD 57117-5074 · Fax (605) 328-8101

Phone(605) 328-8100

Fax(605) 328-8101

Sole ProprietorNo

Medical School CMSCreighton University School Of MedicineGraduated 2009

Enumeration DateJune 6, 2007

Last NPPES UpdateJune 21, 2022

NPPES CertifiedApril 26, 2022

✔ NPI 1154524288 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians

Taxonomy Code207RN0300X

Licenses✔ Licensed in SD · 8081✔ Licensed in MN · 54579

Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

1205 S GRANGE AVE, Sioux Falls, SD 57105

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of North Dakota, Oscar Insurance Company, Sanford Health Plan and more.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 Jerome Rupp 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 ID1052507704

PECOS Enrollment IDI20110912000517, I20111213000292

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

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

Sanford Clinic

Same address

Nephrology

1205 S. GRANGE AVE, STE 201
Sioux Falls, SD 57105

Reassigned Medicare billing, Minnesota and South Dakota enrollments
103 clinicians in this Medicare group

NPI 1295848521 (605) 328-8100

Sanford Medical Center

0.7 mi

Family Medicine

1420 W 22NDST STE 104
Sioux Falls, SD 57105

Reassigned Medicare billing, Minnesota and South Dakota enrollments
57 clinicians in this Medicare group

NPI 1093090342 (605) 328-4897

Sanford Health Network

18 mi

Family Medicine

400 N HIAWATHA DRIVE
Canton, SD 57013

Reassigned Medicare billing, South Dakota enrollment
422 clinicians in this Medicare group

NPI 1033140454 (605) 987-4378

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 14

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

399 services157 patients

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.

329 services243 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

293 services225 patients

Hemodialysis procedure with physician evaluation 90935

Hemodialysis is a treatment that uses a machine to filter waste and excess fluid from your blood when your kidneys can't. A physician checks your health before, during, and after the procedure to ensure it's working effectively for you.

218 services81 patients

Dialysis services, 2-3 physician visits per month (20 years or older) 90961

Dialysis is a treatment that performs the function of healthy kidneys if they're not working properly. It removes waste and excess fluid from your blood. 2-3 physician visits per month are recommended for monitoring your health and adjusting your treatment as needed. This service is available for those aged 20 years and older.

191 services40 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

126 services115 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

110 services55 patients

Home dialysis services per month (20 years or older) 90966

Home dialysis services provide kidney treatment for patients aged 20 or older right in their own homes. This service includes necessary equipment, supplies, and support for performing dialysis. It's a convenient option that allows patients to maintain their daily routines while receiving essential care.

99 services16 patients

Dialysis services, 2-3 physician visits per month (20 years or older) 90961

66 services25 patients

Dialysis procedure including 1 evaluation 90945

Dialysis is a treatment that filters and purifies the blood when your kidneys can't do their job. The procedure involves circulating your blood through a machine that removes waste products. An evaluation is done beforehand to assess your health and determine the best approach for your treatment.

49 services15 patients

Dialysis services, 4 or more physician visits per month (20 years or older) 90960

Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.

48 services35 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

31 services31 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.

30 services29 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

15 services15 patients

Hospital Affiliations CMS Care Compare 5

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

Sanford Tracy Medical Center

Critical Access Hospitals · Tracy, MN

OwnershipVoluntary non-profit - Private

CMS Certification Number241303

Location251 Fifth Street EastTracy, MN 56175 · Lyon County

Emergency services

Sanford Canby Medical Center

Critical Access Hospitals · Canby, MN

OwnershipGovernment - Hospital District or Authority

CMS Certification Number241347

Location112 St Olaf Avenue SouthCanby, MN 56220 · Yellow Medcine County

Emergency services

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

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

Winner Regional Healthcare Center - Cah

Critical Access Hospitals · Winner, SD

OwnershipVoluntary non-profit - Private

CMS Certification Number431334

Location745 East 8th StreetWinner, SD 57580 · Tripp County

Emergency services

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

$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.

90.18/100

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

Scored as part of a group practice

Quality

86.69

Improvement Activities

Cost

91.67

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.

Tacrolimus, immediate release, oral, 1 mg J7507

Treatment-Treatment - Miscellaneous · category RX029N

3 suppliers28 claims1,725 services$0.34 avg. paid by Medicare

Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512

Treatment-Chemotherapy · category RH012N

2 suppliers21 claims21 services$12.47 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.

MEGHAN CLEMENSEN CNP

Nurse Practitioner (Family)

1205 S GRANGE AVE
SIOUX FALLS, SD 57105

Minnehaha County (605) 328-8500

MRS. KATIE ELIZABETH LARSON MD

Pediatrics

1205 S GRANGE AVE, SUITE 307
SIOUX FALLS, SD 57105

Minnehaha County (605) 328-7800

AARON M ZYLSTRA M.D.

Pediatrics

1205 S GRANGE AVE, STE 307
SIOUX FALLS, SD 57105

Minnehaha County (605) 328-7800

DR. MOHAMMAD ZEESHAN QAMAR M.D

Internal Medicine (Nephrology)

1205 S GRANGE AVE, SUITE 201
SIOUX FALLS, SD 57105

Minnehaha County (605) 328-8100

LORI BUSCHENA

Social Worker

1205 S GRANGE AVE, SUITE 510
SIOUX FALLS, SD 57105

Minnehaha County (605) 328-7500

TIMOTHY E HURLEY M.D.

Internal Medicine

1205 S GRANGE AVE, STE 510
SIOUX FALLS, SD 57105

Minnehaha County (605) 328-7500

DR. DEVIN BISSOON M.D.

Internal Medicine (Pulmonary Disease)

1205 S GRANGE AVE, STE 407
SIOUX FALLS, SD 57105

Minnehaha County (605) 328-8900

CANDACE N ZEIGLER M.D.

Internal Medicine

1205 S GRANGE AVE, STE 510
SIOUX FALLS, SD 57105

Minnehaha County (605) 328-7500

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 Rupp's NPI number?

The NPI number for Anthony Rupp is 1154524288. It was assigned to this individual provider in the NPPES registry on June 6, 2007.

Where is Anthony Rupp located?

Anthony Rupp practices at 1205 S Grange Ave Suite 201, Sioux Falls, SD 57105. The listed phone number is (605) 328-8100.

What is Anthony Rupp's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Anthony Rupp enrolled in Medicare?

Yes. Anthony Rupp 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 Rupp's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Anthony Rupp reassigns Medicare benefits to 3 organizations: Sanford Clinic (Sioux Falls, SD), Sanford Medical Center (Sioux Falls, SD) and Sanford Health Network (Canton, SD). 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 Rupp's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Anthony Rupp accept?

Health plans from Blue Cross Blue Shield of North Dakota, Oscar Insurance Company, Sanford Health Plan, Security Health Plan and Wellmark Health Plan of Iowa, Inc. and 1 other insurer list Anthony Rupp 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 Rupp affiliated with any hospitals?

According to CMS data, Anthony Rupp is affiliated with Sanford Tracy Medical Center, Sanford Canby Medical Center, Sanford Usd Medical Center, Madison Regional Health System and Winner Regional Healthcare Center - Cah.

When was this NPI record last updated?

The NPPES record for Anthony Rupp was last updated on June 21, 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.