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CHARLES L. PELTON JR. PA-C
NPI 1154641595
Physician Assistant in Aberdeen, SD

Active since June 08, 2010PECOS EnrolledAccepts Medicare Assignment
310 S PENN ST, SUITE 202, ABERDEEN, SD 57401(605) 622-2573(605) 622-2574 Get Directions Write a Review

NPPES record last updated: June 8, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Charles L. Pelton Jr. Pa-c NPPES

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

CHARLES L. PELTON JR. PA-C (NPI 1154641595) is an individual physician assistant in Aberdeen, South Dakota, licensed in South Dakota (0748) and active in the NPI registry since June 2010. He is enrolled in Medicare PECOS, is affiliated with Avera St Lukes, and is a graduate of University Of North Dakota School Of Medicine (2010).

NPPES Registry Identity

NPI1154641595
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameCHARLES L. PELTON JR.Credential: PA-C
Location Address310 S PENN ST, SUITE 202Aberdeen, SD 57401-4553
Mailing AddressPo Box 1460Aberdeen, SD 57402-1460 · (605) 622-2856 · Fax (605) 622-2859
Phone(605) 622-2573
Fax(605) 622-2574
Sole ProprietorNo
Medical School CMSUniversity Of North Dakota School Of MedicineGraduated 2010
Enumeration DateJune 8, 2010
✔ NPI 1154641595 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in SD · 0748
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
310 S PENN ST, Aberdeen, SD 57401
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Avera Health Plans, 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

Charles L. Pelton Jr. Pa-c 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 ID4082746359
PECOS Enrollment IDI20100722000138
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 4

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.
82 services47 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
55 services37 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.
35 services35 patients
Removal of gallbladder using an endoscope 47562
This procedure, known as endoscopic gallbladder removal, involves a surgeon using a special tool called an endoscope to remove your gallbladder through small incisions. It's typically done to treat gallstones and related complications. It's a less invasive method, often leading to quicker recovery.
19 services19 patients

Hospital Affiliations CMS Care Compare 2

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

Avera St Lukes

Acute Care Hospitals · Aberdeen, SD
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number430014
Location305 S State St Post Office Box 4450Aberdeen, SD 57401 · Brown County
Emergency services Birthing friendly

Community Memorial Hospital

Critical Access Hospitals · Redfield, SD
OwnershipGovernment - Local
CMS Certification Number431316
Location111 W 10th Ave Post Office Box 420Redfield, SD 57469 · Spink County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57401 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
$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.

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.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier11 claims11 services$119.27 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier11 claims11 services$38.18 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 14

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

DR. GREGG W CARLSON MD
Obstetrics & Gynecology
310 S PENN ST, STE 204
ABERDEEN, SD 57401
Brown County (605) 225-1636
DR. TAGE ELIZABETH BORN MD
Obstetrics & Gynecology
310 S PENN ST, SUITE 204
ABERDEEN, SD 57401
Brown County (605) 225-1636
ALISA HOGUE CNP
Nurse Practitioner
310 S PENN ST, SUITE 202
ABERDEEN, SD 57401
Brown County (605) 622-2895
DR. ROGER W WERTH MD
Surgery
310 S PENN ST
ABERDEEN, SD 57401
Brown County (605) 229-1367
DR. CHRISTOPHER M LARSON
Surgery
310 S PENN ST, SUITE 201
ABERDEEN, SD 57401
Brown County (605) 229-1367
ABERDEEN SURGICAL ASSOCIATES LLP
Surgery
310 S PENN ST
ABERDEEN, SD 57401
Brown County (605) 229-1367
SUSHEEL S GUNDEWAR M.D.
Internal Medicine (Interventional Cardiology)
310 S PENN ST, STE 203
ABERDEEN, SD 57401
Brown County (605) 622-2573
NEUROSPINE OF ABERDEEN LLC
Neurological Surgery
310 S PENN ST, #202
ABERDEEN, SD 57401
Brown County (605) 225-1133

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 Charles Pelton's NPI number?

The NPI number for Charles Pelton is 1154641595. It was assigned to this individual provider in the NPPES registry on June 8, 2010.

Where is Charles Pelton located?

Charles Pelton practices at 310 S Penn St Suite 202, Aberdeen, SD 57401. The listed phone number is (605) 622-2573.

What is Charles Pelton's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Charles Pelton enrolled in Medicare?

Yes. Charles Pelton 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 Charles Pelton accept?

Health plans from Avera Health Plans and Medica list Charles Pelton 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 Charles Pelton affiliated with any hospitals?

According to CMS data, Charles Pelton is affiliated with Avera St Lukes and Community Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Charles Pelton was last updated on June 8, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.