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KAREN HUTCHINSON MD
NPI 1164536520
Internal Medicine - Endocrinology, Diabetes & Metabolism in Sioux Falls, SD

Active since August 19, 2006PECOS EnrolledAccepts Medicare Assignment
1315 S CLIFF AVE, STE. 3000, SIOUX FALLS, SD 57105(605) 322-7600(605) 322-7601 Get Directions Write a Review

NPPES record last updated: November 3, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 3, 2023, Oct 11, 2018 (2 updates tracked since 2018).

About Karen Hutchinson Md NPPES

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

KAREN HUTCHINSON MD (NPI 1164536520) is an individual endocrinology, diabetes & metabolism provider in Sioux Falls, South Dakota, licensed in South Dakota (8327) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, is affiliated with Promedica Charles And Virginia Hickman Hospital, and is a graduate of Sanford School Of Medicine Of University Of South Dakota (2006).

NPPES Registry Identity

NPI1164536520
Entity TypeIndividualFemale
Primary Taxonomy207RE0101X
Provider Legal NameKAREN HUTCHINSONCredential: MD
Location Address1315 S CLIFF AVE, STE. 3000Sioux Falls, SD 57105-1058
Mailing AddressPo Box 86370Sioux Falls, SD 57118-6370 · (605) 322-7510 · Fax (605) 322-6475
Phone(605) 322-7600
Fax(605) 322-7601
Sole ProprietorNo
Medical School CMSSanford School Of Medicine Of University Of South DakotaGraduated 2006
Enumeration DateAugust 19, 2006
Last NPPES UpdateNovember 3, 20232 updates tracked since enumeration
✔ NPI 1164536520 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License✔ Licensed in SD · 8327
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
Also ListedInternal MedicineTaxonomy 207R00000X · License 252307 (NY)
Also ListedHospitalistTaxonomy 208M00000X · License 252307 (NY)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1315 S CLIFF AVE, Sioux Falls, SD 57105
Open in Google Maps ↗

Other Identifiers 2

OtherP01118101SD · Rr Medicare
Medicaid6007410SD

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Karen Hutchinson 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 ID6406907823
PECOS Enrollment IDI20190927003058
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 9

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.
495 services359 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
444 services338 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.
229 services200 patients
Blood glucose (sugar) test performed by hand-held instrument 82962
A blood glucose test uses a handheld device to measure the amount of sugar in your blood. A small prick on your finger allows a drop of blood to be placed on a test strip, which is then read by the device. This helps monitor and manage diabetes effectively.
211 services170 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
197 services155 patients
Ultrasound scan of head and neck soft tissue 76536
An ultrasound scan of the head and neck soft tissue is a non-invasive procedure that uses sound waves to create images of the soft tissues in these areas. It helps identify any abnormalities or issues, such as tumors, cysts, or infections. It's painless and doesn't involve radiation.
46 services42 patients

Hospital Affiliations CMS Care Compare 5

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

Promedica Charles And Virginia Hickman Hospital

Acute Care Hospitals · Adrian, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230005
Location5640 N Adrian HighwayAdrian, MI 49221 · Lenawee County
Emergency services Birthing friendly

Promedica Monroe Regional Hospital

Acute Care Hospitals · Monroe, MI
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230099
Location718 N Macomb StMonroe, MI 48162 · Monroe County
Emergency services Birthing friendly

Promedica Toledo Hospital

Acute Care Hospitals · Toledo, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360068
Location2142 North Cove BoulevardToledo, OH 43606 · Lucas County
Emergency services Birthing friendly

Memorial Hospital

Acute Care Hospitals · Fremont, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360156
Location715 South Taft AvenueFremont, OH 43420 · Sandusky County
Birthing friendly

Bay Park Community Hospital

Acute Care Hospitals · Oregon, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360259
Location2801 Bay Park DriveOregon, OH 43616 · Lucas 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
$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.

Referred Medical Equipment & Supplies CMS DME claims 10

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

Supplies for maintenance of insulin infusion catheter, per week A4224
DME-Other DME · category DE017N
10 suppliers90 claims1,003 services$18.24 avg. paid by Medicare
Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225
DME-Other DME · category DE017N
11 suppliers92 claims2,564 services$2.36 avg. paid by Medicare
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
67 suppliers357 claims1,376 services$6.13 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
37 suppliers111 claims211 services$1.05 avg. paid by Medicare
For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe A5500
DME-Orthotic Devices · category DF000N
7 suppliers17 claims34 services$55.31 avg. paid by Medicare
External ambulatory infusion pump, insulin E0784
DME-Other DME · category DE017N
4 suppliers70 claims70 services$286.95 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 16

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

DR. CHRISTINE POCHA MD
Transplant Surgery
1315 S CLIFF AVE, PLAZA 3
SIOUX FALLS, SD 57105
Minnehaha County (605) 322-8535
JULIE ANN TAN LINATOC MD
Internal Medicine (Nephrology)
1315 S CLIFF AVE, STE. 2000
SIOUX FALLS, SD 57105
Minnehaha County (605) 322-5800
JERRY JOSEPH SCHRIER PA-C
Physician Assistant
1315 S CLIFF AVE, STE. 2000
SIOUX FALLS, SD 57105
Minnehaha County (605) 322-5800
MR. JAMES ROBERT FURRY IV PA-C
Physician Assistant
1315 S CLIFF AVE, AVERA DOCTORS PLAZA 3
SIOUX FALLS, SD 57105
Minnehaha County (605) 322-7350
MELANIE FULLER
Physical Therapist
1315 S CLIFF AVE
SIOUX FALLS, SD 57105
Minnehaha County (605) 322-5000
SYDNEY HORTON
Occupational Therapist
1315 S CLIFF AVE
SIOUX FALLS, SD 57105
Minnehaha County (605) 322-5000
KALLI PEDERSON RDN, LN, CDE
Dietitian, Registered
1315 S CLIFF AVE, SUITE 1300
SIOUX FALLS, SD 57105
Minnehaha County (605) 322-8995
DR. LU Y HUBER MD
Internal Medicine (Nephrology)
1315 S CLIFF AVE, STE. 2000
SIOUX FALLS, SD 57105
Minnehaha County (605) 322-5800

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 Karen Hutchinson's NPI number?

The NPI number for Karen Hutchinson is 1164536520. It was assigned to this individual provider in the NPPES registry on August 19, 2006.

Where is Karen Hutchinson located?

Karen Hutchinson practices at 1315 S Cliff Ave Ste. 3000, Sioux Falls, SD 57105. The listed phone number is (605) 322-7600.

What is Karen Hutchinson's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Karen Hutchinson enrolled in Medicare?

Yes. Karen Hutchinson 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 Karen Hutchinson accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and CareSource and 3 other insurers list Karen Hutchinson 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 Karen Hutchinson affiliated with any hospitals?

According to CMS data, Karen Hutchinson is affiliated with Promedica Charles And Virginia Hickman Hospital, Promedica Monroe Regional Hospital, Promedica Toledo Hospital, Memorial Hospital and Bay Park Community Hospital.

When was this NPI record last updated?

The NPPES record for Karen Hutchinson was last updated on November 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.