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STEPHEN CRAIG LIDDIARD PA-C
NPI 1164822037
Physician Assistant - Surgical in Dakota Dunes, SD

Active since August 28, 2014PECOS EnrolledAccepts Medicare Assignment
575 N SIOUX POINT RD, DAKOTA DUNES, SD 57049(605) 217-2667(605) 217-2900 Get Directions Write a Review

NPPES record last updated: July 1, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 1, 2019, Nov 12, 2015 (2 updates tracked since 2015).

About Stephen Craig Liddiard Pa-c NPPES

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

STEPHEN CRAIG LIDDIARD PA-C (NPI 1164822037) is an individual surgical provider in Dakota Dunes, South Dakota, licensed in South Dakota (0953) and active in the NPI registry since August 2014. He is enrolled in Medicare PECOS, is affiliated with Star Valley Medical Center, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1164822037
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameSTEPHEN CRAIG LIDDIARDCredential: PA-C
Location Address575 N SIOUX POINT RDDakota Dunes, SD 57049-5312
Mailing Address575 N Sioux Point RdDakota Dunes, SD 57049-5312 · (605) 217-2667 · Fax (605) 217-2900
Phone(605) 217-2667
Fax(605) 217-2900
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateAugust 28, 2014
Last NPPES UpdateJuly 1, 20192 updates tracked since enumeration
✔ NPI 1164822037 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
Licenses✔ Licensed in SD · 0953✔ Licensed in IA · 075330
Also ListedPhysician AssistantTaxonomy 363A00000X · License 075330 (IA)
575 N SIOUX POINT RD, Dakota Dunes, SD 57049
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Wyoming, Medica, Oscar Insurance Company 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

Stephen Craig Liddiard 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 ID7315168135
PECOS Enrollment IDI20221223000120
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 3

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.
78 services55 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.
70 services53 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.
41 services41 patients

Hospital Affiliations CMS Care Compare

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

Star Valley Medical Center

Critical Access Hospitals · Afton, WY
OwnershipGovernment - Hospital District or Authority
CMS Certification Number531313
Location901 Adams StreetAfton, WY 83110 · Lincoln County
Emergency services

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.

JOSHUA HOCKETT
Orthopaedic Surgery
575 N SIOUX POINT RD
DAKOTA DUNES, SD 57049
Union County (052) 172-6676
THORIR STURLA RAGNARSSON MD
Neurological Surgery
575 N SIOUX POINT RD
DAKOTA DUNES, SD 57049
Union County (605) 217-2667
BRANDEE KOEDAM DPT
Physical Therapist
575 N SIOUX POINT RD
DAKOTA DUNES, SD 57049
Union County (605) 217-2615
GINA KIRSTEN MEISTER DPT
Physical Therapist
575 N SIOUX POINT RD, CNOS, PC
DAKOTA DUNES, SD 57049
Union County (605) 217-2615
PAUL WILSON ATHLETIC TRAINER
Specialist/Technologist (Athletic Trainer)
575 N SIOUX POINT RD
DAKOTA DUNES, SD 57049
Union County (605) 217-2667
NICHOLAS NIELSEN
Physical Therapist
575 N SIOUX POINT RD
DAKOTA DUNES, SD 57049
Union County (605) 217-2667
RYAN CHRISTOPHER MEIS MD
Orthopaedic Surgery
575 N SIOUX POINT RD
DAKOTA DUNES, SD 57049
Union County (605) 217-2667
TYSON DAVID ALLEN
Physician Assistant (Surgical)
575 N SIOUX POINT RD
DAKOTA DUNES, SD 57049
Union County (605) 217-2667

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 Stephen Liddiard's NPI number?

The NPI number for Stephen Liddiard is 1164822037. It was assigned to this individual provider in the NPPES registry on August 28, 2014.

Where is Stephen Liddiard located?

Stephen Liddiard practices at 575 N Sioux Point Rd, Dakota Dunes, SD 57049. The listed phone number is (605) 217-2667.

What is Stephen Liddiard's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Stephen Liddiard enrolled in Medicare?

Yes. Stephen Liddiard 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 Stephen Liddiard accept?

Health plans from Blue Cross Blue Shield of Wyoming, Medica, Oscar Insurance Company and UnitedHealthcare list Stephen Liddiard 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 Stephen Liddiard affiliated with any hospitals?

According to CMS data, Stephen Liddiard is affiliated with Star Valley Medical Center.

When was this NPI record last updated?

The NPPES record for Stephen Liddiard was last updated on July 1, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.