JONATHON BANNWARTH
NPI 1184044273
Family Medicine in Sioux Falls, SD

Active since April 16, 2014PECOS EnrolledAccepts Medicare Assignment
2100 S MARION RD, SIOUX FALLS, SD 57106(605) 322-1010(605) 322-1011 Get Directions Write a Review

NPPES record last updated: April 15, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 15, 2022, Jul 6, 2017 (2 updates tracked since 2017).

About Jonathon Bannwarth NPPES

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

JONATHON BANNWARTH (NPI 1184044273) is an individual family medicine provider in Sioux Falls, South Dakota, licensed in South Dakota (10427) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS, is affiliated with Avera Mckennan Hospital & University Health Center, and is a graduate of Sanford School Of Medicine Of University Of South Dakota (2014).

NPPES Registry Identity

NPI1184044273
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJONATHON BANNWARTH
Location Address2100 S MARION RDSioux Falls, SD 57106-3646
Mailing Address1200 S 7th AveSioux Falls, SD 57105-0900 · (605) 322-1010 · Fax (605) 322-1011
Fax(605) 322-1011
Sole ProprietorNo
Medical School CMSSanford School Of Medicine Of University Of South DakotaGraduated 2014
Enumeration DateApril 16, 2014
Last NPPES UpdateApril 15, 20222 updates tracked since enumeration
NPPES CertifiedApril 15, 2022
NPI 1184044273 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in SD · 10427
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2100 S MARION RD, Sioux Falls, SD 57106

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

Jonathon Bannwarth 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 ID1557588530
PECOS Enrollment IDI20170731003645
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 10

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.
273 services182 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
195 services150 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
156 services156 patients
Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
61 services18 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
50 services44 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.
45 services42 patients

Hospital Affiliations CMS Care Compare

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

Avera Mckennan Hospital & University Health Center

Acute Care Hospitals · Sioux Falls, SD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number430016
Location1325 S Cliff AveSioux Falls, SD 57117 · Minnehaha County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57106 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
$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 17

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
14 suppliers53 claims112 services$6.13 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
6 suppliers14 claims16 services$1.06 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
3 suppliers21 claims21 services$36.36 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
2 suppliers19 claims19 services$86.96 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
2 suppliers17 claims43 services$35.86 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
4 suppliers13 claims13 services$59.96 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.

Pediatrics
2100 S MARION RD
SIOUX FALLS, SD 57106
Family Medicine
2100 S MARION RD
SIOUX FALLS, SD 57106
Physical Therapist
2100 S MARION RD
SIOUX FALLS, SD 57106
Family Medicine
2100 S MARION RD
SIOUX FALLS, SD 57106
Occupational Therapist
2100 S MARION RD
SIOUX FALLS, SD 57106
Family Medicine
2100 S MARION RD
SIOUX FALLS, SD 57106
Nurse Practitioner (Gerontology)
2100 S MARION RD
SIOUX FALLS, SD 57106
Family Medicine
2100 S MARION RD
SIOUX FALLS, SD 57106

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 Jonathon Bannwarth's NPI number?

The NPI number for Jonathon Bannwarth is 1184044273. It was assigned to this individual provider in the NPPES registry on April 16, 2014.

Where is Jonathon Bannwarth located?

Jonathon Bannwarth practices at 2100 S Marion Rd, Sioux Falls, SD 57106. The listed phone number is (605) 322-1010.

What is Jonathon Bannwarth's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Jonathon Bannwarth enrolled in Medicare?

Yes. Jonathon Bannwarth 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 Jonathon Bannwarth accept?

Health plans from Avera Health Plans and Medica list Jonathon Bannwarth 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 Jonathon Bannwarth affiliated with any hospitals?

According to CMS data, Jonathon Bannwarth is affiliated with Avera Mckennan Hospital & University Health Center.

When was this NPI record last updated?

The NPPES record for Jonathon Bannwarth was last updated on April 15, 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.