RYAN TODHUNTER M.D.
NPI 1184157836
Orthopaedic Surgery in Sioux Falls, SD
About Ryan Todhunter M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RYAN TODHUNTER M.D. (NPI 1184157836) is an individual orthopaedic surgery provider in Sioux Falls, South Dakota, licensed in Kentucky (56514) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS, is affiliated with Sanford Luverne Medical Center, and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 2
Group Practice 1
Accepted 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
Ryan Todhunter 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.
Medicare Billing Reassignment
Medicare enrollment records show Ryan Todhunter reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Sioux Falls, SD 57105
- Reassigned Medicare billing, South Dakota enrollment
- 1,097 clinicians in this Medicare group
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 6
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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Sanford Luverne Medical Center
Critical Access Hospitals · Luverne, MNSanford Usd Medical Center
Acute Care Hospitals · Sioux Falls, SDSanford Vermillion Hospital
Critical Access Hospitals · Vermillion, SDPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 57104 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
SIOUX FALLS, SD 57104
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 Ryan Todhunter's NPI number?
The NPI number for Ryan Todhunter is 1184157836. It was assigned to this individual provider in the NPPES registry on April 10, 2017.
Where is Ryan Todhunter located?
Ryan Todhunter practices at 1210 W 18th St Ste G01, Sioux Falls, SD 57104. The listed phone number is (605) 328-2663.
What is Ryan Todhunter's specialty?
The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.
Is Ryan Todhunter enrolled in Medicare?
Yes. Ryan Todhunter 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 organization bills Medicare for Ryan Todhunter's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ryan Todhunter reassigns Medicare benefits to Sanford Medical Center (Sioux Falls, SD). The 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 Ryan Todhunter's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Ryan Todhunter accept?
Health plans from Medica, Sanford Health Plan, Security Health Plan, Wellmark Health Plan of Iowa, Inc. and Wellmark of South Dakota, Inc. list Ryan Todhunter 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 Ryan Todhunter affiliated with any hospitals?
According to CMS data, Ryan Todhunter is affiliated with Sanford Luverne Medical Center, Sanford Usd Medical Center and Sanford Vermillion Hospital.
When was this NPI record last updated?
The NPPES record for Ryan Todhunter was last updated on October 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Ryan Todhunter, M.D. · NPI 1184157836
Orthopaedic Surgery physician in Sioux Falls, South Dakota. Individual provider, active in the CMS NPPES registry since April 10, 2017.
## Identity
- **NPI:** 1184157836 (Entity type: Individual)
- **Enumerated:** April 10, 2017
- **Primary specialty:** Orthopaedic Surgery · taxonomy 207X00000X
- **State license:** 56514 (Kentucky)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1210 W 18TH ST STE G01, Sioux Falls, SD 57104-4651
- **Phone:** (605) 328-2663
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Sanford Medical Center (NPI 1093090342, Sioux Falls, SD), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Minnesota Medical School, class of 2017
## Record status
- **NPPES last updated:** October 26, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1184157836) · Data from the CMS NPPES public registry.