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BENJAMIN WALTERS D.O.
NPI 1215385232
Orthopaedic Surgery in Sioux Falls, SD

Active since May 31, 2016PECOS EnrolledAccepts Medicare Assignment
6100 S LOUISE AVE STE 2100, SIOUX FALLS, SD 57108(605) 504-1100(605) 504-1101 Get Directions Write a Review

NPPES record last updated: July 29, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 29, 2022, Sep 28, 2021, May 6, 2021 and 1 more (4 updates tracked since 2017).

About Benjamin Walters D.o. NPPES

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

BENJAMIN WALTERS D.O. (NPI 1215385232) is an individual orthopaedic surgery provider in Sioux Falls, South Dakota, licensed in South Dakota (13638) and active in the NPI registry since May 2016. He is enrolled in Medicare PECOS, is affiliated with Lakes Regional Healthcare, and is a graduate of Kansas City University Of Med & Biosciences, College Of Osteo Med (2016).

NPPES Registry Identity

NPI1215385232
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameBENJAMIN WALTERSCredential: D.O.
Location Address6100 S LOUISE AVE STE 2100Sioux Falls, SD 57108-6029
Mailing Address6100 S Louise Ave Ste 2100Sioux Falls, SD 57108-6029 · (605) 504-1100 · Fax (605) 504-1101
Phone(605) 504-1100
Fax(605) 504-1101
Sole ProprietorNo
Medical School CMSKansas City University Of Med & Biosciences, College Of Osteo MedGraduated 2016
Enumeration DateMay 31, 2016
Last NPPES UpdateJuly 29, 20224 updates tracked since enumeration
NPPES CertifiedJuly 29, 2022
✔ NPI 1215385232 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Licenses✔ Licensed in SD · 13638✔ Licensed in MI · 5101022839
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
6100 S LOUISE AVE STE 2100, Sioux Falls, SD 57108
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from Sunflower Health Plan, 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

Benjamin Walters D.o. 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 ID9931470614
PECOS Enrollment IDI20220823002542
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 8

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
148 services20 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
103 services81 patients
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.
101 services91 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.
62 services50 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.
50 services50 patients
Replacement of knee joint, both sides of knee 27447
A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.
40 services36 patients

Hospital Affiliations CMS Care Compare 5

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

Lakes Regional Healthcare

Acute Care Hospitals · Spirit Lake, IA
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number160124
Location2301 Highway 71Spirit Lake, IA 51360 · Dickinson County
Emergency services Birthing friendly

Avera St Mary's Hospital

Acute Care Hospitals · Pierre, SD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number430015
Location801 E SiouxPierre, SD 57501 · Hughes County
Emergency services Birthing friendly

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

Madison Regional Health System

Critical Access Hospitals · Madison, SD
OwnershipVoluntary non-profit - Private
CMS Certification Number431300
Location323 SW 10th StMadison, SD 57042 · Lake County
Emergency services

Avera Dells Area Hospital - Cah

Critical Access Hospitals · Dell Rapids, SD
OwnershipVoluntary non-profit - Private
CMS Certification Number431331
Location909 N Iowa AveDell Rapids, SD 57022 · Minnehaha County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57108 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.

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.

AVERA MCKENNAN
Orthopaedic Surgery
6100 S LOUISE AVE STE 2100
SIOUX FALLS, SD 57108
Lincoln County (605) 504-1100
MARY LOU NORA FIEDLER CNP
Nurse Practitioner (Family)
6100 S LOUISE AVE STE 2100
SIOUX FALLS, SD 57108
Lincoln County (605) 504-1100
JOSHUA ROGERS
Orthopaedic Surgery (Hand Surgery)
6100 S LOUISE AVE STE 2100
SIOUX FALLS, SD 57108
Lincoln County (605) 504-1100
RUTH RANUM MOEN DPM
Podiatrist (Foot & Ankle Surgery)
6100 S LOUISE AVE STE 2100
SIOUX FALLS, SD 57108
Lincoln County (605) 504-1100
SHAWN LEREW D.O.
Orthopaedic Surgery
6100 S LOUISE AVE STE 2100
SIOUX FALLS, SD 57108
Lincoln County (605) 504-1100
TYLER RAY KROME PA-C
Physician Assistant
6100 S LOUISE AVE STE 2100
SIOUX FALLS, SD 57108
Lincoln County (605) 504-1100
KERRY LOUISE VANOVERBEKE PA-C
Physician Assistant
6100 S LOUISE AVE STE 2100
SIOUX FALLS, SD 57108
Lincoln County (605) 504-1100
ROCIO CAROLINA FUENTES BARROW MD
Orthopaedic Surgery (Hand Surgery)
6100 S LOUISE AVE STE 2100
SIOUX FALLS, SD 57108
Lincoln County (605) 504-1100

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 Benjamin Walters's NPI number?

The NPI number for Benjamin Walters is 1215385232. It was assigned to this individual provider in the NPPES registry on May 31, 2016.

Where is Benjamin Walters located?

Benjamin Walters practices at 6100 S Louise Ave Ste 2100, Sioux Falls, SD 57108. The listed phone number is (605) 504-1100.

What is Benjamin Walters's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Benjamin Walters enrolled in Medicare?

Yes. Benjamin Walters 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 Benjamin Walters accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Avera Health Plans and 2 other insurers list Benjamin Walters 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 Benjamin Walters affiliated with any hospitals?

According to CMS data, Benjamin Walters is affiliated with Lakes Regional Healthcare, Avera St Mary's Hospital, Avera Mckennan Hospital & University Health Center, Madison Regional Health System and Avera Dells Area Hospital - Cah.

When was this NPI record last updated?

The NPPES record for Benjamin Walters was last updated on July 29, 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.