BENJAMIN WALTERS D.O.
NPI 1215385232
Orthopaedic Surgery in Sioux Falls, SD
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 Avera St Mary's Hospital, and is a graduate of Kansas City University Of Med & Biosciences, College Of Osteo Med (2016).
NPPES Registry Identity
Specialties & Licenses
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
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.
Medicare Billing Reassignment
Medicare enrollment records show Benjamin Walters reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Sioux Falls, SD 57108
- Reassigned Medicare billing, South Dakota enrollment
- 1,277 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 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.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Avera St Mary's Hospital
Acute Care Hospitals · Pierre, SDAvera Mckennan Hospital & University Health Center
Acute Care Hospitals · Sioux Falls, SDMadison Regional Health System
Critical Access Hospitals · Madison, SDAvera Dells Area Hospital - Cah
Critical Access Hospitals · Dell Rapids, SDAvera Hand County Memorial Hospital And Clinic
Critical Access Hospitals · Miller, SDPhysician 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.
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.
SIOUX FALLS, SD 57108
SIOUX FALLS, SD 57108
SIOUX FALLS, SD 57108
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.
Which organization bills Medicare for Benjamin Walters's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Benjamin Walters reassigns Medicare benefits to Avera Mckennan (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 Benjamin Walters's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Benjamin Walters accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Sunflower Health Plan, Avera Health Plans and Sanford Health Plan 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 Avera St Mary's Hospital, Avera Mckennan Hospital & University Health Center, Madison Regional Health System, Avera Dells Area Hospital - Cah and Avera Hand County Memorial Hospital And Clinic.
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.
# Benjamin Walters, D.O. · NPI 1215385232
Orthopaedic Surgery physician in Sioux Falls, South Dakota. Individual provider, active in the CMS NPPES registry since May 31, 2016.
## Identity
- **NPI:** 1215385232 (Entity type: Individual)
- **Enumerated:** May 31, 2016
- **Primary specialty:** Orthopaedic Surgery · taxonomy 207X00000X
- **State license:** 13638 (South Dakota)
- **Sole proprietor:** No
## Practice location
- **Address:** 6100 S LOUISE AVE STE 2100, Sioux Falls, SD 57108-6029
- **Phone:** (605) 504-1100 · **Fax:** (605) 504-1101
## 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:** Avera Mckennan (NPI 1093262131, Sioux Falls, SD), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Kansas City University Of Med & Biosciences, College Of Osteo Med, class of 2016
## Record status
- **NPPES last updated:** July 29, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1215385232) · Data from the CMS NPPES public registry.