DR. DOMINIC SHUTTLEWORTH DO
NPI 1215673504
Family Medicine in Pierre, SD
About Dr. Dominic Shuttleworth Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. DOMINIC SHUTTLEWORTH DO (NPI 1215673504) is an individual family medicine provider in Pierre, South Dakota, licensed in South Dakota (17650) and active in the NPI registry since May 2022. He is enrolled in Medicare PECOS, is affiliated with Avera St Mary's Hospital, and maintains a secondary practice location in Sioux Falls.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 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
Dr. Dominic Shuttleworth Do 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 Reassignments
2Medicare enrollment records show Dominic Shuttleworth reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Pierre, SD 57501
- Reassigned Medicare billing, South Dakota enrollment
- 197 clinicians in this Medicare group
Gettysburg, SD 57442
- Reassigned Medicare billing, South Dakota enrollment
- Also billed through NPI 1366091357 (South Dakota)
- 39 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.
Hospital Affiliations CMS Care Compare 3
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, SDAvera Missouri River Health Center
Critical Access Hospitals · Gettysburg, SDPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 57501 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Dominic Shuttleworth's NPI number?
The NPI number for Dominic Shuttleworth is 1215673504. It was assigned to this individual provider in the NPPES registry on May 9, 2022.
Where is Dominic Shuttleworth located?
Dominic Shuttleworth practices at 801 E Sioux Ave, Pierre, SD 57501. The listed phone number is (605) 224-3100.
What is Dominic Shuttleworth's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Dominic Shuttleworth enrolled in Medicare?
Yes. Dominic Shuttleworth 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 organizations bill Medicare for Dominic Shuttleworth's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Dominic Shuttleworth reassigns Medicare benefits to 2 organizations: Avera St Marys (Pierre, SD) and Avera Gettysburg (Gettysburg, SD). Each 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 Dominic Shuttleworth's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Dominic Shuttleworth accept?
Health plans from Avera Health Plans, Oscar Insurance Company and Wellmark of South Dakota, Inc. list Dominic Shuttleworth 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 Dominic Shuttleworth affiliated with any hospitals?
According to CMS data, Dominic Shuttleworth is affiliated with Avera St Mary's Hospital, Avera Mckennan Hospital & University Health Center and Avera Missouri River Health Center.
When was this NPI record last updated?
The NPPES record for Dominic Shuttleworth was last updated on December 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.
# Dr. Dominic Shuttleworth, DO · NPI 1215673504
Family Medicine physician in Pierre, South Dakota. Individual provider, active in the CMS NPPES registry since May 9, 2022.
## Identity
- **NPI:** 1215673504 (Entity type: Individual)
- **Enumerated:** May 9, 2022
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 17650 (South Dakota)
- **Sole proprietor:** No
## Practice location
- **Address:** 801 E SIOUX AVE, Pierre, SD 57501-3323
- **Phone:** (605) 224-3100
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Avera St Marys (NPI 1073305496, Pierre, SD); Avera Gettysburg (NPI 1003887266, Gettysburg, SD) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** December 24, 2025
---
Source: [NPI Profile](https://npiprofile.com/npi/1215673504) · Data from the CMS NPPES public registry.