LEAH PRESTBO M.D.
NPI 1235320177
Family Medicine in Sioux Falls, SD

Active since August 06, 2007PECOS EnrolledAccepts Medicare Assignment
2100 S MARION RD, SIOUX FALLS, SD 57106(605) 322-1010(650) 322-1011 Get Directions Write a Review

NPPES record last updated: April 19, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 19, 2022, May 15, 2018 (2 updates tracked since 2018).

About Leah Prestbo M.d. NPPES

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

LEAH PRESTBO M.D. (NPI 1235320177) is an individual family medicine provider in Sioux Falls, South Dakota, licensed in South Dakota (7784) and active in the NPI registry since August 2007. She is enrolled in Medicare PECOS, is affiliated with Avera Merrill Pioneer Hospital, and is a graduate of Sanford School Of Medicine Of University Of South Dakota (2007).

NPPES Registry Identity

NPI1235320177
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameLEAH PRESTBOCredential: M.D.
Location Address2100 S MARION RDSioux Falls, SD 57106
Mailing Address1200 S 7th AveSioux Falls, SD 57105-0900 · (605) 504-5400 · Fax (605) 504-5150
Fax(650) 322-1011
Sole ProprietorNo
Medical School CMSSanford School Of Medicine Of University Of South DakotaGraduated 2007
Enumeration DateAugust 6, 2007
Last NPPES UpdateApril 19, 20222 updates tracked since enumeration
NPPES CertifiedApril 19, 2022
NPI 1235320177 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 · 7784
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

Leah Prestbo 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.

PECOS PAC ID1456475540
PECOS Enrollment IDI20100826000031
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 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.

Dxa bone density measurement of hip, pelvis, spine 77080
A DXA bone density measurement is a simple, quick, and non-invasive procedure that assesses the strength of your bones. This test uses X-rays to measure the amount of minerals, mainly calcium, in the hip, pelvis, and spine. It helps in early detection of osteoporosis or other bone diseases.
1,222 services1,222 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.
314 services208 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.
147 services147 patients
Dxa bone density measurement of hip, pelvis, spine 77080
A DXA bone density measurement is a simple, quick, and non-invasive procedure that assesses the strength of your bones. This test uses X-rays to measure the amount of minerals, mainly calcium, in the hip, pelvis, and spine. It helps in early detection of osteoporosis or other bone diseases.
137 services134 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.
128 services128 patients
Fracture assessment of spine bones using dxa 77086
Fracture assessment of spine bones using DXA is a non-invasive test to measure bone density. It helps in detecting weak bones early, even before a fracture occurs. The procedure is painless, similar to having an X-ray.
18 services18 patients

Hospital Affiliations CMS Care Compare 5

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

Avera Merrill Pioneer Hospital

Critical Access Hospitals · Rock Rapids, IA
OwnershipVoluntary non-profit - Private
CMS Certification Number161321
Location1100 S 10th AveRock Rapids, IA 51246 · Lyon County
Emergency services

Regional Health Services Of Howard County

Critical Access Hospitals · Cresco, IA
OwnershipGovernment - Local
CMS Certification Number161328
Location235 8th Avenue WestCresco, IA 52136 · Howard County
Emergency services Birthing friendly

Brookings Health System

Acute Care Hospitals · Brookings, SD
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number430008
Location300 22nd AveBrookings, SD 57006 · Brookings 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

Avera Gregory Hospital

Critical Access Hospitals · Gregory, SD
OwnershipVoluntary non-profit - Private
CMS Certification Number431338
Location110 S Logan AveGregory, SD 57533 · Gregory County
Emergency services

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 13

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
18 suppliers82 claims153 services$5.64 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
2 suppliers17 claims17 services$38.93 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
1 supplier14 claims14 services$59.97 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
2 suppliers12 claims12 services$20.17 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
2 suppliers13 claims70 services$2.40 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier16 claims16 services$16.82 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 Leah Prestbo's NPI number?

The NPI number for Leah Prestbo is 1235320177. It was assigned to this individual provider in the NPPES registry on August 6, 2007.

Where is Leah Prestbo located?

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

What is Leah Prestbo's specialty?

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

Is Leah Prestbo enrolled in Medicare?

Yes. Leah Prestbo 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 Leah Prestbo accept?

Health plans from Avera Health Plans, Medica and Sanford Health Plan list Leah Prestbo 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 Leah Prestbo affiliated with any hospitals?

According to CMS data, Leah Prestbo is affiliated with Avera Merrill Pioneer Hospital, Regional Health Services Of Howard County, Brookings Health System, Avera Mckennan Hospital & University Health Center and Avera Gregory Hospital.

When was this NPI record last updated?

The NPPES record for Leah Prestbo was last updated on April 19, 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.