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SERGIO GEORGE PLUCKER-BILLUPS
NPI 1275060865
Student in an Organized Health Care Education/Training Program in Sioux Falls, SD

Active since May 15, 2017PECOS EnrolledAccepts Medicare Assignment
1400 W 22ND ST, SIOUX FALLS, SD 57105(605) 322-5737 Get Directions Write a Review

NPPES record last updated: May 15, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Sergio George Plucker-billups NPPES

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

SERGIO GEORGE PLUCKER-BILLUPS (NPI 1275060865) is an individual student in an organized health care education/training program in Sioux Falls, South Dakota and active in the NPI registry since May 2017. He is enrolled in Medicare PECOS, is affiliated with Trinity Regional Medical Center, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1275060865
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameSERGIO GEORGE PLUCKER-BILLUPS
Location Address1400 W 22ND STSioux Falls, SD 57105-1554
Mailing Address613 E 20th StSioux Falls, SD 57105-0920
Phone(605) 322-5737
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateMay 15, 2017
✔ NPI 1275060865 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1400 W 22ND ST, Sioux Falls, SD 57105
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan, Ambetter Health and more.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

Sergio George Plucker-billups 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 ID6608148044
PECOS Enrollment IDI20190326001782
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.

Medicare Billing Reassignment

Medicare enrollment records show Sergio Plucker-billups reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Spencer Municipal Hospital
69 mi
Clinic/Center
231 N 8TH AVE W
Hartley, IA 51346
  • Reassigned Medicare billing, Iowa enrollment
  • 176 clinicians in this Medicare group
NPI 1225767338 (712) 928-1020

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 3

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
44 services19 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
17 services16 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
16 services15 patients

Hospital Affiliations CMS Care Compare 2

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

Trinity Regional Medical Center

Acute Care Hospitals · Fort Dodge, IA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number160016
Location802 Kenyon RdFort Dodge, IA 50501 · Webster County
Emergency services Birthing friendly

Spencer Municipal Hospital

Acute Care Hospitals · Spencer, IA
5/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number160112
Location1200 1st Avenue EastSpencer, IA 51301 · Clay County
Emergency services Birthing friendly

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.

MARIA SEBALIA KOENEN MD
Student in an Organized Health Care Education/Training Program
1400 W 22ND ST
SIOUX FALLS, SD 57105
Minnehaha County (605) 357-1391
DR. MARIA FERNANDA VILLARROEL PINELL M.D.
Student in an Organized Health Care Education/Training Program
1400 W 22ND ST
SIOUX FALLS, SD 57105
Minnehaha County (605) 333-7197
CHRISTIAN TOBIN MD
Student in an Organized Health Care Education/Training Program
1400 W 22ND ST
SIOUX FALLS, SD 57105
Minnehaha County (605) 357-1391
MAHEERA FAROOQI MD
Student in an Organized Health Care Education/Training Program
1400 W 22ND ST
SIOUX FALLS, SD 57105
Minnehaha County (605) 357-1461
LUBIN ROY DENG
Student in an Organized Health Care Education/Training Program
1400 W 22ND ST
SIOUX FALLS, SD 57105
Minnehaha County (605) 357-1380
JEFFREY WALSH DO
Student in an Organized Health Care Education/Training Program
1400 W 22ND ST
SIOUX FALLS, SD 57105
Minnehaha County (605) 322-5737
ASHLEY STRUBE
Pediatrics
1400 W 22ND ST
SIOUX FALLS, SD 57105
Minnehaha County (605) 333-7197
JODI ANNE VEACH MD
Student in an Organized Health Care Education/Training Program
1400 W 22ND ST
SIOUX FALLS, SD 57105
Minnehaha County (605) 357-1380

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 Sergio Plucker-billups's NPI number?

The NPI number for Sergio Plucker-billups is 1275060865. It was assigned to this individual provider in the NPPES registry on May 15, 2017.

Where is Sergio Plucker-billups located?

Sergio Plucker-billups practices at 1400 W 22nd St, Sioux Falls, SD 57105. The listed phone number is (605) 322-5737.

What is Sergio Plucker-billups's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Sergio Plucker-billups enrolled in Medicare?

Yes. Sergio Plucker-billups 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 Sergio Plucker-billups's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sergio Plucker-billups reassigns Medicare benefits to Spencer Municipal Hospital (Hartley, IA). 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 Sergio Plucker-billups's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sergio Plucker-billups accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and Sanford Health Plan and 1 other insurer list Sergio Plucker-billups 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 Sergio Plucker-billups affiliated with any hospitals?

According to CMS data, Sergio Plucker-billups is affiliated with Trinity Regional Medical Center and Spencer Municipal Hospital.

When was this NPI record last updated?

The NPPES record for Sergio Plucker-billups was last updated on May 15, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.