DAVID A WELCH PA
NPI 1285602649
Physician Assistant - Surgical in Sioux Falls, SD

Active since March 10, 2006PECOS EnrolledAccepts Medicare Assignment
1001 E. 21ST ST., STE 301, SIOUX FALLS, SD 57105(605) 322-7350(605) 322-7351 Get Directions Write a Review

NPPES record last updated: March 2, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About David A Welch Pa NPPES

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

DAVID A WELCH PA (NPI 1285602649) is an individual surgical provider in Sioux Falls, South Dakota, licensed in South Dakota (0617) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Dunes Surgical Hospital, and is a graduate of Other (2000).

NPPES Registry Identity

NPI1285602649
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameDAVID A WELCHCredential: PA
Location Address1001 E. 21ST ST., STE 301Sioux Falls, SD 57105
Mailing AddressPo Box 86370Sioux Falls, SD 57118-6370 · (605) 322-7510 · Fax (605) 322-6475
Fax(605) 322-7351
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateMarch 10, 2006
Last NPPES UpdateMarch 2, 2009
NPI 1285602649 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in SD · 0617
1001 E. 21ST ST., Sioux Falls, SD 57105

Other Identifiers 20

Other57105R009SD · Wps Tricare
Other370624200SD · Dept Of Labor
Other9238093SD · Dakotacare
Other0123475SD · Medica
Other126H0WEMN · Blue Cross
Medicare PINS100990SD
Medicare PINS103086SD
Other4994112SD · Blue Cross
Other2442941SD · Araz/ America's Ppo
Medicaid6828652SD
Medicaid6828650SD
Medicaid0552638IA
OtherHP61153SD · Healthpartners
Other126H0WEMN · Cc Systems/ Blue Plus
Medicaid46022474346NE
Other250267SD · Midlands Choice
Other412871046552SD · Preferred One
Medicare UPINQ67088SD
Medicaid468669100MN
Medicaid12976ND

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

David A Welch Pa 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 ID3678582491
PECOS Enrollment IDI20060406000136
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 7

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.

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.
632 services112 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.
314 services108 patients
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.
120 services17 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
29 services16 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.
16 services12 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
16 services16 patients

Hospital Affiliations CMS Care Compare

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

Dunes Surgical Hospital

Acute Care Hospitals · Dakota Dunes, SD
OwnershipProprietary
CMS Certification Number430089
Location600 N Sioux Point RoadDakota Dunes, SD 57049 · Union County

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
70%141 patients3/55-star benchmark: 100%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
1%357 patients1/55-star benchmark: 85%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
97%2,697 patients4/55-star benchmark: 99%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%94 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
17%718 patients1/55-star benchmark: 97%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
17%722 patients1/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
55%718 patients3/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
3%718 patients1/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
19%718 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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 David Welch's NPI number?

The NPI number for David Welch is 1285602649. It was assigned to this individual provider in the NPPES registry on March 10, 2006.

Where is David Welch located?

David Welch practices at 1001 E. 21st St. Ste 301, Sioux Falls, SD 57105. The listed phone number is (605) 322-7350.

What is David Welch's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is David Welch enrolled in Medicare?

Yes. David Welch 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 David Welch 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 4 other insurers list David Welch 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 David Welch affiliated with any hospitals?

According to CMS data, David Welch is affiliated with Dunes Surgical Hospital.

When was this NPI record last updated?

The NPPES record for David Welch was last updated on March 2, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.