NATHAN WILLIAM SKELLEY M.D.
NPI 1316230667
Orthopaedic Surgery in Sioux Falls, SD

Active since May 19, 2011PECOS EnrolledAccepts Medicare Assignment
76.69/100
CMS Quality Rating
1210 W 18TH ST STE G01, SIOUX FALLS, SD 57104(605) 328-2663 Get Directions Write a Review

NPPES record last updated: November 22, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 22, 2021, Dec 11, 2020, Mar 9, 2020 and 3 more (6 updates tracked since 2016).

About Nathan William Skelley M.d. NPPES

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

NATHAN WILLIAM SKELLEY M.D. (NPI 1316230667) is an individual orthopaedic surgery provider in Sioux Falls, South Dakota, licensed in South Dakota (11792) and active in the NPI registry since May 2011. He is enrolled in Medicare PECOS, is affiliated with Sanford Usd Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1316230667
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameNATHAN WILLIAM SKELLEYCredential: M.D.
Location Address1210 W 18TH ST STE G01Sioux Falls, SD 57104-4651
Mailing AddressPo Box 5074Sioux Falls, SD 57117-5074
Sole ProprietorNo
Medical School CMSJohns Hopkins University School Of MedicineGraduated 2011
Enumeration DateMay 19, 2011
Last NPPES UpdateNovember 22, 20216 updates tracked since enumeration
NPPES CertifiedNovember 22, 2021
NPI 1316230667 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in SD · 11792
Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Also ListedOrthopaedic Surgery · Sports MedicineTaxonomy 207XX0005X · License 2017006766 (MO)
1210 W 18TH ST STE G01, Sioux Falls, SD 57104

Secondary Practice Locations 2

Location 11100 Virginia AveColumbia, MO 65212-0001 · Phone (573) 882-2663 · Fax (573) 882-1760
Location 2660 S Euclid Ave, Washington University Orthopaedic SurgerySaint Louis, MO 63110-1010 · Phone (314) 747-2835 · Fax (314) 747-2848

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

Nathan William Skelley 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 ID9234368572
PECOS Enrollment IDI20200327003098
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

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.

X-ray of joints, multiple 77077
An X-ray of multiple joints is a non-invasive imaging test that helps visualize the condition of your joints. This procedure uses a small amount of radiation to produce images of bones and joints, assisting in diagnosing conditions like arthritis or injury.
12 services11 patients

Hospital Affiliations CMS Care Compare

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

Sanford Usd Medical Center

Acute Care Hospitals · Sioux Falls, SD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number430027
Location1305 W 18th St Post Office Box 5039Sioux Falls, SD 57117 · Minnehaha County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57104 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
$69.20 typical visit price
range $18.08 – $137.08
Typical copayment $17.30 (range $4.52 – $34.27)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

76.69/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.56
Promoting Interoperability99
Improvement Activities40
Cost44.56

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.

Orthopaedic Surgery (Hand Surgery)
1210 W 18TH ST STE G01
SIOUX FALLS, SD 57104
Nurse Practitioner
1210 W 18TH ST STE G01
SIOUX FALLS, SD 57104
Physician Assistant
1210 W 18TH ST STE G01
SIOUX FALLS, SD 57104
Family Medicine (Sports Medicine)
1210 W 18TH ST STE G01
SIOUX FALLS, SD 57104
Nurse Practitioner (Family)
1210 W 18TH ST STE G01
SIOUX FALLS, SD 57104
Physical Therapist
1210 W 18TH ST STE G01
SIOUX FALLS, SD 57104
Nurse Practitioner
1210 W 18TH ST STE G01
SIOUX FALLS, SD 57104
Physician Assistant
1210 W 18TH ST STE G01
SIOUX FALLS, SD 57104

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 Nathan Skelley's NPI number?

The NPI number for Nathan Skelley is 1316230667. It was assigned to this individual provider in the NPPES registry on May 19, 2011.

Where is Nathan Skelley located?

Nathan Skelley practices at 1210 W 18th St Ste G01, Sioux Falls, SD 57104. The listed phone number is (605) 328-2663.

What is Nathan Skelley's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Nathan Skelley enrolled in Medicare?

Yes. Nathan Skelley 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 Nathan Skelley accept?

Health plans from Medica, Oscar Insurance Company, Sanford Health Plan and Security Health Plan list Nathan Skelley 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 Nathan Skelley affiliated with any hospitals?

According to CMS data, Nathan Skelley is affiliated with Sanford Usd Medical Center.

When was this NPI record last updated?

The NPPES record for Nathan Skelley was last updated on November 22, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.