DR. MARK KENNETH HUNTINGTON SR. MD, PHD
NPI 1326007469
Family Medicine in Sioux Falls, SD

Q: What is Mark Huntington's NPI number?

The NPI number for Mark Huntington is 1326007469. It was assigned to this individual provider in the NPPES registry on March 18, 2006.

Q: What is Mark Huntington's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Mark Huntington was last updated on October 23, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.

Active since March 18, 2006PECOS EnrolledAccepts Medicare Assignment

1115 E 20TH ST, SIOUX FALLS, SD 57105(605) 339-1783(605) 367-7157 Get Directions Write a Review

NPPES record last updated: October 23, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Dr. Mark Kenneth Huntington Sr. Md, Phd NPPES

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

DR. MARK KENNETH HUNTINGTON SR. MD, PHD (NPI 1326007469) is an individual family medicine provider in Sioux Falls, South Dakota, licensed in Minnesota (40960) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Avera Mckennan Hospital & University Health Center, and is a graduate of Michigan State University College Of Human Medicine (1995).

NPPES Registry Identity

NPI1326007469

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. MARK KENNETH HUNTINGTON SR.Credential: MD, PHD

Location Address1115 E 20TH STSioux Falls, SD 57105-1013

Mailing Address1115 E 20th StSioux Falls, SD 57105-1013 · (605) 339-1783 · Fax (605) 367-7157

Phone(605) 339-1783

Fax(605) 367-7157

Sole ProprietorNo

Medical School CMSMichigan State University College Of Human MedicineGraduated 1995

Enumeration DateMarch 18, 2006

Last NPPES UpdateOctober 23, 2007

✔ NPI 1326007469 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in MN · 40960

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.

1115 E 20TH ST, Sioux Falls, SD 57105

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Other Identifiers 3

Medicaid5611830SD

Medicare PINS101321SD

Medicare UPING75925

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Avera Health Plans, Oscar Insurance Company, Sanford Health Plan 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

Dr. Mark Kenneth Huntington Sr. Md, Phd 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 ID4082515069

PECOS Enrollment IDI20061228000420

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 Reassignments

Medicare enrollment records show Mark Huntington reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Center For Family Medicine

Same address

Family Medicine

1115 E 20TH ST
Sioux Falls, SD 57105

Reassigned Medicare billing, South Dakota enrollment
17 clinicians in this Medicare group

NPI 1164493672 (605) 339-1783

Sanford Medical Center

0.9 mi

Family Medicine

1420 W 22NDST STE 104
Sioux Falls, SD 57105

Reassigned Medicare billing, South Dakota enrollment
1,097 clinicians in this Medicare group

NPI 1093090342 (605) 328-4897

City Of Sioux Falls

1.0 mi

Federally Qualified Health Center (FQHC)

521 N MAIN AVE, SUITE 100
Sioux Falls, SD 57104

Reassigned Medicare billing, South Dakota enrollment
41 clinicians in this Medicare group

NPI 1932295888 (605) 367-8793

Sanford Clinic

1.0 mi

Ophthalmology

1621 S MINNESOTA AVE
Sioux Falls, SD 57105

Reassigned Medicare billing, South Dakota enrollment
826 clinicians in this Medicare group

NPI 1366468449 (605) 328-9200

Avera St. Mary's

190 mi

Physical Therapist

1211 E WELLS AVE
Pierre, SD 57501

Reassigned Medicare billing, South Dakota enrollment
Medicare enrollment name: Avera St Marys
197 clinicians in this Medicare group

NPI 1972082683 (605) 224-3100

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 10

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.

79 services25 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.

55 services37 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.

42 services34 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

37 services35 patients

Blood test, basic group of blood chemicals (calcium, total) 80048

A basic group blood test measures the levels of certain chemicals in your blood, including calcium. This helps assess your overall health and detect potential problems. The procedure involves drawing a small amount of blood from your arm, which is then analyzed in a lab.

22 services22 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.

22 services22 patients

Hospital Affiliations CMS Care Compare 2

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

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

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 57105 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 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

1 supplier12 claims12 services$89.61 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

1 supplier12 claims12 services$31.94 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.

TYLER LEE FABER

Family Medicine