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DARREN MANTHEY MD
NPI 1326059338
Emergency Medicine in Sioux Falls, SD

Active since August 11, 2006PECOS EnrolledAccepts Medicare Assignment
1305 W 18TH ST, SIOUX FALLS, SD 57117(605) 333-1000 Get Directions Write a Review

NPPES record last updated: November 16, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Darren Manthey Md NPPES

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

DARREN MANTHEY MD (NPI 1326059338) is an individual emergency medicine provider in Sioux Falls, South Dakota, licensed in South Dakota (5668) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Prairie Lakes Healthcare System, Inc, and is a graduate of University Of Minnesota Medical School (2002).

NPPES Registry Identity

NPI1326059338
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDARREN MANTHEYCredential: MD
Location Address1305 W 18TH STSioux Falls, SD 57117-5039
Mailing Address1305 W 18th St, Po Box 5039Sioux Falls, SD 57117-5039 · (605) 333-1000
Phone(605) 333-1000
Sole ProprietorNo
Medical School CMSUniversity Of Minnesota Medical SchoolGraduated 2002
Enumeration DateAugust 11, 2006
Last NPPES UpdateNovember 16, 2007
✔ NPI 1326059338 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in SD · 5668
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
1305 W 18TH ST, Sioux Falls, SD 57117
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Other Identifiers 4

Medicare UPINI24645
Medicare ID-Type Unspecified100441
Medicaid6631170SD
Medicare PINS100441SD

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Avera Health Plans, Medica.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

Darren Manthey Md 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 ID244281301
PECOS Enrollment IDI20050823001009
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 2

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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
16 services15 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
14 services14 patients

Hospital Affiliations CMS Care Compare 2

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

Prairie Lakes Healthcare System, Inc

Acute Care Hospitals · Watertown, SD
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number430005
Location401 9th Avenue NW Post Office Box 1210Watertown, SD 57201 · Codington County
Emergency services Birthing friendly

Avera Queen Of Peace

Critical Access Hospitals · Mitchell, SD
OwnershipVoluntary non-profit - Private
CMS Certification Number431340
Location525 N FosterMitchell, SD 57301 · Davison County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57117 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.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SANFORD MEDICAL CENTER PHARMACY
Pharmacy (Institutional Pharmacy)
1305 W 18TH ST
SIOUX FALLS, SD 57117
Minnehaha County (605) 333-6530
MARK ERICKSON MD
Hospitalist
1305 W 18TH ST
SIOUX FALLS, SD 57117
Minnehaha County (605) 328-4973
CLINTON BRESEE CRNA
Nurse Anesthetist, Certified Registered
1305 W 18TH ST, ANESTHESIA DEPT
SIOUX FALLS, SD 57117
Minnehaha County (605) 328-2563
KARI HARGENS CRNA
Registered Nurse
1305 W 18TH ST
SIOUX FALLS, SD 57117
Minnehaha County (605) 333-1000
DR. PATRICIA LYNN CROTWELL PH.D.
Medical Genetics, Ph.D. Medical Genetics
1305 W 18TH ST, SANFORD-USD GENETICS LAB, G804 ABH
SIOUX FALLS, SD 57117
Minnehaha County (605) 333-5202

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 Darren Manthey's NPI number?

The NPI number for Darren Manthey is 1326059338. It was assigned to this individual provider in the NPPES registry on August 11, 2006.

Where is Darren Manthey located?

Darren Manthey practices at 1305 W 18th St, Sioux Falls, SD 57117. The listed phone number is (605) 333-1000.

What is Darren Manthey's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Darren Manthey enrolled in Medicare?

Yes. Darren Manthey 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 Darren Manthey accept?

Health plans from Avera Health Plans and Medica list Darren Manthey 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 Darren Manthey affiliated with any hospitals?

According to CMS data, Darren Manthey is affiliated with Prairie Lakes Healthcare System, Inc and Avera Queen Of Peace.

When was this NPI record last updated?

The NPPES record for Darren Manthey was last updated on November 16, 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.