CARL DUSTIN BECHTOLD M.D.
NPI 1336160589
Orthopaedic Surgery in Sioux Falls, SD

Active since July 22, 2006PECOS EnrolledAccepts Medicare Assignment
1210 W 18TH ST STE G01, SIOUX FALLS, SD 57104(605) 328-2663 Get Directions Write a Review

NPPES record last updated: April 22, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Carl Dustin Bechtold M.d. NPPES

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

CARL DUSTIN BECHTOLD M.D. (NPI 1336160589) is an individual orthopaedic surgery provider in Sioux Falls, South Dakota, licensed in South Dakota (7599) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Avera Granite Falls, and is a graduate of Creighton University School Of Medicine (2003).

NPPES Registry Identity

NPI1336160589
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameCARL DUSTIN BECHTOLDCredential: 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 CMSCreighton University School Of MedicineGraduated 2003
Enumeration DateJuly 22, 2006
Last NPPES UpdateApril 22, 2022
NPPES CertifiedApril 22, 2022
NPI 1336160589 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Licenses Licensed in SD · 7599 Licensed in MN · 51051
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.
1210 W 18TH ST STE G01, Sioux Falls, SD 57104

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

Carl Dustin Bechtold 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 ID9739252883
PECOS Enrollment IDI20080722000653, I20090824000342
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 9

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 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.
141 services124 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.
124 services110 patients
Replacement of knee joint, both sides of knee 27447
A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.
76 services74 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.
58 services57 patients
Replacement of thigh bone and hip joint with prosthesis 27130
This procedure, known as hip arthroplasty, involves replacing your damaged thigh bone and hip joint with artificial parts, called a prosthesis. It helps relieve pain, improve mobility, and enhance your quality of life.
46 services45 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
45 services45 patients

Hospital Affiliations CMS Care Compare 5

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

Avera Granite Falls

Critical Access Hospitals · Granite Falls, MN
OwnershipGovernment - Local
CMS Certification Number241343
Location345 Tenth AvenueGranite Falls, MN 56241 · Yellow Medcine County
Emergency services

Avera Marshall Regional Medical Ctr

Critical Access Hospitals · Marshall, MN
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number241359
Location300 South Bruce StreetMarshall, MN 56258 · Lyon County
Emergency services

Pipestone County Medical Center

Critical Access Hospitals · Pipestone, MN
OwnershipGovernment - Local
CMS Certification Number241374
Location916 4th Avenue SouthwestPipestone, MN 56164 · Pipestone County
Emergency services

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

Avera Dells Area Hospital - Cah

Critical Access Hospitals · Dell Rapids, SD
OwnershipVoluntary non-profit - Private
CMS Certification Number431331
Location909 N Iowa AveDell Rapids, SD 57022 · Minnehaha County
Emergency services

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.

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.

Walker, folding, wheeled, adjustable or fixed height E0143
DME-Other DME · category DE000N
2 suppliers19 claims19 services$60.45 avg. paid by Medicare
Continuous passive motion exercise device for use on knee only E0935
DME-Other DME · category DE000N
1 supplier13 claims258 services$21.58 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.

Orthopaedic Surgery (Hand Surgery)
1210 W 18TH ST STE G01
SIOUX FALLS, SD 57104
Physician Assistant
1210 W 18TH ST STE G01
SIOUX FALLS, SD 57104
Orthopaedic Surgery
1210 W 18TH ST STE G01
SIOUX FALLS, SD 57104
Physical Therapist
1210 W 18TH ST STE G01
SIOUX FALLS, SD 57104
Orthopaedic Surgery
1210 W 18TH ST STE G01
SIOUX FALLS, SD 57104
Physical Therapist
1210 W 18TH ST STE G01
SIOUX FALLS, SD 57104
Orthopaedic Surgery
1210 W 18TH ST STE G01
SIOUX FALLS, SD 57104
Nurse Practitioner (Family)
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 Carl Bechtold's NPI number?

The NPI number for Carl Bechtold is 1336160589. It was assigned to this individual provider in the NPPES registry on July 22, 2006.

Where is Carl Bechtold located?

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

What is Carl Bechtold's specialty?

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

Is Carl Bechtold enrolled in Medicare?

Yes. Carl Bechtold 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 Carl Bechtold 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 1 other insurer list Carl Bechtold 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 Carl Bechtold affiliated with any hospitals?

According to CMS data, Carl Bechtold is affiliated with Avera Granite Falls, Avera Marshall Regional Medical Ctr, Pipestone County Medical Center, Avera Mckennan Hospital & University Health Center and Avera Dells Area Hospital - Cah.

When was this NPI record last updated?

The NPPES record for Carl Bechtold was last updated on April 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.