DR. ERIN JO MERCER TERPSTRA MD, PHD
NPI 1366005662
Internal Medicine in Sioux Falls, SD

Active since April 22, 2019PECOS EnrolledAccepts Medicare Assignment
76.69/100
CMS Quality Rating
1321 W 22ND ST, SIOUX FALLS, SD 57105(605) 404-4000 Get Directions Write a Review

NPPES record last updated: December 20, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 20, 2022, Nov 2, 2022, Apr 22, 2019 (3 updates tracked since 2019).

About Dr. Erin Jo Mercer Terpstra Md, Phd NPPES

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

DR. ERIN JO MERCER TERPSTRA MD, PHD (NPI 1366005662) is an individual internal medicine provider in Sioux Falls, South Dakota, licensed in South Dakota (13919) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS, is affiliated with Orange City Area Health System, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1366005662
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. ERIN JO MERCER TERPSTRACredential: MD, PHD
Location Address1321 W 22ND STSioux Falls, SD 57105-1502
Mailing AddressPo Box 5074Sioux Falls, SD 57117-5074
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateApril 22, 2019
Last NPPES UpdateDecember 20, 20223 updates tracked since enumeration
NPPES CertifiedDecember 20, 2022
NPI 1366005662 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in SD · 13919
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

1321 W 22ND ST, Sioux Falls, SD 57105

Other Names 1

Former Name (1)Erin Jo Mercer Phd

Other Identifiers 1

Medicaid390200000XSD

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

Dr. Erin Jo Mercer Terpstra 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 ID345577169
PECOS Enrollment IDI20221228003129
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 5

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.
359 services168 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.
75 services56 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
45 services34 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.
23 services23 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
15 services15 patients

Hospital Affiliations CMS Care Compare 5

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

Orange City Area Health System

Critical Access Hospitals · Orange City, IA
OwnershipVoluntary non-profit - Other
CMS Certification Number161360
Location1000 Lincoln Circle SEOrange City, IA 51041 · Sioux County
Emergency services

Sanford Worthington Medical Center

Acute Care Hospitals · Worthington, MN
OwnershipVoluntary non-profit - Private
CMS Certification Number240022
Location1018 Sixth Avenue PO Box 997Worthington, MN 56187 · Nobles County
Emergency services Birthing friendly

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

Sanford Canton-Inwood Medical Center - Cah

Critical Access Hospitals · Canton, SD
OwnershipVoluntary non-profit - Private
CMS Certification Number431333
Location440 North Hiawatha DriveCanton, SD 57013 · Lincoln County
Emergency services

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
$126.78 typical visit price
range $55.52 – $167.23
Typical copayment $31.69 (range $13.88 – $41.80)
Most-billed visit code 99204
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.

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.

Genetic Counselor, MS
1321 W 22ND ST
SIOUX FALLS, SD 57105
Genetic Counselor, MS
1321 W 22ND ST
SIOUX FALLS, SD 57105
Pathology (Clinical Laboratory Director, Non-physician)
1321 W 22ND ST
SIOUX FALLS, SD 57105
Genetic Counselor, MS
1321 W 22ND ST
SIOUX FALLS, SD 57105
Internal Medicine
1321 W 22ND ST
SIOUX FALLS, SD 57105
Internal Medicine (Rheumatology)
1321 W 22ND ST
SIOUX FALLS, SD 57105
Internal Medicine (Rheumatology)
1321 W 22ND ST
SIOUX FALLS, SD 57105
Pediatrics
1321 W 22ND ST
SIOUX FALLS, SD 57105

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 Erin Terpstra's NPI number?

The NPI number for Erin Terpstra is 1366005662. It was assigned to this individual provider in the NPPES registry on April 22, 2019.

Where is Erin Terpstra located?

Erin Terpstra practices at 1321 W 22nd St, Sioux Falls, SD 57105. The listed phone number is (605) 404-4000.

What is Erin Terpstra's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Erin Terpstra enrolled in Medicare?

Yes. Erin Terpstra 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 Erin Terpstra accept?

Health plans from Medica, Sanford Health Plan and Security Health Plan list Erin Terpstra 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 Erin Terpstra affiliated with any hospitals?

According to CMS data, Erin Terpstra is affiliated with Orange City Area Health System, Sanford Worthington Medical Center, Avera Mckennan Hospital & University Health Center, Sanford Usd Medical Center and Sanford Canton-Inwood Medical Center - Cah.

When was this NPI record last updated?

The NPPES record for Erin Terpstra was last updated on December 20, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.