PAUL M BJORDAHL MD
NPI 1366647885
Surgery in Sioux Falls, SD

Active since June 15, 2007PECOS EnrolledAccepts Medicare Assignment
76.69/100
CMS Quality Rating
1508 W 22ND ST STE 101, SIOUX FALLS, SD 57105(605) 328-3840(605) 328-3841 Get Directions Write a Review

NPPES record last updated: March 25, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Paul M Bjordahl Md NPPES

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

PAUL M BJORDAHL MD (NPI 1366647885) is an individual surgery provider in Sioux Falls, South Dakota, licensed in South Dakota (8567) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS, is affiliated with Orange City Area Health System, and is a graduate of Sanford School Of Medicine Of University Of South Dakota (2007).

NPPES Registry Identity

NPI1366647885
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NamePAUL M BJORDAHLCredential: MD
Location Address1508 W 22ND ST STE 101Sioux Falls, SD 57105-1514
Mailing AddressPo Box 5074Sioux Falls, SD 57117-5074 · (605) 328-6585 · Fax (605) 328-6512
Fax(605) 328-3841
Sole ProprietorNo
Medical School CMSSanford School Of Medicine Of University Of South DakotaGraduated 2007
Enumeration DateJune 15, 2007
Last NPPES UpdateMarch 25, 2022
NPPES CertifiedMarch 25, 2022
NPI 1366647885 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses Licensed in SD · 8567 Licensed in MN · 55560 Licensed in MN · 106189 Licensed in KS · 046765
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
1508 W 22ND ST STE 101, Sioux Falls, SD 57105

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

Paul M Bjordahl 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 ID4284765629
PECOS Enrollment IDI20130211000541
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 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 straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
60 services49 patients
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.
49 services34 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
37 services35 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
31 services17 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
26 services13 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.
15 services14 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 Sheldon Medical Center

Critical Access Hospitals · Sheldon, IA
OwnershipVoluntary non-profit - Private
CMS Certification Number161381
Location118 North 7th AvenueSheldon, IA 51201 · Obrien 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

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 Chamberlain Medical Center

Critical Access Hospitals · Chamberlain, SD
OwnershipVoluntary non-profit - Private
CMS Certification Number431329
Location300 S ByronChamberlain, SD 57325 · Brule 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
$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.

Physician Assistant
1508 W 22ND ST STE 101
SIOUX FALLS, SD 57105
Nurse Practitioner (Acute Care)
1508 W 22ND ST STE 101
SIOUX FALLS, SD 57105
Surgery
1508 W 22ND ST STE 101
SIOUX FALLS, SD 57105
Surgery
1508 W 22ND ST STE 101
SIOUX FALLS, SD 57105
Nurse Practitioner
1508 W 22ND ST STE 101
SIOUX FALLS, SD 57105
Physician Assistant (Surgical)
1508 W 22ND ST STE 101
SIOUX FALLS, SD 57105
Nurse Practitioner
1508 W 22ND ST STE 101
SIOUX FALLS, SD 57105
Physician Assistant
1508 W 22ND ST STE 101
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 Paul Bjordahl's NPI number?

The NPI number for Paul Bjordahl is 1366647885. It was assigned to this individual provider in the NPPES registry on June 15, 2007.

Where is Paul Bjordahl located?

Paul Bjordahl practices at 1508 W 22nd St Ste 101, Sioux Falls, SD 57105. The listed phone number is (605) 328-3840.

What is Paul Bjordahl's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Paul Bjordahl enrolled in Medicare?

Yes. Paul Bjordahl 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 Paul Bjordahl accept?

Health plans from Medica, Sanford Health Plan and Security Health Plan list Paul Bjordahl 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 Paul Bjordahl affiliated with any hospitals?

According to CMS data, Paul Bjordahl is affiliated with Orange City Area Health System, Sanford Sheldon Medical Center, Sanford Worthington Medical Center, Sanford Usd Medical Center and Sanford Chamberlain Medical Center.

When was this NPI record last updated?

The NPPES record for Paul Bjordahl was last updated on March 25, 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.