MR. PAUL THRASHER DENNA M.D.
NPI 1376838839
Family Medicine in Aberdeen, SD

Q: What is Paul Denna's NPI number?

The NPI number for Paul Denna is 1376838839. It was assigned to this individual provider in the NPPES registry on June 13, 2011.

Q: What is Paul Denna'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 Paul Denna was last updated on November 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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 June 13, 2011PECOS Enrolled

3015 3RD AVE SE, ABERDEEN, SD 57401(605) 226-5500 Get Directions Write a Review

NPPES record last updated: November 8, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 8, 2024, Aug 21, 2023 (2 updates tracked since 2023).

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About Mr. Paul Thrasher Denna M.d. NPPES

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

MR. PAUL THRASHER DENNA M.D. (NPI 1376838839) is an individual family medicine provider in Aberdeen, South Dakota, licensed in South Dakota (9241) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS, is affiliated with Sanford Luverne Medical Center, and maintains a secondary practice location in Big Stone City.

NPPES Registry Identity

NPI1376838839

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameMR. PAUL THRASHER DENNACredential: M.D.

Location Address3015 3RD AVE SEAberdeen, SD 57401-5418

Mailing AddressPo Box 5074Sioux Falls, SD 57117-5074

Phone(605) 226-5500

Sole ProprietorNo

Medical School CMSOtherGraduated 2011

Enumeration DateJune 13, 2011

Last NPPES UpdateNovember 8, 20242 updates tracked since enumeration

NPPES CertifiedNovember 8, 2024

✔ NPI 1376838839 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in SD · 9241✔ Licensed in MN · 73544

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.

Also ListedGeneral PracticeTaxonomy 208D00000X · License 9416A (WY)

3015 3RD AVE SE, Aberdeen, SD 57401

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Secondary Practice Location 1

Location 113945 482nd AveBig Stone City, SD 57216-8201 · Phone (605) 214-1451 · Fax (605) 223-8719

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Avera Health Plans, Blue Cross Blue Shield of North Dakota, Medica and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Paul Thrasher Denna M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8426291717

PECOS Enrollment IDI20140804001897, I20230502001574

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.

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.

35 services21 patients

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

27 services25 patients

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.

21 services20 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.

19 services19 patients

Hospital discharge day management, 30 minutes or less 99238

Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.

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.

Sanford Luverne Medical Center

Critical Access Hospitals · Luverne, MN

OwnershipVoluntary non-profit - Private

CMS Certification Number241371

Location1600 N Kniss AvenueLuverne, MN 56156 · Rock County

Emergency services

Community Memorial Hospital

Critical Access Hospitals · Redfield, SD

OwnershipGovernment - Local

CMS Certification Number431316

Location111 W 10th Ave Post Office Box 420Redfield, SD 57469 · Spink County

Mobridge Regional Hospital - Cah

Critical Access Hospitals · Mobridge, SD

OwnershipVoluntary non-profit - Private

CMS Certification Number431325

Location1401 10th Ave WestMobridge, SD 57601 · Walworth County

Emergency services

Milbank Area Hospital/Avera Health

Critical Access Hospitals · Milbank, SD

OwnershipVoluntary non-profit - Private

CMS Certification Number431326

Location301 Flynn DriveMilbank, SD 57252 · Grant County

Emergency services

Avera St Benedict Health Center - Cah

Critical Access Hospitals · Parkston, SD

OwnershipVoluntary non-profit - Private

CMS Certification Number431330

Location401 West Glynn DriveParkston, SD 57366 · Hutchinson County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57401 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 6

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

2 suppliers31 claims37 services$6.39 avg. paid by Medicare

Tubing with integrated heating element for use with positive airway pressure device A4604

DME-Other DME · category DE001N

1 supplier13 claims13 services$32.62 avg. paid by Medicare

Full face mask used with positive airway pressure device, each A7030

DME-Other DME · category DE001N

1 supplier11 claims11 services$111.56 avg. paid by Medicare

Face mask interface, replacement for full face mask, each A7031

DME-Other DME · category DE001N

1 supplier11 claims33 services$39.07 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

1 supplier13 claims78 services$2.22 avg. paid by Medicare

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

2 suppliers21 claims21 services$111.76 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.

DR. KERI LYNN CREWSON M.D.

Hospitalist