ETHAN THAUT
NPI 1417681255
Physician Assistant in Sioux City, IA

Active since July 15, 2022PECOS EnrolledAccepts Medicare Assignment
801 5TH ST, SIOUX CITY, IA 51101(712) 279-2010 Get Directions Write a Review

NPPES record last updated: July 15, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ethan Thaut NPPES

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

ETHAN THAUT (NPI 1417681255) is an individual physician assistant in Sioux City, Iowa and active in the NPI registry since July 2022. He is enrolled in Medicare PECOS, is affiliated with St Lukes Regional Medical Center, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1417681255
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameETHAN THAUT
Location Address801 5TH STSioux City, IA 51101-1326
Mailing Address327 Lakeshore DrNorth Sioux City, SD 57049-4002 · (307) 337-6943
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJuly 15, 2022
NPPES CertifiedJuly 15, 2022
NPI 1417681255 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
801 5TH ST, Sioux City, IA 51101

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

Ethan Thaut 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 ID2163808452
PECOS Enrollment IDI20221011001020
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

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
124 services118 patients

Hospital Affiliations CMS Care Compare 4

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

St Lukes Regional Medical Center

Acute Care Hospitals · Sioux City, IA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number160146
Location2720 Stone Park BoulevardSioux City, IA 51104 · Woodbury County
Emergency services Birthing friendly

Mercyone Siouxland Medical Center

Acute Care Hospitals · Sioux City, IA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number160153
Location801 5th StSioux City, IA 51101 · Woodbury County
Emergency services

Floyd Valley Healthcare

Critical Access Hospitals · Le Mars, IA
OwnershipGovernment - Local
CMS Certification Number161368
Location714 Lincoln St NELe Mars, IA 51031 · Plymouth County
Emergency services Birthing friendly

Loring Hospital

Critical Access Hospitals · Sac City, IA
OwnershipVoluntary non-profit - Private
CMS Certification Number161370
Location211 Highland Avenue PO Box 217Sac City, IA 50583 · Sac County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 51101 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
$81.84 typical visit price
range $52.96 – $161.40
Typical copayment $20.46 (range $13.24 – $40.35)
Most-billed visit code 99203
Established Patient
$66.36 typical visit price
range $16.91 – $131.98
Typical copayment $16.59 (range $4.22 – $32.99)
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.

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
801 5TH ST
SIOUX CITY, IA 51101
Nurse Practitioner
801 5TH ST
SIOUX CITY, IA 51101
Physical Therapy Assistant
801 5TH ST
SIOUX CITY, IA 51101
Nurse Practitioner
801 5TH ST
SIOUX CITY, IA 51101
Pharmacist
801 5TH ST, MERCY MEDICAL CENTER - MAIN PHARMACY
SIOUX CITY, IA 51101
Nurse Practitioner
801 5TH ST
SIOUX CITY, IA 51101
Nurse Anesthetist, Certified Registered
801 5TH ST
SIOUX CITY, IA 51101
Internal Medicine
801 5TH ST
SIOUX CITY, IA 51101

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 Ethan Thaut's NPI number?

The NPI number for Ethan Thaut is 1417681255. It was assigned to this individual provider in the NPPES registry on July 15, 2022.

Where is Ethan Thaut located?

Ethan Thaut practices at 801 5th St, Sioux City, IA 51101. The listed phone number is (712) 279-2010.

What is Ethan Thaut's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Ethan Thaut enrolled in Medicare?

Yes. Ethan Thaut 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 Ethan Thaut accept?

Health plans from Oscar Insurance Company list Ethan Thaut 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 Ethan Thaut affiliated with any hospitals?

According to CMS data, Ethan Thaut is affiliated with St Lukes Regional Medical Center, Mercyone Siouxland Medical Center, Floyd Valley Healthcare and Loring Hospital.

When was this NPI record last updated?

The NPPES record for Ethan Thaut was last updated on July 15, 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.