ANTONIOS WEHBEH M.D.
NPI 1437564820
Internal Medicine - Gastroenterology in Sioux Falls, SD

Active since June 25, 2014PECOS EnrolledAccepts Medicare Assignment
76.69/100
CMS Quality Rating
1205 S GRANGE AVE STE 510, SIOUX FALLS, SD 57105(605) 328-8500 Get Directions Write a Review

NPPES record last updated: July 30, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 30, 2020, Jun 19, 2017 (2 updates tracked since 2017).

About Antonios Wehbeh M.d. NPPES

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

ANTONIOS WEHBEH M.D. (NPI 1437564820) is an individual gastroenterology provider in Sioux Falls, South Dakota, licensed in South Dakota (11746) and active in the NPI registry since June 2014. He is enrolled in Medicare PECOS, is affiliated with Orange City Area Health System, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1437564820
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameANTONIOS WEHBEHCredential: M.D.
Location Address1205 S GRANGE AVE STE 510Sioux Falls, SD 57105-0410
Mailing AddressPo Box 5074Sioux Falls, SD 57117-5074
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateJune 25, 2014
Last NPPES UpdateJuly 30, 20202 updates tracked since enumeration
NPPES CertifiedJuly 30, 2020
NPI 1437564820 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License Licensed in SD · 11746
Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

1205 S GRANGE AVE STE 510, 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

Antonios Wehbeh 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 ID8224306824
PECOS Enrollment IDI20200807001735
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 6

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.

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
151 services149 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
66 services66 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
62 services61 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.
38 services33 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.
33 services29 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.
18 services18 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

Windom Area Health

Critical Access Hospitals · Windom, MN
OwnershipGovernment - Local
CMS Certification Number241332
Location2150 Hospital Drive, PO Box 339Windom, MN 56101 · Cottonwood 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

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 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
1205 S GRANGE AVE STE 510
SIOUX FALLS, SD 57105
Internal Medicine
1205 S GRANGE AVE STE 510
SIOUX FALLS, SD 57105
Nurse Practitioner
1205 S GRANGE AVE STE 510
SIOUX FALLS, SD 57105
Internal Medicine (Gastroenterology)
1205 S GRANGE AVE STE 510
SIOUX FALLS, SD 57105
Physician Assistant
1205 S GRANGE AVE STE 510
SIOUX FALLS, SD 57105
Internal Medicine (Gastroenterology)
1205 S GRANGE AVE STE 510
SIOUX FALLS, SD 57105
Internal Medicine (Hepatology)
1205 S GRANGE AVE STE 510
SIOUX FALLS, SD 57105
Internal Medicine
1205 S GRANGE AVE STE 510
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 Antonios Wehbeh's NPI number?

The NPI number for Antonios Wehbeh is 1437564820. It was assigned to this individual provider in the NPPES registry on June 25, 2014.

Where is Antonios Wehbeh located?

Antonios Wehbeh practices at 1205 S Grange Ave Ste 510, Sioux Falls, SD 57105. The listed phone number is (605) 328-8500.

What is Antonios Wehbeh's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Antonios Wehbeh enrolled in Medicare?

Yes. Antonios Wehbeh 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 Antonios Wehbeh accept?

Health plans from Medica, Sanford Health Plan and Security Health Plan list Antonios Wehbeh 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 Antonios Wehbeh affiliated with any hospitals?

According to CMS data, Antonios Wehbeh is affiliated with Orange City Area Health System, Windom Area Health, 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 Antonios Wehbeh was last updated on July 30, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.