THEIN HTIKE WIN M.D
NPI 1497139810
Hospitalist in Sioux Falls, SD

Q: What is Thein Htike Win's NPI number?

The NPI number for Thein Htike Win is 1497139810. It was assigned to this individual provider in the NPPES registry on July 15, 2015.

Q: What is Thein Htike Win's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Q: When was this NPI record last updated?

The NPPES record for Thein Htike Win was last updated on February 16, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 15, 2015PECOS EnrolledAccepts Medicare Assignment

77.99/100

CMS Quality Rating

1305 W 18TH ST, SIOUX FALLS, SD 57105(605) 328-4973 Get Directions Write a Review

NPPES record last updated: February 16, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Feb 16, 2021, Aug 16, 2018 (2 updates tracked since 2018).

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About Thein Htike Win M.d NPPES

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

THEIN HTIKE WIN M.D (NPI 1497139810) is an individual hospitalist provider in Sioux Falls, South Dakota, licensed in South Dakota (12213) and active in the NPI registry since July 2015. He is enrolled in Medicare PECOS, is affiliated with Orange City Area Health System, and maintains a secondary practice location in Weston.

NPPES Registry Identity

NPI1497139810

Entity TypeIndividualMale

Primary Taxonomy208M00000X

Provider Legal NameTHEIN HTIKE WINCredential: M.D

Location Address1305 W 18TH STSioux Falls, SD 57105-0401

Mailing Address3400 Ministry PkwyWeston, WI 54476-5220 · (715) 393-3000

Phone(605) 328-4973

Sole ProprietorYes

Medical School CMSOtherGraduated 2007

Enumeration DateJuly 15, 2015

Last NPPES UpdateFebruary 16, 20212 updates tracked since enumeration

NPPES CertifiedFebruary 16, 2021

✔ NPI 1497139810 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians

Taxonomy Code208M00000X

Licenses✔ Licensed in SD · 12213✔ Licensed in WI · 69470

Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1305 W 18TH ST, Sioux Falls, SD 57105

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Secondary Practice Location 1

Location 13400 Ministry PkwyWeston, WI 54476 · Phone (715) 393-3000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.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

Thein Htike Win 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 ID6406104454

PECOS Enrollment IDI20210223003131

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 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.

254 services121 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.

236 services109 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

115 services113 patients

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.

75 services75 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.

28 services28 patients

Hospital Affiliations CMS Care Compare 2

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 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

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.

77.99/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

80.13

Promoting Interoperability

Improvement Activities

Cost

47.35

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.

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