DR. MATTHEW DAVID TSCHETTER M.D.
NPI 1568692671
Surgery in Sioux Falls, SD

Active since July 23, 2009PECOS EnrolledAccepts Medicare Assignment
76.69/100
CMS Quality Rating
1508 W 22ND ST, STE 101, SIOUX FALLS, SD 57105(605) 328-3840 Get Directions Write a Review

NPPES record last updated: March 25, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Matthew David Tschetter M.d. NPPES

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

DR. MATTHEW DAVID TSCHETTER M.D. (NPI 1568692671) is an individual surgery provider in Sioux Falls, South Dakota, licensed in South Dakota (8011) and active in the NPI registry since July 2009. He is enrolled in Medicare PECOS, is affiliated with Sanford Sheldon Medical Center, and is a graduate of Sanford School Of Medicine Of University Of South Dakota (2005).

NPPES Registry Identity

NPI1568692671
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. MATTHEW DAVID TSCHETTERCredential: M.D.
Location Address1508 W 22ND ST, STE 101Sioux Falls, SD 57105-1508
Mailing AddressPo Box 5074Sioux Falls, SD 57117-5074
Sole ProprietorNo
Medical School CMSSanford School Of Medicine Of University Of South DakotaGraduated 2005
Enumeration DateJuly 23, 2009
Last NPPES UpdateMarch 25, 2022
NPPES CertifiedMarch 25, 2022
NPI 1568692671 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in SD · 8011
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, 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

Dr. Matthew David Tschetter 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 ID4688844822
PECOS Enrollment IDI20110826000213
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.
150 services85 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
51 services50 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.
49 services43 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.
38 services37 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.
37 services36 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
32 services32 patients

Hospital Affiliations CMS Care Compare 5

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

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

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

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

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
$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

Referred Medical Equipment & Supplies CMS DME claims 10

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

Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each A4385
DME-Orthotic Devices · category DF010N
6 suppliers25 claims520 services$4.53 avg. paid by Medicare
Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce A4394
DME-Orthotic Devices · category DF010N
5 suppliers15 claims216 services$2.41 avg. paid by Medicare
Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each A4409
DME-Orthotic Devices · category DF010N
11 suppliers42 claims1,000 services$5.86 avg. paid by Medicare
Ostomy pouch, closed; for use on barrier with non-locking flange, with filter (2 piece), each A4419
DME-Orthotic Devices · category DF010N
3 suppliers13 claims900 services$1.67 avg. paid by Medicare
Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each A4425
DME-Orthotic Devices · category DF010N
10 suppliers29 claims660 services$3.34 avg. paid by Medicare
Adhesive remover or solvent (for tape, cement or other adhesive), per ounce A4455
DME-Medical/Surgical Supplies · category DA000N
4 suppliers19 claims99 services$1.33 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 10

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

Nurse Practitioner
1508 W 22ND ST
SIOUX FALLS, SD 57105
Nurse Practitioner (Family)
1508 W 22ND ST, SUITE 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
Nurse Practitioner (Family)
1508 W 22ND ST, STE 101
SIOUX FALLS, SD 57105
Physician Assistant
1508 W 22ND ST, STE 101
SIOUX FALLS, SD 57105
Surgery
1508 W 22ND ST, STE 101
SIOUX FALLS, SD 57105
Nurse Practitioner (Neonatal)
1508 W 22ND ST
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 Matthew Tschetter's NPI number?

The NPI number for Matthew Tschetter is 1568692671. It was assigned to this individual provider in the NPPES registry on July 23, 2009.

Where is Matthew Tschetter located?

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

What is Matthew Tschetter's specialty?

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

Is Matthew Tschetter enrolled in Medicare?

Yes. Matthew Tschetter 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 Matthew Tschetter accept?

Health plans from Blue Cross Blue Shield of North Dakota, Medica, Sanford Health Plan and Security Health Plan list Matthew Tschetter 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 Matthew Tschetter affiliated with any hospitals?

According to CMS data, Matthew Tschetter is affiliated with Sanford Sheldon Medical Center, Windom Area Health, Sanford Luverne Medical Center, Sanford Usd Medical Center and Sanford Canton-Inwood Medical Center - Cah.

When was this NPI record last updated?

The NPPES record for Matthew Tschetter 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.