1. Home
  2. Directory
  3. South Dakota
  4. Sioux Falls
  5. Physician Assistant
  6. NPI Profile

ERIC ANDREW BANNWARTH PA-C
NPI 1598047466
Physician Assistant in Sioux Falls, SD

Active since September 15, 2011PECOS EnrolledAccepts Medicare Assignment
76.69/100
CMS Quality Rating
1210 W 18TH ST, STE G01, SIOUX FALLS, SD 57104(605) 328-2663 Get Directions Write a Review

NPPES record last updated: April 18, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Eric Andrew Bannwarth Pa-c NPPES

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

ERIC ANDREW BANNWARTH PA-C (NPI 1598047466) is an individual physician assistant in Sioux Falls, South Dakota, licensed in South Dakota (0805) and active in the NPI registry since September 2011. He is enrolled in Medicare PECOS, is affiliated with Sanford Usd Medical Center, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1598047466
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameERIC ANDREW BANNWARTHCredential: PA-C
Location Address1210 W 18TH ST, STE G01Sioux Falls, SD 57104-4651
Mailing AddressPo Box 5074Sioux Falls, SD 57117-5074
Phone(605) 328-2663
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateSeptember 15, 2011
Last NPPES UpdateApril 18, 2022
NPPES CertifiedApril 18, 2022
✔ NPI 1598047466 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in SD · 0805
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.
1210 W 18TH ST, Sioux Falls, SD 57104
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Sanford Health Plan, Security Health Plan.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

Eric Andrew Bannwarth Pa-c 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 ID7315193422
PECOS Enrollment IDI20120806000484
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.

Injection into tendon or ligament 20550
An injection into a tendon or ligament involves placing medication directly into these areas to help reduce inflammation and pain. It's often used for conditions like arthritis or tendonitis. The procedure is quick and usually involves a local anesthetic.
13 services11 patients

Hospital Affiliations CMS Care Compare

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

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 57104 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

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.

JOHN P REINSCHMIDT MD
Radiology (Diagnostic Radiology)
1210 W 18TH ST
SIOUX FALLS, SD 57104
Minnehaha County (605) 328-3150
EUGENIO B MATOS M.D.
Psychiatry & Neurology (Neurology)
1210 W 18TH ST, STE 100
SIOUX FALLS, SD 57104
Minnehaha County (605) 312-8500
DR. KHALIL A YOUSEF M.D.
Radiology (Diagnostic Radiology)
1210 W 18TH ST, STE LL03
SIOUX FALLS, SD 57104
Minnehaha County (605) 328-1410
JOHN ELMER FORRETTE JR. DPM
Podiatrist
1210 W 18TH ST
SIOUX FALLS, SD 57104
Minnehaha County (605) 328-1395
BRETT ALLEN BASTIAN PAC
Physician Assistant
1210 W 18TH ST, STE 104
SIOUX FALLS, SD 57104
Minnehaha County (605) 328-8660
DR. THOMAS MATTHEW BOETEL D.O.
Physical Medicine & Rehabilitation (Pain Medicine)
1210 W 18TH ST, SUITE 100
SIOUX FALLS, SD 57104
Minnehaha County (605) 312-8500
DR. CHRISTOPHER JANSSEN
Physical Medicine & Rehabilitation (Pain Medicine)
1210 W 18TH ST, STE 100
SIOUX FALLS, SD 57104
Minnehaha County (605) 312-8500
DR. ADAM HAILES NICHOLS D.P.M.
Podiatrist (Foot & Ankle Surgery)
1210 W 18TH ST, SUITE G01
SIOUX FALLS, SD 57104
Minnehaha County (605) 328-2663

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 Eric Bannwarth's NPI number?

The NPI number for Eric Bannwarth is 1598047466. It was assigned to this individual provider in the NPPES registry on September 15, 2011.

Where is Eric Bannwarth located?

Eric Bannwarth practices at 1210 W 18th St Ste G01, Sioux Falls, SD 57104. The listed phone number is (605) 328-2663.

What is Eric Bannwarth's specialty?

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

Is Eric Bannwarth enrolled in Medicare?

Yes. Eric Bannwarth 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 Eric Bannwarth accept?

Health plans from Medica, Sanford Health Plan and Security Health Plan list Eric Bannwarth 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 Eric Bannwarth affiliated with any hospitals?

According to CMS data, Eric Bannwarth is affiliated with Sanford Usd Medical Center.

When was this NPI record last updated?

The NPPES record for Eric Bannwarth was last updated on April 18, 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.