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DENTON W COMBS CNP
NPI 1598739294
Nurse Practitioner in Sioux Falls, SD

Active since February 17, 2006PECOS EnrolledAccepts Medicare Assignment
90.18/100
CMS Quality Rating
2333 W 57TH ST STE 102, SIOUX FALLS, SD 57108(605) 274-3898(605) 274-3899 Get Directions Write a Review

NPPES record last updated: December 2, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Denton W Combs Cnp NPPES

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

DENTON W COMBS CNP (NPI 1598739294) is an individual nurse practitioner in Sioux Falls, South Dakota, licensed in South Dakota (CNP0276) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Sanford Luverne Medical Center, and is a graduate of Other (1999).

NPPES Registry Identity

NPI1598739294
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameDENTON W COMBSCredential: CNP
Location Address2333 W 57TH ST STE 102Sioux Falls, SD 57108-5054
Mailing Address2333 W 57th St Ste 102Sioux Falls, SD 57108-5054 · (605) 274-3898 · Fax (605) 274-3899
Phone(605) 274-3898
Fax(605) 274-3899
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateFebruary 17, 2006
Last NPPES UpdateDecember 2, 2024
NPPES CertifiedDecember 2, 2024
✔ NPI 1598739294 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in SD · CNP0276
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
2333 W 57TH ST STE 102, Sioux Falls, SD 57108
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Other Identifiers 1

Medicaid6823052SD

Accepted Insurance

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

Denton W Combs Cnp 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 ID9032121389
PECOS Enrollment IDI20061012000028
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.

Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
370 services223 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.
273 services148 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.
219 services121 patients
New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202
This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.
75 services75 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.
20 services20 patients

Hospital Affiliations CMS Care Compare 2

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

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

Madison Regional Health System

Critical Access Hospitals · Madison, SD
OwnershipVoluntary non-profit - Private
CMS Certification Number431300
Location323 SW 10th StMadison, SD 57042 · Lake County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57108 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
$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.

90.18/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality86.69
Improvement Activities40
Cost91.67

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 Denton Combs's NPI number?

The NPI number for Denton Combs is 1598739294. It was assigned to this individual provider in the NPPES registry on February 17, 2006.

Where is Denton Combs located?

Denton Combs practices at 2333 W 57th St Ste 102, Sioux Falls, SD 57108. The listed phone number is (605) 274-3898.

What is Denton Combs's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Denton Combs enrolled in Medicare?

Yes. Denton Combs 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 Denton Combs accept?

Health plans from Avera Health Plans, Medica and Sanford Health Plan list Denton Combs 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 Denton Combs affiliated with any hospitals?

According to CMS data, Denton Combs is affiliated with Sanford Luverne Medical Center and Madison Regional Health System.

When was this NPI record last updated?

The NPPES record for Denton Combs was last updated on December 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.