LEONARD TRENT WONNENBERG PAC
NPI 1609147461
Physician Assistant - Surgical in Huron, SD

Active since January 25, 2012PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
172 4TH ST SE, HURON, SD 57350(605) 353-6200(605) 353-6300 Get Directions Write a Review

NPPES record last updated: January 8, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Leonard Trent Wonnenberg Pac NPPES

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

LEONARD TRENT WONNENBERG PAC (NPI 1609147461) is an individual surgical provider in Huron, South Dakota, licensed in South Dakota (0803) and active in the NPI registry since January 2012. He is enrolled in Medicare PECOS, is affiliated with Huron Regional Medical Center, and is a graduate of Sanford School Of Medicine Of University Of South Dakota (2011).

NPPES Registry Identity

NPI1609147461
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameLEONARD TRENT WONNENBERGCredential: PAC
Location Address172 4TH ST SEHuron, SD 57350-2510
Mailing Address172 4th St SeHuron, SD 57350-2590 · (605) 353-6200 · Fax (605) 353-6300
Fax(605) 353-6300
Sole ProprietorNo
Medical School CMSSanford School Of Medicine Of University Of South DakotaGraduated 2011
Enumeration DateJanuary 25, 2012
Last NPPES UpdateJanuary 8, 2025
NPPES CertifiedJanuary 8, 2025
NPI 1609147461 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in SD · 0803
172 4TH ST SE, Huron, SD 57350

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

Leonard Trent Wonnenberg Pac 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 ID2961661509
PECOS Enrollment IDI20120316000634
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.

Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
60 services40 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
57 services40 patients
Blood test, lipids (cholesterol and triglycerides) 80061
A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.
42 services38 patients
Blood test, thyroid stimulating hormone (tsh) 84443
A TSH blood test measures the level of thyroid stimulating hormone in your body. This hormone is produced by the pituitary gland and regulates how your thyroid works. It's a simple procedure where a small amount of blood is drawn from your arm for analysis.
38 services33 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
27 services22 patients
Thyroxine (thyroid chemical), free 84439
The Thyroxine (thyroid chemical), free test is a blood test that measures the level of free T4 in your body. T4 is a hormone produced by your thyroid gland and is essential for growth and metabolism. If your T4 levels are too high or too low, it could indicate a thyroid disorder.
14 services14 patients

Hospital Affiliations CMS Care Compare

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

Huron Regional Medical Center

Critical Access Hospitals · Huron, SD
OwnershipVoluntary non-profit - Private
CMS Certification Number431335
Location172 Fourth Street SEHuron, SD 57350 · Beadle County
Emergency services

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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 8

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
3 suppliers26 claims68 services$6.27 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
2 suppliers11 claims20 services$1.09 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier13 claims13 services$6.60 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers55 claims55 services$110.94 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier22 claims22 services$36.49 avg. paid by Medicare
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620
DME-Drugs Administered Through DME · category DG006N
3 suppliers25 claims2,460 services$0.09 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 20

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

Radiology (Diagnostic Radiology)
172 4TH ST SE
HURON, SD 57350
Social Worker
172 4TH ST SE
HURON, SD 57350
Hospice Care, Community Based
172 4TH ST SE
HURON, SD 57350
Occupational Therapist
172 4TH ST SE
HURON, SD 57350
Hospitalist
172 4TH ST SE
HURON, SD 57350
Physical Therapy Assistant
172 4TH ST SE
HURON, SD 57350
Nurse Anesthetist, Certified Registered
172 4TH ST SE
HURON, SD 57350
Podiatrist
172 4TH ST SE
HURON, SD 57350

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 Leonard Wonnenberg's NPI number?

The NPI number for Leonard Wonnenberg is 1609147461. It was assigned to this individual provider in the NPPES registry on January 25, 2012.

Where is Leonard Wonnenberg located?

Leonard Wonnenberg practices at 172 4th St SE, Huron, SD 57350. The listed phone number is (605) 353-6200.

What is Leonard Wonnenberg's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Leonard Wonnenberg enrolled in Medicare?

Yes. Leonard Wonnenberg 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 Leonard Wonnenberg accept?

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

According to CMS data, Leonard Wonnenberg is affiliated with Huron Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Leonard Wonnenberg was last updated on January 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.