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ANTHONY LOEWEN MD
NPI 1619350469
Surgery in Huron, SD

Active since June 29, 2015PECOS EnrolledAccepts Medicare Assignment
14.15/100
CMS Quality Rating
118 3RD ST SE, HURON, SD 57350(605) 352-2117 Get Directions Write a Review

NPPES record last updated: October 24, 2023. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Oct 24, 2023, Nov 21, 2016 (2 updates tracked since 2016).

About Anthony Loewen Md NPPES

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

ANTHONY LOEWEN MD (NPI 1619350469) is an individual surgery provider in Huron, South Dakota, licensed in South Dakota (12082) and active in the NPI registry since June 2015. 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 (2015).

NPPES Registry Identity

NPI1619350469
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameANTHONY LOEWENCredential: MD
Location Address118 3RD ST SEHuron, SD 57350-2502
Mailing Address118 3rd St SeHuron, SD 57350-2502 · (605) 354-2156
Phone(605) 352-2117
Sole ProprietorYes
Medical School CMSSanford School Of Medicine Of University Of South DakotaGraduated 2015
Enumeration DateJune 29, 2015
Last NPPES UpdateOctober 24, 20232 updates tracked since enumeration
NPPES CertifiedOctober 24, 2023
✔ NPI 1619350469 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses✔ Licensed in SD · 12082✔ Licensed in ND · RL13765✔ Licensed in CO · TL.0006386
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.
118 3RD ST SE, Huron, SD 57350
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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

Anthony Loewen Md 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 ID3678881562
PECOS Enrollment IDI20200903002880
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 7

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.

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.
90 services90 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
71 services71 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
46 services46 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
42 services42 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
42 services37 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.
28 services28 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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57350 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.

14.15/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0
Cost47.17

Other Providers at the Same Location NPPES 5

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

NATHAN H LOEWEN
Family Medicine
118 3RD ST SE
HURON, SD 57350
Beadle County (605) 352-2117
DR. KYLE PORISCH OD
Optometrist
118 3RD ST SE
HURON, SD 57350
Beadle County (605) 352-4264
NATHAN H LOEWEN MD
Family Medicine
118 3RD ST SE
HURON, SD 57350
Beadle County (605) 352-2117
NEW LIFE GENERAL SURGERY
Surgery
118 3RD ST SE
HURON, SD 57350
Beadle County (605) 352-2117
MARK BELYEA MD PC
Clinic/Center (Health Service)
118 3RD ST SE
HURON, SD 57350
Beadle County (605) 352-6040

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 Anthony Loewen's NPI number?

The NPI number for Anthony Loewen is 1619350469. It was assigned to this individual provider in the NPPES registry on June 29, 2015.

Where is Anthony Loewen located?

Anthony Loewen practices at 118 3rd St SE, Huron, SD 57350. The listed phone number is (605) 352-2117.

What is Anthony Loewen's specialty?

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

Is Anthony Loewen enrolled in Medicare?

Yes. Anthony Loewen 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 Anthony Loewen accept?

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

According to CMS data, Anthony Loewen is affiliated with Huron Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Anthony Loewen was last updated on October 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.