PETER A LOOBY MD
NPI 1659304749
Orthopaedic Surgery in Tea, SD

Q: What is Peter Looby's NPI number?

The NPI number for Peter Looby is 1659304749. It was assigned to this individual provider in the NPPES registry on July 9, 2006.

Q: What is Peter Looby's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Q: When was this NPI record last updated?

The NPPES record for Peter Looby was last updated on April 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since July 09, 2006PECOS EnrolledAccepts Medicare Assignment

92.88/100

CMS Quality Rating

2120 LIVE STRONGER ST, TEA, SD 57064(605) 331-5890 Get Directions Write a Review

NPPES record last updated: April 22, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 22, 2026, May 26, 2017 (2 updates tracked since 2017).

On this page

About Peter A Looby Md NPPES

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

PETER A LOOBY MD (NPI 1659304749) is an individual orthopaedic surgery provider in Tea, South Dakota, licensed in South Dakota (4101) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Brookings Health System, and is a graduate of Washington University School Of Medicine (1990).

NPPES Registry Identity

NPI1659304749

Entity TypeIndividualMale

Primary Taxonomy207X00000X

Provider Legal NamePETER A LOOBYCredential: MD

Location Address2120 LIVE STRONGER STTea, SD 57064-8331

Mailing Address2120 Live Stronger StTea, SD 57064-8331 · (605) 331-5890

Phone(605) 331-5890

Sole ProprietorNo

Medical School CMSWashington University School Of MedicineGraduated 1990

Enumeration DateJuly 9, 2006

Last NPPES UpdateApril 22, 20262 updates tracked since enumeration

NPPES CertifiedApril 22, 2026

✔ NPI 1659304749 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207X00000X

License✔ Licensed in SD · 4101

Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

2120 LIVE STRONGER ST, Tea, SD 57064

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Other Identifiers 2

Other200044643SD · Railroad Medicare

Medicaid7301490SD

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Peter A Looby 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 ID8022903087

PECOS Enrollment IDI20100208000697

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.

Medicare Billing Reassignment

Medicare enrollment records show Peter Looby reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Orthopedic Institute PC

Same address

Multi-Specialty

2120 LIVE STRONGER ST
Tea, SD 57064

Reassigned Medicare billing, South Dakota enrollment
39 clinicians in this Medicare group

NPI 1245263326 (605) 331-5890

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 14

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, dexamethasone sodium phosphate, 1 mg J1100

Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.

2,172 services141 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

236 services151 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.

158 services142 patients

X-ray of knee, 4 or more views 73564

An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.

154 services129 patients

X-ray of shoulder, minimum of 2 views 73030

An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.

136 services104 patients

X-ray of knee, 3 views 73562

An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.

99 services61 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.

96 services96 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

93 services78 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.

76 services76 patients

X-ray of hip, 2-3 views 73502

An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.

61 services44 patients

Replacement of knee joint, both sides of knee 27447

A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.

35 services33 patients

Mri scan of arm joint without contrast 73221

An MRI scan of the arm joint is a non-invasive imaging procedure that uses magnetic fields and radio waves to create detailed images of the structures within your arm joint. No contrast dye is used in this process. It helps to diagnose or monitor conditions like arthritis, injuries, or infections.

20 services20 patients

Removal of both knee cartilages using an endoscope 29880

This procedure, also known as bilateral knee arthroscopy, involves using a small camera (endoscope) to view and remove damaged cartilage from both knees. It's a minimally invasive surgery aimed at relieving pain and improving mobility.

14 services14 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.

14 services14 patients

Hospital Affiliations CMS Care Compare 5

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

Brookings Health System

Acute Care Hospitals · Brookings, SD

3/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number430008

Location300 22nd AveBrookings, SD 57006 · Brookings County

Emergency services Birthing friendly

Avera Mckennan Hospital & University Health Center

Acute Care Hospitals · Sioux Falls, SD

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number430016

Location1325 S Cliff AveSioux Falls, SD 57117 · Minnehaha County

Emergency services Birthing friendly

Sioux Falls Specialty Hospital

Acute Care Hospitals · Sioux Falls, SD

OwnershipProprietary

CMS Certification Number430090

Location910 East 20th StreetSioux Falls, SD 57105 · Minnehaha County

Avera Flandreau Hospital - Cah

Critical Access Hospitals · Flandreau, SD

OwnershipVoluntary non-profit - Private

CMS Certification Number431310

Location214 North Prairie StreetFlandreau, SD 57028 · Moody County

Emergency services

Avera De Smet Memorial Hospital - Cah

Critical Access Hospitals · De Smet, SD

OwnershipVoluntary non-profit - Private

CMS Certification Number431332

Location306 Prairie Avenue SW Post Office Box 160De Smet, SD 57231 · Kingsbury County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57064 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.

92.88/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

76.53

Promoting Interoperability

100

Improvement Activities

Cost

99.74

Reported Quality Measures

Advance Care Plan

98%450 patients4/55-star benchmark: 100%

Closing the Referral Loop: Receipt of Specialist Report

51%508 patients3/55-star benchmark: 87%

Documentation of Current Medications in the Medical Record

100%1,144 patients5/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

90%441 patients4/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

90%924 patients4/55-star benchmark: 98%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients combinedPopulations: 96% · 661 patients

Patients screened: 97% · 661 patients

91%53 patients4/55-star benchmark: 100%

Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling

Patients screened: 95% · 190 patients

95%190 patients

Provide Patients Electronic Access to Their Health Information

86%127 patients4/55-star benchmark: 100%

Risk-standardized complication rate (RSCR) following elective primary total hip arthroplasty (THA) and/or total knee arthroplasty (TKA) for Merit-based Incentive Payment System (MIPS)

Lower rates are better for this measure.

0.03%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

JAMES T BRUNZ MD

Anesthesiology (Pain Medicine)