GIDEON THOMAS CARLISLE
NPI 1700754165
Family Medicine in Sioux Falls, SD
About Gideon Thomas Carlisle NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GIDEON THOMAS CARLISLE (NPI 1700754165) is an individual family medicine provider in Sioux Falls, South Dakota, licensed in South Dakota (CP003886) and active in the NPI registry since October 2025. He is enrolled in Medicare PECOS, is affiliated with Sanford Usd Medical Center, and is a graduate of Other (2025).
NPPES Registry Identity
Specialties & Licenses
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
Gideon Thomas Carlisle 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.
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, SDPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 57105 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
SIOUX FALLS, SD 57105
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 Gideon Carlisle's NPI number?
The NPI number for Gideon Carlisle is 1700754165. It was assigned to this individual provider in the NPPES registry on October 27, 2025.
Where is Gideon Carlisle located?
Gideon Carlisle practices at 1310 W 22nd St, Sioux Falls, SD 57105. The listed phone number is (605) 328-8200.
What is Gideon Carlisle's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Gideon Carlisle enrolled in Medicare?
Yes. Gideon Carlisle 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.
Is Gideon Carlisle affiliated with any hospitals?
According to CMS data, Gideon Carlisle is affiliated with Sanford Usd Medical Center.
When was this NPI record last updated?
The NPPES record for Gideon Carlisle was last updated on November 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Gideon Thomas Carlisle · NPI 1700754165
Family Medicine physician in Sioux Falls, South Dakota. Individual provider, active in the CMS NPPES registry since October 27, 2025.
## Identity
- **NPI:** 1700754165 (Entity type: Individual)
- **Enumerated:** October 27, 2025
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** CP003886 (South Dakota)
- **Sole proprietor:** No
## Practice location
- **Address:** 1310 W 22ND ST, Sioux Falls, SD 57105-1501
- **Phone:** (605) 328-8200
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** November 25, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1700754165) · Data from the CMS NPPES public registry.