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GIDEON THOMAS CARLISLE
NPI 1700754165
Family Medicine in Sioux Falls, SD

Active since October 27, 2025PECOS EnrolledAccepts Medicare Assignment
1310 W 22ND ST, SIOUX FALLS, SD 57105(605) 328-8200 Get Directions Write a Review

NPPES record last updated: November 25, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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

NPI1700754165
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameGIDEON THOMAS CARLISLE
Location Address1310 W 22ND STSioux Falls, SD 57105-1501
Mailing AddressPo Box 5074Sioux Falls, SD 57117-5074 · (605) 328-9419
Phone(605) 328-8200
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateOctober 27, 2025
Last NPPES UpdateNovember 25, 2025
NPPES CertifiedNovember 25, 2025
✔ NPI 1700754165 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in SD · CP003886
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1310 W 22ND ST, Sioux Falls, SD 57105
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Sanford Health Plan, Wellmark Health Plan of Iowa, Inc., Wellmark of South Dakota, Inc..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

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.

PECOS PAC ID7911493184
PECOS Enrollment IDI20251226001854
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 Gideon Carlisle reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sanford Medical Center
0.6 mi
Family Medicine
1420 W 22NDST STE 104
Sioux Falls, SD 57105
  • Reassigned Medicare billing, South Dakota enrollment
  • 1,097 clinicians in this Medicare group
NPI 1093090342 (605) 328-4897

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

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, SD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number430027
Location1305 W 18th St Post Office Box 5039Sioux Falls, SD 57117 · Minnehaha County
Emergency services Birthing friendly

Physician 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.

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.

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.

JULIE RAYSBY MA
Audiologist
1310 W 22ND ST
SIOUX FALLS, SD 57105
Minnehaha County (605) 328-8200
DR. JOCELYN JUNE FROHM MD
Dermatology
1310 W 22ND ST
SIOUX FALLS, SD 57105
Minnehaha County (605) 328-8600
SHANA N BAUER-VAITH
Audiologist
1310 W 22ND ST
SIOUX FALLS, SD 57105
Minnehaha County (605) 328-8200
SEAN JOHNSON
Otolaryngology
1310 W 22ND ST
SIOUX FALLS, SD 57105
Minnehaha County (605) 328-8200
JAISHREE PALANISAMY LEREW D.O.
Otolaryngology
1310 W 22ND ST
SIOUX FALLS, SD 57105
Minnehaha County (605) 328-8200
TARA LEE NP
Nurse Practitioner
1310 W 22ND ST
SIOUX FALLS, SD 57105
Minnehaha County (605) 328-1990
SANFORD CLINIC
Ophthalmology
1310 W 22ND ST
SIOUX FALLS, SD 57105
Minnehaha County (605) 328-3937
BRANDON L ALLARD M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1310 W 22ND ST
SIOUX FALLS, SD 57105
Minnehaha County (605) 328-8700

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.

Which organization bills Medicare for Gideon Carlisle's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gideon Carlisle reassigns Medicare benefits to Sanford Medical Center (Sioux Falls, SD). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Gideon Carlisle's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Gideon Carlisle accept?

Health plans from Sanford Health Plan, Wellmark Health Plan of Iowa, Inc. and Wellmark of South Dakota, Inc. list Gideon Carlisle 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 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 11 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.