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ANTHONY M VACA M.D.
NPI 1700858248
Psychiatry & Neurology - Psychiatry in Sioux Falls, SD

Active since February 07, 2006PECOS Enrolled
4400 W 69TH ST., STE. 1500, SIOUX FALLS, SD 57108(605) 322-5700(605) 322-5704 Get Directions Write a Review

NPPES record last updated: October 11, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Anthony M Vaca M.d. NPPES

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

ANTHONY M VACA M.D. (NPI 1700858248) is an individual psychiatry provider in Sioux Falls, South Dakota, licensed in South Dakota (3598) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Avera Holy Family Hospital, and is a graduate of Sanford School Of Medicine Of University Of South Dakota (1988).

NPPES Registry Identity

NPI1700858248
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameANTHONY M VACACredential: M.D.
Location Address4400 W 69TH ST., STE. 1500Sioux Falls, SD 57108-8171
Mailing AddressPo Box 86370Sioux Falls, SD 57118-6370 · (605) 322-7510 · Fax (605) 322-6475
Phone(605) 322-5700
Fax(605) 322-5704
Sole ProprietorNo
Medical School CMSSanford School Of Medicine Of University Of South DakotaGraduated 1988
Enumeration DateFebruary 7, 2006
Last NPPES UpdateOctober 11, 2018
✔ NPI 1700858248 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in SD · 3598
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
4400 W 69TH ST., Sioux Falls, SD 57108
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Other Identifiers 18

Other3598SD · Dakotacare
Medicaid7100902SD
Other595989SD · Araz/ America's Ppo
Other769191017551SD · Preferred One
Other92411422904MN · Primewest
Other14787SD · Midlands Choice
Medicaid1993774IA
Medicaid074783100MN
Other57108D004SD · Wps Tricare
Medicaid46022474340NE
Other0002435SD · Blue Cross
Other160062MN · Ucare
Other37B91VAMN · Cc Systems/ Blue Plus
OtherHP24839SD · Healthpartners
Other25001SD · Sanford Health Plan
Medicaid12242ND
Other260040365SD · Rr Medicare
Medicaid7100903SD

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Anthony M Vaca M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8123038023
PECOS Enrollment IDI20060421000166
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

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.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
11 services11 patients

Hospital Affiliations CMS Care Compare 4

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

Avera Holy Family Hospital

Critical Access Hospitals · Estherville, IA
OwnershipVoluntary non-profit - Private
CMS Certification Number161351
Location826 North 8th StreetEstherville, IA 51334 · Emmet County
Emergency services

Floyd Valley Healthcare

Critical Access Hospitals · Le Mars, IA
OwnershipGovernment - Local
CMS Certification Number161368
Location714 Lincoln St NELe Mars, IA 51031 · Plymouth County
Emergency services Birthing friendly

Pipestone County Medical Center

Critical Access Hospitals · Pipestone, MN
OwnershipGovernment - Local
CMS Certification Number241374
Location916 4th Avenue SouthwestPipestone, MN 56164 · Pipestone County
Emergency services

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57108 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
$167.23 typical visit price
range $55.52 – $167.23
Typical copayment $41.80 (range $13.88 – $41.80)
Most-billed visit code 99205
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.

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 Vaca's NPI number?

The NPI number for Anthony Vaca is 1700858248. It was assigned to this individual provider in the NPPES registry on February 7, 2006.

Where is Anthony Vaca located?

Anthony Vaca practices at 4400 W 69th St. Ste. 1500, Sioux Falls, SD 57108. The listed phone number is (605) 322-5700.

What is Anthony Vaca's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Anthony Vaca enrolled in Medicare?

Yes. Anthony Vaca is registered in the Medicare PECOS enrollment system.

What insurance does Anthony Vaca accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Avera Health Plans and 3 other insurers list Anthony Vaca 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 Vaca affiliated with any hospitals?

According to CMS data, Anthony Vaca is affiliated with Avera Holy Family Hospital, Floyd Valley Healthcare, Pipestone County Medical Center and Avera Mckennan Hospital & University Health Center.

When was this NPI record last updated?

The NPPES record for Anthony Vaca was last updated on October 11, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.