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DONALD ALBERT BENNETT
NPI 1720519739
Otolaryngology in Sioux Falls, SD

Active since March 22, 2017PECOS EnrolledAccepts Medicare Assignment
2315 W 57TH ST, SIOUX FALLS, SD 57108(605) 336-3503 Get Directions Write a Review

NPPES record last updated: January 13, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 13, 2023, Mar 22, 2017 (2 updates tracked since 2017).

About Donald Albert Bennett NPPES

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

DONALD ALBERT BENNETT (NPI 1720519739) is an individual otolaryngology provider in Sioux Falls, South Dakota, licensed in South Dakota (13561) and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS, is affiliated with Brookings Health System, and is a graduate of West Virginia School Of Osteopathic Medicine (2017).

NPPES Registry Identity

NPI1720519739
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameDONALD ALBERT BENNETT
Location Address2315 W 57TH STSioux Falls, SD 57108-5046
Mailing Address2315 W 57th StSioux Falls, SD 57108-5046
Phone(605) 336-3503
Sole ProprietorYes
Medical School CMSWest Virginia School Of Osteopathic MedicineGraduated 2017
Enumeration DateMarch 22, 2017
Last NPPES UpdateJanuary 13, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 13, 2023
✔ NPI 1720519739 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License✔ Licensed in SD · 13561
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
2315 W 57TH ST, Sioux Falls, SD 57108
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Accepted Insurance

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

Donald Albert Bennett 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 ID8820369747
PECOS Enrollment IDI20221110000694
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 Donald Bennett reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Midwest Ear, Nose & Throat Associates P C
Same address
Otolaryngology
2315 W 57TH ST
Sioux Falls, SD 57108
  • Reassigned Medicare billing, Minnesota and South Dakota enrollments
  • 5 clinicians in this Medicare group
NPI 1003871419 (605) 336-3503

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 10

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.

Professional service for preparation and provision of 1 or more antigens 95165
This service involves the creation and supply of antigens, substances that stimulate your immune system to fight diseases. These antigens can be used in vaccines or allergy tests to help your body build defenses against specific health threats.
290 services26 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.
173 services114 patients
Exam of ear using a microscope 92504
An exam of the ear using a microscope allows a detailed view of the ear structures. This non-invasive procedure helps identify issues such as infections, blockages, or ear damage. It's a safe, quick, and painless way to evaluate ear health.
135 services102 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.
83 services83 patients
Diagnostic exam of voice box using a flexible endoscope 31575
This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.
72 services60 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.
63 services63 patients

Hospital Affiliations CMS Care Compare 3

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

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
$126.78 typical visit price
range $55.52 – $167.23
Typical copayment $31.69 (range $13.88 – $41.80)
Most-billed visit code 99204
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.

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.

MIDWEST EAR, NOSE & THROAT ASSOCIATES P C
Otolaryngology
2315 W 57TH ST
SIOUX FALLS, SD 57108
Lincoln County (605) 336-3503
SEAN MICHAEL CLAUSEN MD
Student in an Organized Health Care Education/Training Program
2315 W 57TH ST
SIOUX FALLS, SD 57108
Lincoln County (605) 336-3503
DR. MICAH MARSHALL LIKNESS M.D.
Otolaryngology
2315 W 57TH ST
SIOUX FALLS, SD 57108
Lincoln County (605) 336-3503
DR. CRAIG PHILLIP HEDGES MD
Otolaryngology
2315 W 57TH ST
SIOUX FALLS, SD 57108
Lincoln County (605) 336-3503
DRS DARIN AND HALLY BACH DDS PC
Dentist
2315 W 57TH ST
SIOUX FALLS, SD 57108
Lincoln County (800) 996-7352
DR. GREGORY PAUL DANIELSON M.D.
Otolaryngology
2315 W 57TH ST
SIOUX FALLS, SD 57108
Lincoln County (605) 336-3503
ASHLEY POMMER
Physician Assistant
2315 W 57TH ST
SIOUX FALLS, SD 57108
Lincoln County (605) 336-3503
THOMAS TAMURA MD
Otolaryngology
2315 W 57TH ST
SIOUX FALLS, SD 57108
Lincoln County (605) 336-3503

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 Donald Bennett's NPI number?

The NPI number for Donald Bennett is 1720519739. It was assigned to this individual provider in the NPPES registry on March 22, 2017.

Where is Donald Bennett located?

Donald Bennett practices at 2315 W 57th St, Sioux Falls, SD 57108. The listed phone number is (605) 336-3503.

What is Donald Bennett's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Donald Bennett enrolled in Medicare?

Yes. Donald Bennett 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 Donald Bennett's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Donald Bennett reassigns Medicare benefits to Midwest Ear, Nose & Throat Associates P C (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 Donald Bennett's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Donald Bennett accept?

Health plans from Avera Health Plans, Sanford Health Plan, Wellmark Health Plan of Iowa, Inc. and Wellmark of South Dakota, Inc. list Donald Bennett 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 Donald Bennett affiliated with any hospitals?

According to CMS data, Donald Bennett is affiliated with Brookings Health System, Avera Mckennan Hospital & University Health Center and Sioux Falls Specialty Hospital.

When was this NPI record last updated?

The NPPES record for Donald Bennett was last updated on January 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.