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JEREL E TIESZEN M.D.
NPI 1730184623
Internal Medicine in Sioux Falls, SD

Active since June 16, 2005PECOS Enrolled
1205 S GRANGE AVE, STE 510, SIOUX FALLS, SD 57105(605) 328-7500(605) 328-7599 Get Directions Write a Review

NPPES record last updated: November 4, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jerel E Tieszen M.d. NPPES

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

JEREL E TIESZEN M.D. (NPI 1730184623) is an individual internal medicine provider in Sioux Falls, South Dakota, licensed in South Dakota (1158) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1730184623
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameJEREL E TIESZENCredential: M.D.
Location Address1205 S GRANGE AVE, STE 510Sioux Falls, SD 57105-0410
Mailing AddressPo Box 5074Sioux Falls, SD 57117-5074 · (605) 312-7605 · Fax (605) 312-7611
Phone(605) 328-7500
Fax(605) 328-7599
Sole ProprietorNo
Enumeration DateJune 16, 2005
Last NPPES UpdateNovember 4, 2011
✔ NPI 1730184623 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in SD · 1158
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1205 S GRANGE AVE, Sioux Falls, SD 57105
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Other Identifiers 6

Medicare PINS8324SD
Medicare UPIND25646
Medicare PIN110227628SD
Medicare PINP00458476SD
Medicare PINS1017SD
Medicaid6000953SD

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jerel E Tieszen M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignments

2

Medicare enrollment records show Jerel Tieszen reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Sanford Clinic
Same address
Nephrology
1205 S. GRANGE AVE, STE 201
Sioux Falls, SD 57105
  • Reassigned Medicare billing, South Dakota enrollment
  • 826 clinicians in this Medicare group
NPI 1295848521 (605) 328-8100
Sanford Medical Center
0.7 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.

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
$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
$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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Insertion tray with drainage bag with indwelling catheter, foley type, two-way, all silicone A4315
DME-Orthotic Devices · category DF000N
1 supplier12 claims12 services$23.34 avg. paid by Medicare
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357
DME-Orthotic Devices · category DF000N
1 supplier12 claims12 services$7.06 avg. paid by Medicare
Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each A4358
DME-Orthotic Devices · category DF000N
1 supplier11 claims22 services$4.93 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

MEGHAN CLEMENSEN CNP
Nurse Practitioner (Family)
1205 S GRANGE AVE
SIOUX FALLS, SD 57105
Minnehaha County (605) 328-8500
MRS. KATIE ELIZABETH LARSON MD
Pediatrics
1205 S GRANGE AVE, SUITE 307
SIOUX FALLS, SD 57105
Minnehaha County (605) 328-7800
AARON M ZYLSTRA M.D.
Pediatrics
1205 S GRANGE AVE, STE 307
SIOUX FALLS, SD 57105
Minnehaha County (605) 328-7800
DR. MOHAMMAD ZEESHAN QAMAR M.D
Internal Medicine (Nephrology)
1205 S GRANGE AVE, SUITE 201
SIOUX FALLS, SD 57105
Minnehaha County (605) 328-8100
LORI BUSCHENA
Social Worker
1205 S GRANGE AVE, SUITE 510
SIOUX FALLS, SD 57105
Minnehaha County (605) 328-7500
DR. ANTHONY JEROME RUPP M.D.
Internal Medicine (Nephrology)
1205 S GRANGE AVE, SUITE 201
SIOUX FALLS, SD 57105
Minnehaha County (605) 328-8100
TIMOTHY E HURLEY M.D.
Internal Medicine
1205 S GRANGE AVE, STE 510
SIOUX FALLS, SD 57105
Minnehaha County (605) 328-7500
DR. DEVIN BISSOON M.D.
Internal Medicine (Pulmonary Disease)
1205 S GRANGE AVE, STE 407
SIOUX FALLS, SD 57105
Minnehaha County (605) 328-8900

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 Jerel Tieszen's NPI number?

The NPI number for Jerel Tieszen is 1730184623. It was assigned to this individual provider in the NPPES registry on June 16, 2005.

Where is Jerel Tieszen located?

Jerel Tieszen practices at 1205 S Grange Ave Ste 510, Sioux Falls, SD 57105. The listed phone number is (605) 328-7500.

What is Jerel Tieszen's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Jerel Tieszen enrolled in Medicare?

Yes. Jerel Tieszen is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jerel Tieszen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jerel Tieszen reassigns Medicare benefits to 2 organizations: Sanford Clinic (Sioux Falls, SD) and Sanford Medical Center (Sioux Falls, SD). Each 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 Jerel Tieszen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jerel Tieszen was last updated on November 4, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.