MICHAEL P PIETILA M.D.
NPI 1740254986
Internal Medicine - Pulmonary Disease in Yankton, SD

Q: What is Michael Pietila's NPI number?

The NPI number for Michael Pietila is 1740254986. It was assigned to this individual provider in the NPPES registry on February 15, 2006.

Q: What is Michael Pietila's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Q: When was this NPI record last updated?

The NPPES record for Michael Pietila was last updated on October 29, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since February 15, 2006PECOS EnrolledAccepts Medicare Assignment

1104 W 8TH ST, YANKTON, SD 57078(605) 665-7841(605) 665-6963 Get Directions Write a Review

NPPES record last updated: October 29, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Michael P Pietila M.d. NPPES

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

MICHAEL P PIETILA M.D. (NPI 1740254986) is an individual pulmonary disease provider in Yankton, South Dakota, licensed in South Dakota (5793) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Faith Regional Health Services, and maintains a secondary practice location in Norfolk.

NPPES Registry Identity

NPI1740254986

Entity TypeIndividualMale

Primary Taxonomy207RP1001X

Provider Legal NameMICHAEL P PIETILACredential: M.D.

Location Address1104 W 8TH STYankton, SD 57078-3306

Mailing Address1104 W 8th StYankton, SD 57078-3306 · (605) 665-7841 · Fax (605) 665-6963

Phone(605) 665-7841

Fax(605) 665-6963

Sole ProprietorNo

Medical School CMSSanford School Of Medicine Of University Of South DakotaGraduated 2000

Enumeration DateFebruary 15, 2006

Last NPPES UpdateOctober 29, 2024

NPPES CertifiedOctober 29, 2024

✔ NPI 1740254986 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RP1001X

License✔ Licensed in SD · 5793

Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

1104 W 8TH ST, Yankton, SD 57078

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Secondary Practice Location 1

Location 13901 W Norfolk AveNorfolk, NE 68701-4405 · Phone (402) 844-8110

Other Identifiers 2

Medicaid413943700MN

Medicaid6631310SD

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 and accepts Medicare assignment

Michael P Pietila M.d. 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 ID6204738396

PECOS Enrollment IDI20070521000543

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 26

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.

Established patient office or other outpatient visit, 30-39 minutes 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

557 services388 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

355 services46 patients

Established patient office or other outpatient visit, 40-54 minutes 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

235 services160 patients

Test to examine how well the lungs exchange gases 94729

This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.

194 services116 patients

Test to measure expiratory airflow and volume changes before and after medication administration 94060

This procedure measures how air flows in and out of your lungs. It's done before and after medication to see if the treatment improves your breathing. It's a simple, non-invasive test that involves breathing into a device called a spirometer.

176 services100 patients

New patient office or other outpatient visit, 45-59 minutes 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.

146 services146 patients

Injection, methylprednisolone acetate, 40 mg J1030

Methylprednisolone acetate is a medication given through an injection. It's a type of corticosteroid, which reduces inflammation and immune responses. It can be used to treat various conditions like arthritis, allergies, and skin diseases. This dose is 40 mg.

140 services28 patients

Test to measure expiratory airflow and volume 94010

This test, known as spirometry, assesses how well your lungs work. It measures how much air you can inhale, how much you can exhale and how quickly you can exhale. It's non-invasive and helps diagnose conditions like asthma or COPD.

127 services77 patients

Test to determine lung volumes using sensors 94726

This test, called spirometry, measures lung capacity using sensors. You breathe into a mouthpiece attached to a device that records the amount and rate of air you inhale and exhale. It helps diagnose and monitor lung conditions.

116 services63 patients

New patient office or other outpatient visit, 60-74 minutes 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

58 services58 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

48 services35 patients

Established patient office or other outpatient visit, 30-39 minutes 99214

48 services41 patients

Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation G0399

A Home Sleep Test (HST) with a Type III Portable Monitor is an unattended test that records your breathing, heart rate, and oxygen levels during sleep. This test uses a minimum of 4 channels to monitor these parameters, helping to diagnose sleep disorders.

47 services47 patients

Follow-up hospital inpatient care per day, typically 35 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

46 services24 patients

X-ray of chest, 2 views 71046

A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.

45 services39 patients

Ct scan of chest without contrast 71250

A CT scan of the chest without contrast is a non-invasive imaging procedure. It uses special X-ray equipment to produce detailed images of your chest area, including your lungs and heart. It can help diagnose conditions such as lung diseases or heart disorders. It doesn't involve any dyes or contrast agents.

33 services29 patients

Test to measure expiratory airflow and volume changes before and after medication administration 94060

33 services33 patients

Test to determine lung volumes using sensors 94726

28 services28 patients

Test to examine how well the lungs exchange gases 94729

26 services26 patients

Initial hospital inpatient care per day, typically 70 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

21 services21 patients

Telephone medical discussion with physician, 11-20 minutes 99442

This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.

20 services17 patients

Established patient office or other outpatient visit, 40-54 minutes 99215

17 services15 patients

Complete blood cell count (red cells, white blood cell, platelets), automated test 85027

A complete blood cell count (CBC) is an automated test that measures different components of the blood, including red cells, white cells, and platelets. It helps assess overall health, detect disorders like anemia or infection, and monitor medical treatments.

16 services14 patients

Smoking and tobacco use intensive counseling, 4-10 minutes 99406

This service provides brief, intensive counseling (4-10 minutes) to support you in quitting smoking or tobacco use. It involves discussing the risks of tobacco use, benefits of quitting, and strategies to help you stop. It's a critical step towards a healthier lifestyle.

16 services15 patients

Blood test, comprehensive group of blood chemicals 80053

A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.

14 services13 patients

Sleep study in sleep lab with continuous airway pressure (6 years or older) 95811

A sleep study in a sleep lab with continuous airway pressure is a test for individuals aged 6 and above. It monitors your sleep patterns to check for disorders like sleep apnea. Continuous airway pressure helps keep your airways open while you sleep, improving your breathing.

13 services13 patients

Hospital Affiliations CMS Care Compare 4

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

Faith Regional Health Services

Acute Care Hospitals · Norfolk, NE

5/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number280125

Location2700 West Norfolk AveNorfolk, NE 68701 · Madison County

Emergency services Birthing friendly

Avera St Anthony's Hospital

Critical Access Hospitals · O' Neill, NE

OwnershipVoluntary non-profit - Church

CMS Certification Number281329

Location300 North 2nd StO' Neill, NE 68763 · Holt County

Emergency services

Avera Sacred Heart Hospital

Acute Care Hospitals · Yankton, SD

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number430012

Location501 Summit StYankton, SD 57078 · Yankton County

Emergency services Birthing friendly

Avera St Benedict Health Center - Cah

Critical Access Hospitals · Parkston, SD

OwnershipVoluntary non-profit - Private

CMS Certification Number431330

Location401 West Glynn DriveParkston, SD 57366 · Hutchinson County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57078 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 34

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

Tubing with integrated heating element for use with positive airway pressure device A4604

DME-Other DME · category DE001N

15 suppliers443 claims443 services$42.67 avg. paid by Medicare

Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003

DME-Other DME · category DE000N

11 suppliers102 claims237 services$1.90 avg. paid by Medicare

Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable A7005

DME-Other DME · category DE000N

10 suppliers59 claims59 services$19.60 avg. paid by Medicare

Aerosol mask, used with dme nebulizer A7015

DME-Other DME · category DE000N

5 suppliers14 claims19 services$1.40 avg. paid by Medicare

Full face mask used with positive airway pressure device, each A7030

DME-Other DME · category DE001N

18 suppliers291 claims291 services$111.23 avg. paid by Medicare

Face mask interface, replacement for full face mask, each A7031

DME-Other DME · category DE001N

18 suppliers296 claims845 services$41.63 avg. paid by Medicare

Cushion for use on nasal mask interface, replacement only, each A7032

DME-Other DME · category DE001N

10 suppliers173 claims970 services$24.66 avg. paid by Medicare

Pillow for use on nasal cannula type interface, replacement only, pair A7033

DME-Other DME · category DE001N

7 suppliers64 claims357 services$17.94 avg. paid by Medicare

Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034

DME-Other DME · category DE001N

15 suppliers273 claims274 services$72.11 avg. paid by Medicare

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

21 suppliers393 claims394 services$23.81 avg. paid by Medicare

Chinstrap used with positive airway pressure device A7036

DME-Other DME · category DE001N

3 suppliers16 claims16 services$11.54 avg. paid by Medicare

Tubing used with positive airway pressure device A7037

DME-Other DME · category DE001N

12 suppliers76 claims77 services$21.68 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

19 suppliers507 claims2,605 services$3.05 avg. paid by Medicare

Water chamber for humidifier, used with positive airway pressure device, replacement, each A7046

DME-Other DME · category DE001N

18 suppliers226 claims226 services$13.30 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

6 suppliers65 claims67 services$19.01 avg. paid by Medicare

Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube) E0465

DME-Other DME · category DE005N

1 supplier12 claims12 services$891.59 avg. paid by Medicare

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466

DME-Other DME · category DE005N

9 suppliers129 claims129 services$895.78 avg. paid by Medicare

Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) E0470

DME-Other DME · category DE001N

4 suppliers53 claims53 services$114.39 avg. paid by Medicare

Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) E0471

DME-Other DME · category DE001N

1 supplier13 claims13 services$327.72 avg. paid by Medicare

Humidifier, heated, used with positive airway pressure device E0562

DME-Other DME · category DE001N

5 suppliers625 claims629 services$16.92 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

9 suppliers127 claims127 services$7.69 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

12 suppliers853 claims857 services$48.18 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

14 suppliers628 claims630 services$109.80 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

7 suppliers254 claims254 services$35.80 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); initial 30-day supply as a beneficiary G0333

DME-Other DME · category DE000N

10 suppliers16 claims16 services$38.41 avg. paid by Medicare

Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms J7605

DME-Drugs Administered Through DME · category DG006N

11 suppliers125 claims7,200 services$4.68 avg. paid by Medicare

Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms J7606

DME-Drugs Administered Through DME · category DG006N

10 suppliers269 claims15,750 services$6.44 avg. paid by Medicare

Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613

DME-Drugs Administered Through DME · category DG006N

11 suppliers76 claims14,184 services$0.03 avg. paid by Medicare

Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620

DME-Drugs Administered Through DME · category DG006N

10 suppliers81 claims7,932 services$0.09 avg. paid by Medicare

Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg J7626

DME-Drugs Administered Through DME · category DG000N

24 suppliers397 claims23,296 services$0.79 avg. paid by Medicare

Revefenacin inhalation solution, fda-approved final product, non-compounded, administered through dme, 1 microgram J7677

DME-Drugs Administered Through DME · category DG006N

13 suppliers170 claims892,500 services$0.15 avg. paid by Medicare

Temporary replacement for patient owned equipment being repaired, any type K0462

DME-Other DME · category DE000N

1 supplier12 claims12 services$85.66 avg. paid by Medicare

Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738

DME-Oxygen and Supplies · category DC000N

4 suppliers25 claims25 services$35.26 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

30 suppliers592 claims593 services$25.45 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.

TIM DOWNING PA

Physician Assistant (Medical)

1104 W 8TH ST
YANKTON, SD 57078

Cedar County (605) 665-7841

MAX L FARVER MD

Internal Medicine (Hematology & Oncology)

1104 W 8TH ST
YANKTON, SD 57078

Cedar County (605) 665-7841

JAY W HUBNER MD

Internal Medicine

1104 W 8TH ST
YANKTON, SD 57078

Cedar County (605) 665-7841

RANDOLPH W HEISINGER MD

Pediatrics

1104 W 8TH ST
YANKTON, SD 57078

Cedar County (605) 665-7841

MICHAEL R MCVAY MD

Pediatrics

1104 W 8TH ST
YANKTON, SD 57078

Cedar County (605) 665-7841

BETH A MIKKELSEN MD

Internal Medicine

1104 W 8TH ST
YANKTON, SD 57078

Cedar County (605) 665-7841

MARY J MILROY MD

Surgery

1104 W 8TH ST
YANKTON, SD 57078

Cedar County (605) 665-7841

CARROLL ISBURG MD

Pediatrics

1104 W 8TH ST
YANKTON, SD 57078

Cedar County (605) 665-7841

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 Michael Pietila's NPI number?

The NPI number for Michael Pietila is 1740254986. It was assigned to this individual provider in the NPPES registry on February 15, 2006.

Where is Michael Pietila located?

Michael Pietila practices at 1104 W 8th St, Yankton, SD 57078. The listed phone number is (605) 665-7841.

What is Michael Pietila's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Michael Pietila enrolled in Medicare?

Yes. Michael Pietila 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.

What insurance does Michael Pietila 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 4 other insurers list Michael Pietila 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 Michael Pietila affiliated with any hospitals?

According to CMS data, Michael Pietila is affiliated with Faith Regional Health Services, Avera St Anthony's Hospital, Avera Sacred Heart Hospital and Avera St Benedict Health Center - Cah.

When was this NPI record last updated?

The NPPES record for Michael Pietila was last updated on October 29, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.