SYLVIA M ANDERSON MD
NPI 1790891844
Family Medicine in Faulkton, SD

Active since August 22, 2006PECOS EnrolledAccepts Medicare Assignment
93.71/100
CMS Quality Rating
1300 OAK STREET, FAULKTON, SD 57438(605) 598-6262(605) 598-4199 Get Directions Write a Review

NPPES record last updated: November 13, 2020. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Sylvia M Anderson Md NPPES

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

SYLVIA M ANDERSON MD (NPI 1790891844) is an individual family medicine provider in Faulkton, South Dakota, licensed in South Dakota (5882) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, is affiliated with Avera St Lukes, and is a graduate of Sanford School Of Medicine Of University Of South Dakota (2003).

NPPES Registry Identity

NPI1790891844
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameSYLVIA M ANDERSONCredential: MD
Location Address1300 OAK STREETFaulkton, SD 57438-0100
Mailing Address1300 Oak StreetFaulkton, SD 57438-0100 · (605) 598-6262 · Fax (605) 598-4199
Fax(605) 598-4199
Sole ProprietorNo
Medical School CMSSanford School Of Medicine Of University Of South DakotaGraduated 2003
Enumeration DateAugust 22, 2006
Last NPPES UpdateNovember 13, 2020
NPPES CertifiedNovember 13, 2020
NPI 1790891844 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 · 5882
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.
1300 OAK STREET, Faulkton, SD 57438

Other Names 1

Former Name (1)Sylvia M Barnes

Other Identifiers 4

Other9764ND · New Graduate
Medicaid13160ND
Medicaid5611890SD
Other5882SD · Sd State Board Of Medical

Accepted 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

Sylvia M Anderson Md 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 ID4789657693
PECOS Enrollment IDI20060830000032
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 4

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
63 services30 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
36 services24 patients
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.
18 services17 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
14 services12 patients

Hospital Affiliations CMS Care Compare 3

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

Avera St Lukes

Acute Care Hospitals · Aberdeen, SD
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number430014
Location305 S State St Post Office Box 4450Aberdeen, SD 57401 · Brown County
Emergency services Birthing friendly

Sanford Medical Center Aberdeen

Acute Care Hospitals · Aberdeen, SD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number430097
Location2905 3rd Ave SEAberdeen, SD 57402 · Brown County
Emergency services Birthing friendly

Faulkton Area Medical Center

Critical Access Hospitals · Faulkton, SD
OwnershipVoluntary non-profit - Private
CMS Certification Number431301
Location1300 Oak Street Post Office Box 100Faulkton, SD 57438 · Faulk County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57438 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

93.71/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality88.72
Promoting Interoperability97.84
Improvement Activities40

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.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
2 suppliers52 claims87 services$5.82 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
1 supplier18 claims18 services$20.11 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
4 suppliers38 claims38 services$116.11 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 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant (Medical)
1300 OAK STREET
FAULKTON, SD 57438
Physician Assistant
1300 OAK STREET
FAULKTON, SD 57438

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 Sylvia Anderson's NPI number?

The NPI number for Sylvia Anderson is 1790891844. It was assigned to this individual provider in the NPPES registry on August 22, 2006. The provider is also known as Sylvia M Barnes.

Where is Sylvia Anderson located?

Sylvia Anderson practices at 1300 Oak Street, Faulkton, SD 57438. The listed phone number is (605) 598-6262.

What is Sylvia Anderson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Sylvia Anderson enrolled in Medicare?

Yes. Sylvia Anderson 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 Sylvia Anderson accept?

Health plans from Avera Health Plans, Medica and Sanford Health Plan list Sylvia Anderson 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 Sylvia Anderson affiliated with any hospitals?

According to CMS data, Sylvia Anderson is affiliated with Avera St Lukes, Sanford Medical Center Aberdeen and Faulkton Area Medical Center.

When was this NPI record last updated?

The NPPES record for Sylvia Anderson was last updated on November 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.