PAUL W DEJONG MD
NPI 1801096599
Family Medicine in Sioux Center, IA

Active since July 20, 2007PECOS EnrolledAccepts Medicare Assignment
94/100
CMS Quality Rating
1101 9TH ST SE, SIOUX CENTER, IA 51250(712) 722-1271 Get Directions Write a Review

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

About Paul W Dejong Md NPPES

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

PAUL W DEJONG MD (NPI 1801096599) is an individual family medicine provider in Sioux Center, Iowa, licensed in Iowa (MD-37603) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS, is affiliated with Hegg Memorial Health Center, and is a graduate of University Of Illinois College Of Med (chi/peor/rock/chm-urb) (2006).

NPPES Registry Identity

NPI1801096599
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NamePAUL W DEJONGCredential: MD
Location Address1101 9TH ST SESioux Center, IA 51250-2501
Mailing Address1202 21st AveRock Valley, IA 51247-1420 · (712) 476-8100 · Fax (712) 476-8190
Sole ProprietorNo
Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 2006
Enumeration DateJuly 20, 2007
Last NPPES UpdateFebruary 11, 2026
NPPES CertifiedFebruary 11, 2026
NPI 1801096599 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in IA · MD-37603 Licensed in SD · 7592
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.
1101 9TH ST SE, Sioux Center, IA 51250

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

Paul W Dejong 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 ID1557449790
PECOS Enrollment IDI20080619000025
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 2

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
51 services14 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
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.

Hegg Memorial Health Center

Critical Access Hospitals · Rock Valley, IA
OwnershipVoluntary non-profit - Private
CMS Certification Number161336
Location1202 21st AvenueRock Valley, IA 51247 · Sioux County
Emergency services

Sioux Center Health

Critical Access Hospitals · Sioux Center, IA
OwnershipVoluntary non-profit - Private
CMS Certification Number161346
Location1101 9th Street SESioux Center, IA 51250 · Sioux 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

Sanford Canton-Inwood Medical Center - Cah

Critical Access Hospitals · Canton, SD
OwnershipVoluntary non-profit - Private
CMS Certification Number431333
Location440 North Hiawatha DriveCanton, SD 57013 · Lincoln County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 51250 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
$81.84 typical visit price
range $52.96 – $161.40
Typical copayment $20.46 (range $13.24 – $40.35)
Most-billed visit code 99203
Established Patient
$94.05 typical visit price
range $16.91 – $131.98
Typical copayment $23.51 (range $4.22 – $32.99)
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.

94/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.79
Promoting Interoperability98.22
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 22

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
4 suppliers90 claims135 services$5.34 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
5 suppliers61 claims61 services$43.17 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
5 suppliers37 claims37 services$119.56 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
4 suppliers44 claims122 services$43.72 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
3 suppliers22 claims127 services$24.27 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
3 suppliers31 claims31 services$69.79 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.

Nurse Practitioner (Family)
1101 9TH ST SE
SIOUX CENTER, IA 51250
Family Medicine
1101 9TH ST SE
SIOUX CENTER, IA 51250
Nurse Practitioner (Family)
1101 9TH ST SE
SIOUX CENTER, IA 51250
Occupational Therapist
1101 9TH ST SE
SIOUX CENTER, IA 51250
Physical Therapist
1101 9TH ST SE
SIOUX CENTER, IA 51250
Physical Therapist
1101 9TH ST SE
SIOUX CENTER, IA 51250
Physician Assistant (Medical)
1101 9TH ST SE
SIOUX CENTER, IA 51250
Family Medicine
1101 9TH ST SE
SIOUX CENTER, IA 51250

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 Paul Dejong's NPI number?

The NPI number for Paul Dejong is 1801096599. It was assigned to this individual provider in the NPPES registry on July 20, 2007.

Where is Paul Dejong located?

Paul Dejong practices at 1101 9th St SE, Sioux Center, IA 51250. The listed phone number is (712) 722-1271.

What is Paul Dejong's specialty?

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

Is Paul Dejong enrolled in Medicare?

Yes. Paul Dejong 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 Paul Dejong 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 1 other insurer list Paul Dejong 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 Paul Dejong affiliated with any hospitals?

According to CMS data, Paul Dejong is affiliated with Hegg Memorial Health Center, Sioux Center Health, Avera Mckennan Hospital & University Health Center and Sanford Canton-Inwood Medical Center - Cah.

When was this NPI record last updated?

The NPPES record for Paul Dejong was last updated on February 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.