ORVAR T JONSSON MD
NPI 1831302009
Internal Medicine - Advanced Heart Failure and Transplant Cardiology in Sioux Falls, SD

Active since May 07, 2007PECOS EnrolledAccepts Medicare Assignment
4520 W 69TH ST, SIOUX FALLS, SD 57108(605) 977-5000(605) 977-5377 Get Directions Write a Review

NPPES record last updated: September 11, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 11, 2024, Apr 4, 2022, Mar 9, 2018 (3 updates tracked since 2018).

About Orvar T Jonsson Md NPPES

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

ORVAR T JONSSON MD (NPI 1831302009) is an individual advanced heart failure and transplant cardiology provider in Sioux Falls, South Dakota, licensed in South Dakota (5989) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Spencer Municipal Hospital, and is a graduate of Other (1998).

NPPES Registry Identity

NPI1831302009
Entity TypeIndividualMale
Primary Taxonomy207RA0001X
Provider Legal NameORVAR T JONSSONCredential: MD
Location Address4520 W 69TH STSioux Falls, SD 57108-8148
Mailing AddressPo Box 5074Sioux Falls, SD 57117-5074
Fax(605) 977-5377
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateMay 7, 2007
Last NPPES UpdateSeptember 11, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 11, 2024
NPI 1831302009 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Advanced Heart Failure and Transplant CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RA0001X
License Licensed in SD · 5989
Definition
Specialists in Advanced Heart Failure and Transplant Cardiology would participate in the inpatient and outpatient management of patients with advanced heart failure across the spectrum from consideration for high-risk cardiac surgery, cardiac transplantation, or mechanical circulatory support, to pre-and post-operative evaluation and management of patients with cardiac transplants and mechanical support devices, and end-of-life care for patients with end-stage heart failure.
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License 5989 (SD)
4520 W 69TH ST, Sioux Falls, SD 57108

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

Orvar T Jonsson 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 ID3274624994
PECOS Enrollment IDI20081201000601, I20241112001535
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 39

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.

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
745 services726 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 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.
579 services448 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 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.
568 services449 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.
348 services159 patients
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.
318 services245 patients
Evaluation of single, dual, multiple lead or leadless pacemaker system, remote up to 90 days 93294
This procedure evaluates your pacemaker system remotely for up to 90 days. It checks whether single, dual, multiple lead, or leadless pacemakers are working properly. It's a safe, convenient way to ensure your heart device is functioning optimally.
311 services159 patients

Hospital Affiliations CMS Care Compare 5

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

Spencer Municipal Hospital

Acute Care Hospitals · Spencer, IA
5/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number160112
Location1200 1st Avenue EastSpencer, IA 51301 · Clay County
Emergency services Birthing friendly

Windom Area Health

Critical Access Hospitals · Windom, MN
OwnershipGovernment - Local
CMS Certification Number241332
Location2150 Hospital Drive, PO Box 339Windom, MN 56101 · Cottonwood County
Emergency services

Ortonville Area Health Services

Critical Access Hospitals · Ortonville, MN
OwnershipGovernment - Local
CMS Certification Number241342
Location450 Eastvold AveOrtonville, MN 56278 · Big Stone 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

Avera Heart Hospital Of South Dakota

Acute Care Hospitals · Sioux Falls, SD
5/5 CMS rating
OwnershipProprietary
CMS Certification Number430095
Location4500 W 69th StSioux Falls, SD 57108 · Lincoln County
Emergency services

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
$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 4

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

Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) A4221
DME-Other DME · category DE017N
2 suppliers20 claims68 services$17.41 avg. paid by Medicare
Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) A4222
DME-Medical/Surgical Supplies · category DA000N
1 supplier12 claims300 services$29.53 avg. paid by Medicare
Injection, treprostinil, 1 mg J3285
Treatment-Injections and Infusions (nononcologic) · category RI026N
2 suppliers20 claims3,800 services$44.78 avg. paid by Medicare
Infusion pump used for uninterrupted parenteral administration of medication, (e.g., epoprostenol or treprostinol) K0455
DME-Other DME · category DE000N
2 suppliers20 claims20 services$233.85 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.

Internal Medicine (Cardiovascular Disease)
4520 W 69TH ST
SIOUX FALLS, SD 57108
Thoracic Surgery (Cardiothoracic Vascular Surgery)
4520 W 69TH ST
SIOUX FALLS, SD 57108
Internal Medicine (Cardiovascular Disease)
4520 W 69TH ST
SIOUX FALLS, SD 57108
Physician Assistant
4520 W 69TH ST
SIOUX FALLS, SD 57108
Nurse Practitioner (Family)
4520 W 69TH ST
SIOUX FALLS, SD 57108
Thoracic Surgery (Cardiothoracic Vascular Surgery)
4520 W 69TH ST
SIOUX FALLS, SD 57108
Nurse Practitioner (Family)
4520 W 69TH ST
SIOUX FALLS, SD 57108
Internal Medicine (Cardiovascular Disease)
4520 W 69TH ST
SIOUX FALLS, SD 57108

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 Orvar Jonsson's NPI number?

The NPI number for Orvar Jonsson is 1831302009. It was assigned to this individual provider in the NPPES registry on May 7, 2007.

Where is Orvar Jonsson located?

Orvar Jonsson practices at 4520 W 69th St, Sioux Falls, SD 57108. The listed phone number is (605) 977-5000.

What is Orvar Jonsson's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Advanced Heart Failure and Transplant Cardiology, with taxonomy code 207RA0001X.

Is Orvar Jonsson enrolled in Medicare?

Yes. Orvar Jonsson 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 Orvar Jonsson 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 3 other insurers list Orvar Jonsson 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 Orvar Jonsson affiliated with any hospitals?

According to CMS data, Orvar Jonsson is affiliated with Spencer Municipal Hospital, Windom Area Health, Ortonville Area Health Services, Avera Mckennan Hospital & University Health Center and Avera Heart Hospital Of South Dakota.

When was this NPI record last updated?

The NPPES record for Orvar Jonsson was last updated on September 11, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.