DR. GONZALO H SANCHEZ JR. MD
NPI 1841250727
Orthopaedic Surgery in Pierre, SD

Active since March 24, 2006PECOS EnrolledAccepts Medicare Assignment
100 MAC LANE, AVERAL MEDICAL GROUP PIERRE, PIERRE, SD 57501(605) 224-7070(605) 224-2514 Get Directions Write a Review

NPPES record last updated: June 29, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Gonzalo H Sanchez Jr. Md NPPES

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

DR. GONZALO H SANCHEZ JR. MD (NPI 1841250727) is an individual orthopaedic surgery provider in Pierre, South Dakota, licensed in South Dakota (SD5217) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Avera St Mary's Hospital, and is a graduate of University Of Kansas School Of Med (kc/wich/sal) (1998).

NPPES Registry Identity

NPI1841250727
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. GONZALO H SANCHEZ JR.Credential: MD
Location Address100 MAC LANE, AVERAL MEDICAL GROUP PIERREPierre, SD 57501
Mailing Address100 Mac Lane, Averal Medical Group PierrePierre, SD 57501 · (605) 224-7070 · Fax (605) 224-2514
Fax(605) 224-2514
Sole ProprietorNo
Medical School CMSUniversity Of Kansas School Of Med (kc/wich/sal)Graduated 1998
Enumeration DateMarch 24, 2006
Last NPPES UpdateJune 29, 2012
NPI 1841250727 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Licenses Licensed in SD · SD5217 Licensed in SD · 5217
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
100 MAC LANE, Pierre, SD 57501

Other Identifiers 4

Medicaid6402162SD
Medicaid6402160SD
Medicare UPINH93748SD
Medicare ID-Type Unspecified41442SD

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

Dr. Gonzalo H Sanchez Jr. 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 ID3870586571
PECOS Enrollment IDI20041104000641
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 29

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.

Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
274 services189 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
272 services199 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
188 services27 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.
159 services129 patients
X-ray of shoulder, minimum of 2 views 73030
An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.
145 services102 patients
X-ray of knee, 3 views 73562
An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.
104 services78 patients

Hospital Affiliations CMS Care Compare 5

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

Avera St Mary's Hospital

Acute Care Hospitals · Pierre, SD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number430015
Location801 E SiouxPierre, SD 57501 · Hughes 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 Missouri River Health Center

Critical Access Hospitals · Gettysburg, SD
OwnershipVoluntary non-profit - Private
CMS Certification Number431302
Location606 East GarfieldGettysburg, SD 57442 · Potter County
Emergency services

Winner Regional Healthcare Center - Cah

Critical Access Hospitals · Winner, SD
OwnershipVoluntary non-profit - Private
CMS Certification Number431334
Location745 East 8th StreetWinner, SD 57580 · Tripp County
Emergency services

Avera Hand County Memorial Hospital And Clinic

Critical Access Hospitals · Miller, SD
OwnershipVoluntary non-profit - Private
CMS Certification Number431337
Location300 W 5th StMiller, SD 57362 · Hand County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57501 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
$69.20 typical visit price
range $18.08 – $137.08
Typical copayment $17.30 (range $4.52 – $34.27)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Pediatrics
100 MAC LANE, AVERA MEDICAL GROUP PIERRE
PIERRE, SD 57501
Surgery
100 MAC LANE, AVERA MEDICAL GROUP PIERRE
PIERRE, SD 57501
Physician Assistant
100 MAC LANE, AVERA MEDICAL GROUP PIERRE
PIERRE, SD 57501
Internal Medicine
100 MAC LANE, AVERA MEDICAL GROUP PIERRE
PIERRE, SD 57501
Orthopaedic Surgery
100 MAC LANE, AVERA MEDICAL GROUP PIERRE
PIERRE, SD 57501
Clinic/Center (Multi-Specialty)
100 MAC LANE
PIERRE, SD 57501
Surgery
100 MAC LANE, AVERA MEDICAL GROUP PIERRE
PIERRE, SD 57501
Family Medicine
100 MAC LANE
PIERRE, SD 57501

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 Gonzalo Sanchez's NPI number?

The NPI number for Gonzalo Sanchez is 1841250727. It was assigned to this individual provider in the NPPES registry on March 24, 2006.

Where is Gonzalo Sanchez located?

Gonzalo Sanchez practices at 100 Mac Lane Averal Medical Group Pierre, Pierre, SD 57501. The listed phone number is (605) 224-7070.

What is Gonzalo Sanchez's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Gonzalo Sanchez enrolled in Medicare?

Yes. Gonzalo Sanchez 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 Gonzalo Sanchez 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 2 other insurers list Gonzalo Sanchez 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 Gonzalo Sanchez affiliated with any hospitals?

According to CMS data, Gonzalo Sanchez is affiliated with Avera St Mary's Hospital, Avera Mckennan Hospital & University Health Center, Avera Missouri River Health Center, Winner Regional Healthcare Center - Cah and Avera Hand County Memorial Hospital And Clinic.

When was this NPI record last updated?

The NPPES record for Gonzalo Sanchez was last updated on June 29, 2012. 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.