ANTHONY A SIERRA M.D.
NPI 1942283163
Obstetrics & Gynecology in Sioux Falls, SD

Active since November 22, 2005PECOS EnrolledAccepts Medicare Assignment
76.69/100
CMS Quality Rating
1500 W 22ND ST, SUITE 301, SIOUX FALLS, SD 57105(605) 328-7700(605) 328-7775 Get Directions Write a Review

NPPES record last updated: May 14, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Anthony A Sierra M.d. NPPES

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

ANTHONY A SIERRA M.D. (NPI 1942283163) is an individual obstetrics & gynecology provider in Sioux Falls, South Dakota, licensed in South Dakota (5985) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with Sanford Usd Medical Center, and is a graduate of Other (1984).

NPPES Registry Identity

NPI1942283163
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameANTHONY A SIERRACredential: M.D.
Location Address1500 W 22ND ST, SUITE 301Sioux Falls, SD 57105-7702
Mailing AddressPo Box 5074Sioux Falls, SD 57117-5074
Fax(605) 328-7775
Sole ProprietorNo
Medical School CMSOtherGraduated 1984
Enumeration DateNovember 22, 2005
Last NPPES UpdateMay 14, 2010
NPI 1942283163 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License Licensed in SD · 5985
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
Also ListedObstetrics & Gynecology · GynecologyTaxonomy 207VG0400X · License 5985 (SD)
Also ListedObstetrics & Gynecology · ObstetricsTaxonomy 207VX0000X · License 5985 (SD)
1500 W 22ND ST, Sioux Falls, SD 57105

Other Identifiers 3

Medicare UPING08565SD
Medicaid6201480SD
Medicare PINS101759SD

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

Anthony A Sierra 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 ID6901906114
PECOS Enrollment IDI20070717000069
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.

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.
14 services13 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.
12 services11 patients

Hospital Affiliations CMS Care Compare

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

Sanford Usd Medical Center

Acute Care Hospitals · Sioux Falls, SD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number430027
Location1305 W 18th St Post Office Box 5039Sioux Falls, SD 57117 · Minnehaha County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57105 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
$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.

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.

76.69/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.56
Promoting Interoperability99
Improvement Activities40
Cost44.56

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.

Obstetrics & Gynecology (Reproductive Endocrinology)
1500 W 22ND ST, STE 102
SIOUX FALLS, SD 57105
Obstetrics & Gynecology
1500 W 22ND ST, STE 301
SIOUX FALLS, SD 57105
Obstetrics & Gynecology
1500 W 22ND ST, STE 301
SIOUX FALLS, SD 57105
Advanced Practice Midwife
1500 W 22ND ST, STE 301
SIOUX FALLS, SD 57105
Plastic Surgery
1500 W 22ND ST, STE 104
SIOUX FALLS, SD 57105
Midwife
1500 W 22ND ST, STE 301
SIOUX FALLS, SD 57105
Physician Assistant
1500 W 22ND ST, STE 102
SIOUX FALLS, SD 57105
Plastic Surgery
1500 W 22ND ST, STE 101
SIOUX FALLS, SD 57105

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 Anthony Sierra's NPI number?

The NPI number for Anthony Sierra is 1942283163. It was assigned to this individual provider in the NPPES registry on November 22, 2005.

Where is Anthony Sierra located?

Anthony Sierra practices at 1500 W 22nd St Suite 301, Sioux Falls, SD 57105. The listed phone number is (605) 328-7700.

What is Anthony Sierra's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Anthony Sierra enrolled in Medicare?

Yes. Anthony Sierra 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 Anthony Sierra accept?

Health plans from Medica, Oscar Insurance Company, Sanford Health Plan and Security Health Plan list Anthony Sierra 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 Anthony Sierra affiliated with any hospitals?

According to CMS data, Anthony Sierra is affiliated with Sanford Usd Medical Center.

When was this NPI record last updated?

The NPPES record for Anthony Sierra was last updated on May 14, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.