Noel Dexter Luis Tiangco, M.D.
NPI 1205018363ActiveIndividual· Internal Medicine, Pulmonary Disease· Sioux Falls, SD
Internal Medicine, Pulmonary Disease (M.D.) with Avera McKennan, practicing in Sioux Falls, South Dakota. Their prescriptions cost Medicare Part D more than their services did: $1,300,638 for 1,907 claims, against $64,269 paid for services in 2024. Inspire Medical Systems, Inc. was the largest of 2 companies reporting payments in 2025, $38.46 in all, mostly food and beverage. Lists Avera Heart Hospital of South Dakota and 4 other hospitals as hospital affiliations.
Overview
| NPI | 1205018363 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Nov 30, 2007 |
| Last updated in NPPES | Oct 15, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Pulmonary Disease Primary | 207RP1001X | 8277 | SD |
| Internal Medicine, Pulmonary Disease | 207RP1001X | MD443965 | PA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Pulmonary Disease (IA); Practitioner - Pulmonary Disease (MN); Practitioner - Pulmonary Disease (SD) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 528 |
|---|---|
| Services billed | 1,494 across 30 procedure codes |
| Paid by Medicare | $64,269 |
Part D prescriptions in 2024
| Prescriptions (claims) | 1,907 · 2,271 30-day fills |
|---|---|
| Patients | 257 |
| Total drug cost | $1,300,638 |
| Generic share | 35% of claims |
Education and affiliations
| Graduation year | 2003 |
|---|---|
| Medicare specialty | Pulmonary Disease |
| Secondary specialties | Internal Medicine |
| Telehealth | Offers telehealth |
Medical group
- Avera McKennanSioux Falls, SD · 959 clinicians
Hospital affiliations
- Avera Heart Hospital of South DakotaSioux Falls, SD
- Avera McKennan Hospital & University Health CenterSioux Falls, SD
- Avera St Mary's HospitalPierre, SD
- Sioux Center HealthSioux Center, IA
- Spencer Municipal HospitalSpencer, IA
Industry payments (Open Payments)
- 2025$38.46 · 2 payments from 2 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Inspire Medical Systems, Inc. | $21.08 | 1 |
| Insmed, Inc. | $17.38 | 1 |
What the 2025 payments were for
- Food and Beverage$21.08 · 1 payment
- Education$17.38 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 27 pulmonologists in Sioux Falls · All pulmonologists in South Dakota