Anthony J. Hericks, D.O.
NPI 1689606303ActiveIndividual· Internal Medicine, Critical Care Medicine· Sioux Falls, SD
Internal Medicine, Critical Care Medicine (D.O.) with Avera McKennan, practicing in Sioux Falls, South Dakota. Their prescriptions cost Medicare Part D more than their services did: $830,067 for 1,827 claims, against $131,430 paid for services in 2024. Inspire Medical Systems, Inc. reported $21.08 in payments in 2025, mostly food and beverage. Lists Avera Heart Hospital of South Dakota and 4 other hospitals as hospital affiliations.
Overview
| NPI | 1689606303 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | D.O. |
| Sole proprietor | No |
| NPI issued | Jul 6, 2006 |
| Last updated in NPPES | Jan 14, 2026 |
| Certified by provider | Jan 14, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Critical Care Medicine Primary | 207RC0200X | 7494 | SD |
| Internal Medicine, Critical Care Medicine | 207RC0200X | 2006013162 | MO |
| Internal Medicine, Pulmonary Disease | 207RP1001X | 2006013162 | MO |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 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 | 1,293 |
|---|---|
| Services billed | 2,766 across 31 procedure codes |
| Paid by Medicare | $131,430 |
Part D prescriptions in 2024
| Prescriptions (claims) | 1,827 · 2,317 30-day fills |
|---|---|
| Patients | 259 |
| Total drug cost | $830,067 |
| Generic share | 52% of claims |
Education and affiliations
| Graduation year | 2002 |
|---|---|
| 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
- Lakes Regional HealthcareSpirit Lake, IA
- Spencer Municipal HospitalSpencer, IA
Industry payments (Open Payments)
- 2025$21.08 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Inspire Medical Systems, Inc. | $21.08 | 1 |
What the 2025 payments were for
- Food and Beverage$21.08 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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