Jay Allison, MD
NPI 1235195041 · Family Medicine Physician · Sioux Falls, SD
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jay Allison, MD is a Family Medicine Physician provider in Sioux Falls, SD (NPI 1235195041).
Provider details
- NPI number
- 1235195041
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 20321 (NE)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
20 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
151 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Subsequent Nursing Facility Care With Moderate Level of Medical Decision Making, Per Day, If Using Time, at Least 30 Minutes99309 | 55 | $107 |
| Subsequent Nursing Facility Care With Straightforward Level of Medical Decision Making, Per Day, If Using Time, 20 Minutes Or More99308 | 31 | $74 |
| Residence Visit for Established Patient With Moderate Level of Medical Decision Making, Per Day, If Using Time, at Least 40 Minutes99349 | 30 | $126 |
| Hospital Discharge Day Management, 30 Minutes Or Less99238 | 22 | $79 |
| Initial Hospital Care With Straightforward Or Low Level of Medical Decision Making, Per Day, If Using Time, at Least 40 Minutes99221 | 13 | $80 |
Typical Medicare-allowed amounts for these services range $74–$126 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 184 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Furosemide | 558 | 92 |
| Potassium Chloride | 551 | 92 |
| Levothyroxine Sodium | 518 | 81 |
| Rosuvastatin Calcium | 429 | 117 |
| Atorvastatin Calcium | 423 | 81 |
| Amlodipine Besylate | 411 | 84 |
| Pantoprazole Sodium | 397 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$68 across 4 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-04-21
- Last updated
- 2015-01-27
Frequently asked questions
- What is Jay Allison's NPI number?
- Jay Allison's National Provider Identifier (NPI) is 1235195041, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jay Allison's specialty?
- Jay Allison is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Jay Allison located?
- Jay Allison's practice location on file with NPPES is 1115 E 20th St, Sioux Falls, SD 57105-1013.
- What is Jay Allison's phone number?
- The practice phone number listed in the NPPES registry for Jay Allison is (605) 339-1783.
- Does Jay Allison accept Medicare?
- Jay Allison is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jay Allison's NPI active?
- Yes — Jay Allison's NPI (1235195041) is active in the NPPES registry as of the last update on 2015-01-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.