NPI registry status
Active
2026 NPPES data Physician Assistant NPI 1396037180 PA-C
Verify on CMS → Dustin Letcher, PA-C
Physician Assistant in Sioux Falls, South Dakota.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 156,084 in Physician Assistant, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
302
Medicare Part D claims · 53 beneficiaries · Physician Assistant avg: 832
Generic prescribing
74%
generic claims · 26% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
76.7/100
▼ 7 pts below national avg 83.5 · Above neutral
Industry payments
$144.6
7 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2024
What the federal data shows
Dustin Letcher, PA-C reported a CMS MIPS final score of 76.7/100 - below the 83.5 national average - and filed 302 Medicare Part D claims in 2024.
- 76.7/100
- MIPS score · -7 vs avg
- 302
- Part D claims, 2024
- 74%
- generic prescribing
- $144.6
- industry payments (Sunshine Act)
Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) - no proprietary rating or editorial opinion is applied.
Federal trust snapshot
What official records show about Dustin Letcher, PA-C
Federal records show an active NPI with both Medicare prescribing volume and a measured CMS quality score — objective registry data, not patient reviews.
- Verified
NPI registry status
Active listing in the CMS National Provider Identifier Registry (NPI 1396037180), first enumerated 05/11/2011.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 302 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.
Source: CMS Part D Prescriber PUF
- Reported
CMS quality reporting (MIPS)
Reported a CMS MIPS final score of 76.7/100 in the Quality Payment Program — a federal quality measure, not a patient review.
Source: CMS Quality Payment Program
- Reported
Hospital affiliations
1 CMS Care Compare hospital affiliation on record — practice footprint from the Doctors and Clinicians file.
Source: CMS Care Compare
- Reported
Industry payment transparency
$144.6 in reported industry payments (7 transfers) in 2024 under the federal Sunshine Act — disclosed transfers of value, not a quality rating.
Source: CMS Open Payments
- Not in federal data
Individual sanction lookup
PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.
Source: State medical board / FSMB
This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.
CMS NPPES provider registry desk
NPI 1396037180 · Physician Assistant
NPI-10 · ENUM-MID · TAX-MEGA · MIPS-BELOW · RX-LIGHT · BOOK-LIGHT · PHOTO-FINISH
- NPI-10 1396037180
- ENUM-MID 2011
- TAX-MEGA 156K Physician Assistant
- MIPS-BELOW 76.7/100
- RX-LIGHT 302
- BOOK-LIGHT 631 in South Dakota
- PHOTO-FINISH Mary Hansen, PA-C, M… · ±0.0
MIPS final-score neighbourhood
Same-specialty nationwide peers by CMS final score, not geographic proximity
- Letcher · this p…
Letcher · this provider
76.7 MIPS pts
- Rebecca Roemen, …
Rebecca Roemen, PA-C
76.7 MIPS pts
- Mary Hansen, PA-…
Mary Hansen, PA-C, MPAS
76.7 MIPS pts
- Haley Jerman · n…
Haley Jerman
76.7 MIPS pts
- Kathryn Ranschau…
Kathryn Ranschau, P.A.
76.7 MIPS pts
What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).
Dustin Letcher, PA-C's MIPS score vs every measured U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.
77 ≥ 17th percentile 17% of 454,083 measured providers are in lower value bands
Each bar is a band; taller bars hold more measured providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.
The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.
Source CMS Merit-based Incentive Payment System (MIPS) · 2023
Where Dustin Letcher, PA-C sits
This provider among physician assistant peers
Across the 26,497 physician assistant providers who report both Medicare Part D prescribing and a MIPS quality score, Dustin Letcher, PA-C writes more Part D claims than 57% of them and scores higher on MIPS quality than 17% - placing this provider in the high-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Each dot is one physician assistant peer from a representative sample of 60; the gold marker is Dustin Letcher, PA-C. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
What does the federal data show about Dustin Letcher, PA-C?
Below national averagePrimary specialty
Physician Assistant
Medicare Part D claims
302 64% vs specialty avg
MIPS final score
76.7/100 6.8 pts vs avg
Specialty distribution in South Dakota
How Physician Assistant compares to other specialties among South Dakota providers
Medicare quality performance, MIPS
Dustin Letcher, PA-C's 2023 MIPS final score plotted against the Physician Assistant national average
- MIPS Final Score
- 76.7/100
- vs 83.5 national avg · 2023 performance year
How MIPS and board certification work
The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.
Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).
Practice Address
Provider Details
| NPI | 1396037180 |
|---|---|
| Specialty | Physician Assistant |
| Credentials | PA-C |
| Gender | Male |
| NPI Issued | 05/11/2011 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
76.6912
Final Score
Measured-score avg: 83.5
78.5693
Quality
44.5681
Cost
99
Promoting Interoperability
Reporting: Group practice
Hospital and facility affiliations
Facilities where Dustin Letcher, PA-C bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" - a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.
Sanford Medical Center
Sioux Falls, SD
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
Industry payments received (2024) - CMS Open Payments transparency data
The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for Dustin Letcher, PA-C. Source: openpaymentsdata.cms.gov.
Total received
$145
Largest payer
Genentech USA, Inc.
Most common payment type
Food and Beverage
Industry payments are not necessarily indicators of bias, they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.
Brand vs generic prescribing mix · Above average
Dustin Letcher, PA-C - brand share 26.0%
Physician Assistant average
26% brand-name claims vs 74% generic, on 302 2024 Medicare Part D claims.
The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2024.
302
Total Claims
$167K
Total Drug Cost
53
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 372.133
- Total Day Supply
- 10,139
- Brand vs Generic
- 26% brand / 74% generic
- Brand Drug Cost
- $162K
- Generic Drug Cost
- $5K
- Antibiotic Claims
- 15
Patient Demographics
- Average Patient Age
- 68.2 years
- Avg HCC Risk Score
- 0.84
- Gender Split
- 77% female / 23% male
- Age Distribution
- <65: 11, 65-74: 24, 75-84: 18, 85+: 0
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.
What Dustin Letcher, PA-C prescribes most
Top Medicare Part D drugs by claim count, 2024
- Azelastine Hcl
Azelastine Hcl
53 claims
- Ipratropium Bromide
Ipratropium Bromide
36 claims
- Fluticasone Propio…
Fluticasone Propionate
31 claims
- Levocetirizine Dih…
Levocetirizine Dihydrochloride
22 claims
- Montelukast Sodium 15
Montelukast Sodium
15 claims
- Dupixent Pen 14
Dupixent Pen
14 claims
- Gabapentin 14
Gabapentin
14 claims
- Azithromycin 13
Azithromycin
13 claims
| Drug | Claims |
|---|---|
| Azelastine Hcl | 53 |
| Ipratropium Bromide | 36 |
| Fluticasone Propionate | 31 |
| Levocetirizine Dihydrochloride | 22 |
| Montelukast Sodium | 15 |
| Dupixent Pen Dupilumab | 14 |
| Gabapentin | 14 |
| Azithromycin | 13 |
| Breo Ellipta Fluticasone/Vilanterol | 13 |
| Dupixent Syringe Dupilumab | 13 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Physician Assistant Overview
How Dustin Letcher, PA-C fits within the Physician Assistant landscape nationally.
156,084
Physician Assistant Providers in US
56
States with Physician Assistant
832
Avg Claims per Provider
Dustin Letcher, PA-C's 302 claims are below the specialty average of 832.
Nationwide Physician Assistant peers with similar MIPS or enrollment year
Two federal-record peer sets for Letcher, both outside South Dakota so the neighborhoods are not geographic containment.
Similar MIPS final score
Nearest same-specialty clinicians by CMS MIPS final score (76.7 here).
Same NPPES enumeration year (2011)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Physician Assistant Providers in South Dakota
Other clinicians with the same primary specialty enrolled in South Dakota, drawn from the same CMS NPPES roster as Letcher.
One of 631 Physician Assistant providers enrolled in South Dakota, 5 are shown here.
Michael Aanderud
PA-C
Rapid City, SD
Benjamin Abbey
PA-C
Mitchell, SD
Julia Abraham
PA-C
Dell Rapids, SD
Riley Ackerman
Rapid City, SD
Amanda Adams
PA-C
Huron, SD
Compare Physician Assistant nationally: see state-by-state distribution →
Frequently Asked Questions
What is Dustin Letcher, PA-C's specialty? ▼
Dustin Letcher, PA-C specializes in Physician Assistant and practices in Sioux Falls, South Dakota. Credentials: PA-C.
How much does Dustin Letcher, PA-C prescribe under Medicare Part D? ▼
In 2024, Dustin Letcher, PA-C wrote 302 Medicare Part D claims totaling $167K in drug costs for 53 beneficiaries.
What is Dustin Letcher, PA-C's Medicare quality score? ▼
Dustin Letcher, PA-C has a CMS MIPS Final Score of 76.7/100 (Quality: 78.6, Cost: 44.6). The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Dustin Letcher, PA-C located? ▼
Dustin Letcher, PA-C is located at 1321 W 22ND ST, Sioux Falls, SD, 57105. Phone: (605) 404-4000.
What is Dustin Letcher, PA-C's NPI number? ▼
Dustin Letcher, PA-C's National Provider Identifier (NPI) is 1396037180, issued on 05/11/2011.
Does Dustin Letcher, PA-C prescribe more brand-name or generic drugs? ▼
Dustin Letcher, PA-C's prescribing is 26% brand-name and 74% generic drugs by claim count, with $162K in brand drug costs.
How many Physician Assistant providers are there in the US? ▼
There are 156,084 Physician Assistant providers across 56 states in the US. The average Physician Assistant provider writes 832 Medicare Part D claims per year.
What drugs does Dustin Letcher, PA-C prescribe most often? ▼
Based on 2024 Medicare Part D data, Dustin Letcher, PA-C's most frequently prescribed drugs include Azelastine Hcl, Ipratropium Bromide, Fluticasone Propionate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Dustin Letcher, PA-C accept Medicare? ▼
Dustin Letcher, PA-C appears in CMS Medicare data with 302 Part D claims and 53 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Dustin Letcher, PA-C's credentials? ▼
Dustin Letcher, PA-C's NPI is 1396037180 with credentials PA-C. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.
Data Sources
View source datasets and methodology notes
- Provider Directory
- CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
- Specialty Classification
- NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
- Prescribing Data
- CMS Medicare Part D Prescriber Public Use File (2024). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
- Quality Performance
- CMS Merit-based Incentive Payment System (MIPS) - 2023 performance year.
- Limitations
- Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.
See our complete data methodology for details on how we collect and process government data.
Data as of August 2026 (NPPES) / 2024 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).
Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of August 2026.