Theresa Marie Stamato, MD
Pediatric Cardiology Physician · Sioux Falls, SD
Theresa Marie Stamato, MD is a pediatric cardiology physician with a practice address in Sioux Falls, South Dakota, and NPI 1649225129, issued on May 23, 2006. Check the license (South Dakota 4746, as entered in NPPES) on the South Dakota Board of Medical and Osteopathic Examiners; the Medicare figures below come from public CMS files.
- Name
- Theresa Marie Stamato
- Credential
- MD
- Primary taxonomy
- Pediatric Cardiology Physician 2080P0202X
- License numbers
- 4746 SD
35518 IA
44264 MN
Self-reported in NPPES; status is on the state search - Practice location
- 1600 W 22ND St, Sioux Falls, SD 57104
- Phone
- (605) 312-1000
- Enumerated
- May 23, 2006
- Record last updated
- Aug 5, 2021 (not updated in 5 years: call before relying on the address or phone)
- Fax
- (605) 312-1001
- Medicare enrollment
- Enrolled (PECOS I20040805001039); accepts Medicare assignment
- Medical or professional school
- State University Of Ny Upstate Medical University, 1988
- Entity
- Type 1 · individual
6 nearest pediatric cardiology physician records → All 7 in South Dakota → Look up another NPI →
Verify Theresa Marie Stamato in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersSouth Dakota Board of Medical and Osteopathic Examiners
Search for license 4746Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
8% fewer Medicare Part D claims than the average pediatric cardiology physician in 2024
68 Medicare Part D claims, against an average of 74 among the 518 providers of this specialty who prescribed in Part D. Brand-name drugs were 0% of claims.
Most prescribed
- Warfarin Sodium30 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
The practice group's MIPS final score for 2023 (Medicare payment program): 76.7 of 100
The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).
Bills Medicare through one group practice
- Sanford Medical CenterSioux Falls, SD
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Pediatric Cardiology Physician providers in South Dakota
There are 7 pediatric cardiology physician records in South Dakota.
All 7 in South Dakota → Every provider in Sioux Falls → Pediatric Cardiology Physician nationwide →
The 6 pediatric cardiology physician records with the nearest ZIP codes
- Sami Awadallah, M.D.Sioux Falls, SD 571051265408728
- Moeez HassanSioux Falls, SD 571051134771702
- Eric Mittelstaedt, M.D.Sioux Falls, SD 571051477996445
- Eric Towe, MDSioux Falls, SD 571051124283296
- William Waltz, MDSioux Falls, SD 571051649226986
- John Spangler, M.D.Rapid City, SD 577011851316806
Common questions
What is Theresa Marie Stamato, MD's NPI number?
Theresa Marie Stamato, MD's National Provider Identifier (NPI) is 1649225129, issued on May 23, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Theresa Marie Stamato, MD located?
The NPPES record lists a practice address at 1600 W 22ND St, Sioux Falls, SD, 57104. Phone: (605) 312-1000. Providers update this record themselves, so call before visiting.
How can I verify Theresa Marie Stamato, MD's license?
NPPES lists South Dakota license number 4746, as entered by the provider. Search the South Dakota Board of Medical and Osteopathic Examiners at https://www.sdbmoe.gov/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Theresa Marie Stamato, MD prescribe under Medicare Part D?
In 2024, Theresa Marie Stamato, MD had 68 Medicare Part D claims; the average among pediatric cardiology physician prescribers was 74. Part D covers Medicare prescriptions only.
What is Theresa Marie Stamato, MD's MIPS final score?
The 2023 MIPS final score is 76.7 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.