Disease ProgressionFractalsFractures, Stress
Dr. Austin McPhilamy, MD
NPI1811212236PAC ID2860633948
- Medicare services, 2024
- 2,528
- Medicare patients, 2024
- 248
- Part D claims, 2024
- 134
- Publications
- 1
- MIPS score, 2024
- 80
- Practice address
- 1325 S Cliff Ave Post Office Box 5045, Sioux Falls, SD 57117
- Practice phone
- Call (605) 322-8000
- Professional email
- Get professional email
- Personal email
- Get personal email
- Mobile number
- Get mobile number
Find Dr. McPhilamy's professional email, personal email and mobile number
Dmand AI checks each channel through healthcare-specific waterfall enrichment. See what is on file with a free account, with practice phones, licenses and affiliations.
Dr. Austin McPhilamy is an orthopedic surgeon in Sioux Falls, South Dakota
Dr. McPhilamy practices at Avera McKennan Hospital & University Health Center in Sioux Falls, South Dakota, part of Avera Health.
Dr. McPhilamy's NPI, 1811212236, was assigned on March 29, 2010. Dr. McPhilamy graduated from Wayne State University School of Medicine in 2010. Dr. McPhilamy's Texas license number on file is T6313.
NPI and contact details
- NPI
- 1811212236NPI Registry (opens in a new tab)
- Medicare PAC ID
- 2860633948
- NPI enumeration date
- March 29, 2010
- NPI status
- Active
- Accepts Medicare assignment
- Yes
- Practice phone
- (605) 322-8000
- Professional email
- Get email
- Personal email
- Get email
- Mobile number
- Get number
- Sex
- Male
- Estimated age
- 42
- Medical school graduation
- 2010
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Affiliation Data; and Doctors and Clinicians National Downloadable File (CMS)
Dr. Austin McPhilamy practices at Avera McKennan Hospital & University Health Center in Sioux Falls, South Dakota
Dr. McPhilamy's primary practice is Avera McKennan Hospital & University Health Center, at 1325 S Cliff Ave Post Office Box 5045, Sioux Falls, SD 57117 in Minnehaha County. The practice phone is (605) 322-8000.
- Avera McKennan Hospital & University Health Center1325 S Cliff Ave Post Office Box 5045, Sioux Falls, SD 57117 · Minnehaha CountyPhone(605) 322-8000
Source: Dmand AI Affiliation Data
Dr. Austin McPhilamy is affiliated with 9 sites of care and 7 medical groups
Dr. McPhilamy's primary practice is Avera McKennan Hospital & University Health Center in Sioux Falls, South Dakota, part of Avera Health. Dr. McPhilamy is also affiliated with CHRISTUS St. Michael Hospital. The medical group on file is Avera McKennan Hospital & University Health Center. Dmand AI also links Dr. McPhilamy to 1 more hospital, 6 group practices and clinics and 6 medical groups, each named with a free account.
CHRISTUS St. Michael HospitalAvera McKennan Hospital & University Health Center1 hospitalName with a free account6 group practices and clinicsNames with a free account6 medical groupsNames with a free account
See all 16 affiliations for Dr. McPhilamySources: Dmand AI Affiliation Data; and Dmand AI Org Hierarchy Data
Dmand AI tracks the EHR system at Dr. Austin McPhilamy's practice
Dmand AI tracks the electronic health record (EHR) system at each site where Dr. McPhilamy practices, 9 sites in all. Vendor and product names are available with a free account.
| Site | EHR vendor and product |
|---|---|
| Avera McKennan Hospital & University Health Center | Available with a free account |
| +8 more sites and 6 medical groups | Available with a free account |
Source: Dmand AI Technology Install Data
For health IT teams
See the EHR and IT leaders at every hospital where Dr. McPhilamy practices
Dmand AI maps EHR vendors, IT decision makers and buying committees across Avera Health and 6.2K+ hospitals, with verified contacts in the same login.
Dr. Austin McPhilamy is one of 113 orthopedic surgeons in South Dakota
Orthopaedic surgery is Dr. McPhilamy's primary specialty in the NPI Registry, under taxonomy code 207X00000X. Dmand AI has Dr. McPhilamy's licenses on file in 6 states: Texas, Indiana, Arizona, Michigan, Nebraska and Nevada.
Specialties and state licenses
- Orthopaedic surgery, TexasPrimary
- Indiana license
- Arizona license
- Orthopaedic trauma, Michigan
- Nebraska license
- Nevada license
Clinical focus
Dmand AI lists amputation, arm, wrist, hand fracture and dislocation, arthritis, bursitis, enthesopathy in arms, hip replacement, joint pain and knee arthroscopy among the conditions Dr. McPhilamy treats.
Orthopedic surgeons near Dr. McPhilamy
Counts of orthopedic surgeons with a Dmand AI profile, by place and practice. Each opens the list.
113orthopedic surgeons in South Dakota44orthopedic surgeons in Sioux Falls8orthopedic surgeons at Avera McKennan Hospital & University Health Center
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks
Dr. Austin McPhilamy billed Medicare for 2,528 services in 2024
CMS data shows 2,528 Medicare services from Dr. McPhilamy across 9 procedure codes in 2024, for 248 Medicare patients. Medicare paid $26,123 for them. Every service was in an office.
Medicare services, 20242,528
Medicare patients248
Paid by Medicare$26,123
Procedure codes9
Dr. McPhilamy's Medicare services by type, 2023 to 2024
- 2023
- 2024
- Drugs given in the office
- 2023: 1952024: 2,088971%
- Office and hospital visits
- 2023: 3782024: 25134%
- Imaging
- 2023: 4542024: 11974%
- Surgery
- 2023: 2632024: 7073%
Dr. McPhilamy compared with the South Dakota median for orthopedic surgeons, 2024
- Dr. McPhilamy
- South Dakota median
- Medicare services
- 2,528vs 5824.3 times
- Medicare patients
- 248vs 242Close to median
- Part D claims
- 97vs 7923% above
Medians across 116 orthopedic surgeons in South Dakota with Dmand AI profiles that report each measure.
Dr. McPhilamy's most billed Medicare procedure codes, 2024
CMS publishes codes billed for 11 or more Medicare patients. Each label is the code family; CPT descriptions are licensed by the AMA.
Need commercial claims for Dr. McPhilamy?
Medicare shows one payer. Book a meeting to get commercial claims data for Dr. McPhilamy and other orthopedic surgeons in South Dakota.
Sources: Medicare Physician & Other Practitioners - by Provider and Service (CMS), 2024 data; and Dmand AI Peer Benchmarks
Dr. Austin McPhilamy treated 248 Medicare patients in 2024, average age 76
CMS counts 248 Medicare patients who saw Dr. McPhilamy in 2024. The largest group is 65 to 74, with 91 patients. 75% of them have high blood pressure, and 67% have arthritis. 17% are also on Medicaid. Their average risk score is 1.20, where 1.00 is the Medicare average.
Across all payers, Dmand AI patient panel data puts Dr. McPhilamy's median patient age at 70, with 56% women.
Medicare patients, 2024248
Average age76
Average risk score1.20
Also on Medicaid17%
Dr. McPhilamy's Medicare patients by age, 2024
Dr. McPhilamy's Medicare patients by sex, 2024
- Women16466%
- Men8434%
Chronic conditions among Dr. McPhilamy's Medicare patients, 2024
- High blood pressure75%
- Arthritis67%
- High cholesterol54%
- Diabetes30%
- Mood disorders26%
- Osteoporosis25%
- Atrial fibrillation24%
- Depression24%
Share of Medicare patients with each condition. A patient can have several.
Dr. McPhilamy's patients across all payers
Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.
Patient panel by age, all payers
Median age 70
Patient panel by sex, all payers
- Women56%
- Men44%
Sources: Dmand AI Patient Panel Data; and Medicare Physician & Other Practitioners - by Provider (CMS), 2024 data
Dr. Austin McPhilamy wrote 134 Medicare Part D claims in 2024
In 2024, Dr. McPhilamy wrote 134 Medicare Part D claims for 61 patients. 100% of them were for generic drugs. CMS names the drug for 97 of them, across 5 drugs with 11 or more claims each, at $567 in total drug cost. In 2023, CMS named 222 claims across 6 drugs.
Part D claims, 2024134
Drugs named by CMS5
Total drug cost$567
Part D patients61
Dr. McPhilamy's most prescribed drugs by claims, 2024
CMS names a drug when it has 11 or more claims. Share is of the claims for drugs CMS names.
Drug classes CMS tracks in Dr. McPhilamy's Part D claims, 2024
- Opioids51%69 of 134 claims
- Antibiotics10%13 of 134 claims
Share of all Part D claims for each drug class CMS reports on. Classes with no claims are left out.
Part D claims for drugs CMS names, 2023 to 2024
- 2023
- 2024
- Claims for drugs CMS names
- 2023: 2222024: 9756%
Drugs named by CMS: 5 in 2024, 6 in 2023.
Sources: Medicare Part D Prescribers - by Provider and Drug (CMS), 2024 data, released May 6, 2026; and Medicare Part D Prescribers - by Provider (CMS), 2024 data
Dr. Austin McPhilamy scored 80 out of 100 in Medicare's MIPS program for 2024
CMS publishes a Merit-based Incentive Payment System (MIPS) score of 80 out of 100 for Dr. McPhilamy for performance year 2024, reported as part of a group. Dr. McPhilamy accepts Medicare assignment, so Medicare's approved amount is taken as full payment.
- Accepts Medicare assignment
- Yes
Dr. McPhilamy's MIPS scores, performance year 2024
- 80of 100Final score
- 62.5of 100Quality
- 98of 100Promoting Interoperability
- 40of 100Improvement Activities
- 73of 100Cost
Each score is out of 100. The final score weighs the categories CMS scored for this clinician.
Hip replacement: 1 to 10 procedures (CMS shows small counts as a range)
Knee replacement: 1 to 10 procedures (CMS shows small counts as a range)
Removal of tissue: 1 to 10 procedures (CMS shows small counts as a range)
Sources: Doctors and Clinicians National Downloadable File (CMS); Clinician Public Reporting: Overall MIPS Performance (CMS), 2024 data, released September 10, 2026; and Doctors and Clinicians Utilization Data (CMS)
For MedTech and pharma teams
Find orthopedic surgeons like Dr. McPhilamy by procedure volume and prescribing
Filter 7.4M+ HCPs by Medicare procedures, Part D drugs and Open Payments history, then reach them with verified contacts in one login.
Dr. Austin McPhilamy has 1 publication on record
Dmand AI links 1 paper to Dr. McPhilamy in 2016. Dr. McPhilamy's most frequent co-author is Omaima Bokhari, MD.
Papers1
Dr. McPhilamy's most frequent co-authors
Recent publications by Dr. McPhilamy
See who Dr. McPhilamy researches with
Physician Network Discovery turns co-authorship, shared hospitals and shared groups into a map of who Dr. McPhilamy works with, so you can find a warm path to the right orthopedic surgeons.
Sources: PubMed (National Library of Medicine); and Dmand AI Research Linkage
Dr. Austin McPhilamy received $11,581 in industry payments from 2016 to 2024
CMS Open Payments shows 91 general payments to Dr. McPhilamy from 6 drug and device companies from 2016 to 2024. Travel and lodging make up the largest share, 68% of the total. Stryker Corporation paid the most, $10,720.
General payments to Dr. McPhilamy by program year, 2016 to 2024
General payments to Dr. McPhilamy by kind, 2016 to 2024
$11.6Kin total
- Travel and lodging$7,85568%
- Food and beverage$3,72632%
Companies that paid Dr. McPhilamy the most, 2016 to 2024
Share is of all general payments to this clinician.
Source: Open Payments (CMS), 2025 data, released July 7, 2026
Dr. Austin McPhilamy graduated from Wayne State University School of Medicine
Dr. McPhilamy graduated from Wayne State University School of Medicine in 2010.
- Medical school
Source: Dmand AI Professional Profile Data
Dr. Austin McPhilamy accepts plans from 15 insurance carriers
Dr. McPhilamy is in network with 15 carriers, including Elevance, Aetna and Blue Cross Blue Shield of Michigan. PPO plans come from the most carriers, 11. Check the plan with the practice before a visit.
- Elevance
- Aetna
- Blue Cross Blue Shield of Michigan
- United Healthcare
- Cigna
- Blue Cross Blue Shield of Massachusetts
- Humana
- Regence Health Plans
- +7 more carriersWith a free account
Plan types Dr. McPhilamy accepts, by number of carriers
- PPO11
- Medicare9
- HMO7
- POS4
- EPO2
- Medicaid2
Source: Dmand AI Insurance Network Data
Sources for Dr. Austin McPhilamy's profile data
| Data on this page | Source |
|---|---|
| NPI, name, sex, specialty and licenses | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data |
| Practice locations and phone | Dmand AI Affiliation Data |
| Primary practice, affiliations and health system | Dmand AI Affiliation DataDmand AI Org Hierarchy Data |
| Medicare services and procedure codes | Medicare Physician & Other Practitioners - by Provider and Service (CMS) (opens in a new tab) |
| State medians for the same specialty | Dmand AI Peer Benchmarks |
| Medicare patients and the all-payer patient panel | Dmand AI Patient Panel DataMedicare Physician & Other Practitioners - by Provider (CMS) (opens in a new tab) |
| Part D prescribing | Medicare Part D Prescribers - by Provider and Drug (CMS) (opens in a new tab)Medicare Part D Prescribers - by Provider (CMS) (opens in a new tab) |
| MIPS scores, telehealth, assignment and procedure percentiles | Doctors and Clinicians National Downloadable File (CMS) (opens in a new tab)Clinician Public Reporting: Overall MIPS Performance (CMS) (opens in a new tab)Doctors and Clinicians Utilization Data (CMS) (opens in a new tab) |
| Publications, topics and co-authors | PubMed (National Library of Medicine) (opens in a new tab)Dmand AI Research Linkage |
| Industry payments | Open Payments (CMS) (opens in a new tab) |
| Training, board certification and memberships | Dmand AI Professional Profile Data |
| Insurance carriers and plan types | Dmand AI Insurance Network Data |
| EHR at each practice site | Dmand AI Technology Install Data |
| Similar physicians | Dmand AI Affiliation Data |
Data last refreshed October 2026Report an inaccuracyRemove my information
FAQ
Frequently asked questions about Dr. Austin McPhilamy
Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.
What is Dr. Austin McPhilamy's NPI number?
Dr. Austin McPhilamy's NPI number is 1811212236. It was assigned on March 29, 2010, and it is active in the NPI Registry.
What kind of doctor is Dr. Austin McPhilamy?
Dr. Austin McPhilamy is an orthopedic surgeon in Sioux Falls, South Dakota. The primary specialty in the NPI Registry is Orthopaedic Surgery Physician (taxonomy code 207X00000X).
Where does Dr. Austin McPhilamy practice?
Dr. McPhilamy practices at 1325 S Cliff Ave Post Office Box 5045, Sioux Falls, SD 57117. Dr. McPhilamy's primary practice is Avera McKennan Hospital & University Health Center in Sioux Falls, South Dakota, part of Avera Health. Dmand AI also links Dr. McPhilamy to 1 hospital, 6 group practices and clinics and 6 medical groups.
What is Dr. Austin McPhilamy's office phone number?
The practice phone on file for Dr. McPhilamy is (605) 322-8000.
What is Dr. Austin McPhilamy's medical license number?
Dr. McPhilamy's Texas license number on file is T6313, one of the licenses on file in 6 states.
Which states has Dr. Austin McPhilamy been licensed in?
Dmand AI has state licenses on file for Dr. McPhilamy in Texas (2022 to 2025), Indiana (since 2013), Arizona (2020 to 2026), Michigan (2016 to 2026), Nebraska (2023 to 2026) and Nevada (2015 to 2017).
Which hospitals is Dr. Austin McPhilamy affiliated with?
Dr. McPhilamy practices at Avera McKennan Hospital & University Health Center in Sioux Falls, South Dakota. Dr. McPhilamy is also affiliated with CHRISTUS St. Michael Hospital. Dmand AI links Dr. McPhilamy to 1 more hospital.
What medical group is Dr. Austin McPhilamy part of?
Dr. McPhilamy is linked to Avera McKennan Hospital & University Health Center. Dmand AI links Dr. McPhilamy to 6 more medical groups.
Does Dr. Austin McPhilamy accept Medicare?
Yes. CMS data shows Dr. McPhilamy billed Medicare for 2,528 services in 2024, and Dr. McPhilamy accepts Medicare assignment.
What is Dr. Austin McPhilamy's MIPS score?
Dr. McPhilamy's MIPS final score for performance year 2024 is 80 out of 100, reported as part of a group.
Show 9 more questionsShow fewer questions
How many Medicare patients does Dr. Austin McPhilamy see?
CMS counts 248 Medicare patients who saw Dr. McPhilamy in 2024, with an average age of 76.
What services does Dr. Austin McPhilamy bill to Medicare?
In 2024, Dr. McPhilamy's most billed Medicare services were injected or infused drug (J1010), office visit, established patient (99213) and surgery: bones and joints (20610).
Where did Dr. Austin McPhilamy go to medical school?
Dr. McPhilamy graduated from Wayne State University School of Medicine in 2010.
What drugs does Dr. Austin McPhilamy prescribe most?
In 2024 Medicare Part D data, Dr. McPhilamy's most prescribed drugs by claims were Hydrocodone-Acetaminophen, Meloxicam and Oxycodone HCl.
Has Dr. Austin McPhilamy received payments from drug or device companies?
CMS Open Payments shows $11,581 in general payments to Dr. McPhilamy from 6 companies from 2016 to 2024. The largest total came from Stryker Corporation.
How long has Dr. Austin McPhilamy been practicing?
Dr. McPhilamy graduated from medical school in 2010, 16 years ago.
Does Dr. Austin McPhilamy do research?
Dmand AI links 1 publication to Dr. McPhilamy.
Who does Dr. Austin McPhilamy publish with?
Dr. McPhilamy's most frequent co-authors are Omaima Bokhari, MD (1 shared paper).
What insurance does Dr. Austin McPhilamy accept?
Dr. McPhilamy is in network with 15 carriers, including Elevance, Aetna and Blue Cross Blue Shield of Michigan. PPO plans come from the most carriers, 11. Check the plan with the practice before a visit.
Selling to orthopaedic surgery practices?
See orthopedic surgeons in South Dakota by site of care and group
Find the practices, groups and hospitals they work with, and the right people to contact at each.
- 30 days free
- Self-serve
- No credit card