Individual provider Active NPI

Ty O Hanson, D.O.

  • Dermatology Physician
  • Aberdeen, SD
National Provider Identifier
1396804597
Registry record updated Jun 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
7021 Issued in SD
Practice address
3 Lafayette St S
Aberdeen, SD 57401-5524
Phone
(605) 226-0560
Fax
(605) 226-1653
NPI assigned
Dec 6, 2006
Last updated
Jun 3, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 34-00-8163H OH
Dermatology Physician 207N00000X 7021 SD Primary
Procedural Dermatology Physician 207NS0135X 7021 SD
Procedural Dermatology Physician 207NS0135X 34-00-8163H OH

Addresses

Primary practice location

3 Lafayette St S
Aberdeen, SD 57401-5524

Mailing address

3 Lafayette St S
Aberdeen, SD 57401-5524
Phone (605) 226-0560

Other practice location 1

301 Flynn Dr
Milbank, SD 57252-1502
Phone (605) 226-0560

Other practice location 2

172 4th St SE
Huron, SD 57350-2510
Phone (605) 226-0560

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070730000832 SD Practitioner - Dermatology 4284735598 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Pikeville, Kentucky College of Osteopathic Med, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prairie Dermatology PCGroup PAC ID 7719079193, 3 clinicians

Practice addresses (Care Compare)

3 Lafayette St S
Aberdeen, SD 57401-5524
Phone (605) 226-0560

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.03 of 100Reported as group
Quality
97.5
Promoting interoperability
93
Improvement activities
40
Cost
85.09

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision62
Removal of skin lesions1461
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy1182

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
7021SDMDProcedural Dermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Prairie Dermatology PC CurrentSince Jul 20, 2007 Accepting new patients

Locations

201 S Lloyd St
Ste E206
Aberdeen, SD 57401
Phone (605) 225-1636

3 Lafayette St S
Aberdeen, SD 57401
Phone (605) 226-0560

172 4th St SE
Huron, SD 57350
Phone (605) 353-6593

301 Flynn Dr
Milbank, SD 57252
Phone (605) 432-4587

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780444800000",
    "number": "1396804597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 LAFAYETTE ST S",
            "city": "ABERDEEN",
            "state": "SD",
            "postal_code": "574015524",
            "telephone_number": "605-226-0560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 LAFAYETTE ST S",
            "city": "ABERDEEN",
            "state": "SD",
            "postal_code": "574015524",
            "telephone_number": "605-226-0560",
            "fax_number": "605-226-1653"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 Flynn Dr",
            "address_purpose": "LOCATION",
            "city": "Milbank",
            "state": "SD",
            "postal_code": "572521502",
            "country_code": "US",
            "telephone_number": "605-226-0560",
            "fax_number": "605-226-1653",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "172 4th St SE",
            "address_purpose": "LOCATION",
            "city": "Huron",
            "state": "SD",
            "postal_code": "573502510",
            "country_code": "US",
            "telephone_number": "605-226-0560",
            "fax_number": "605-226-1653",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HANSON",
        "first_name": "TY",
        "middle_name": "O",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-06",
        "last_updated": "2026-06-03",
        "certification_date": "2026-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "OH",
            "license": "34-00-8163H",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "SD",
            "license": "7021",
            "primary": true
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "SD",
            "license": "7021",
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "OH",
            "license": "34-00-8163H",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aberdeen, SD

Sources for this page

Verify at the official NPI Registry.