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DR. MICHAEL ROSS KRAUSE D.O.
NPI 1073626115
Obstetrics & Gynecology in Mitchell, SD

Active since August 15, 2006PECOS EnrolledAccepts Medicare Assignment
93.71/100
CMS Quality Rating
625 N FOSTER ST STE 108, MITCHELL, SD 57301(605) 990-1995(605) 990-1839 Get Directions Write a Review

NPPES record last updated: January 2, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Michael Ross Krause D.o. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MICHAEL ROSS KRAUSE D.O. (NPI 1073626115) is an individual obstetrics & gynecology provider in Mitchell, South Dakota, licensed in South Dakota (5200) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Avera Queen Of Peace, and is a graduate of Other (1998).

NPPES Registry Identity

NPI1073626115
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameDR. MICHAEL ROSS KRAUSECredential: D.O.
Location Address625 N FOSTER ST STE 108Mitchell, SD 57301-2969
Mailing Address625 N Foster St Ste 108Mitchell, SD 57301-2969 · (605) 990-1995 · Fax (605) 990-1839
Phone(605) 990-1995
Fax(605) 990-1839
Sole ProprietorYes
Medical School CMSOtherGraduated 1998
Enumeration DateAugust 15, 2006
Last NPPES UpdateJanuary 2, 2014
✔ NPI 1073626115 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in SD · 5200
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
625 N FOSTER ST STE 108, Mitchell, SD 57301
Open in Google Maps ↗

Other Identifiers 2

Medicare ID-Type Unspecified8HC491SD
Medicaid5549010SD

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Sunflower Health Plan, Ambetter Health, Ambetter Health of Delaware and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Michael Ross Krause D.o. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9638164411
PECOS Enrollment IDI20101207001114
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

4

Medicare enrollment records show Michael Krause reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Avera Queen Of Peace
Same address
Specialist
525 N FOSTER ST
Mitchell, SD 57301
  • Reassigned Medicare billing, South Dakota enrollment
  • 227 clinicians in this Medicare group
NPI 1053548982 (605) 995-2000
Avera St. Mary's
124 mi
Physical Therapist
1211 E WELLS AVE
Pierre, SD 57501
  • Reassigned Medicare billing, South Dakota enrollment
  • Medicare enrollment name: Avera St Marys
  • 197 clinicians in this Medicare group
NPI 1972082683 (605) 224-3100
Monument Health Network, Inc.
275 mi
Multi-Specialty
1100 HIGHWAY 71 S STE 101
Hot Springs, SD 57747
  • Reassigned Medicare billing, South Dakota enrollment
  • 321 clinicians in this Medicare group
NPI 1588185268 (605) 745-8050
Ascension NE Wisconsin, Inc
470 mi
General Acute Care Hospital
500 S OAKWOOD RD
Oshkosh, WI 54904
  • Reassigned Medicare billing, Wisconsin enrollment
  • 194 clinicians in this Medicare group
NPI 1912527193 (920) 223-2000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Avera Queen Of Peace

Critical Access Hospitals · Mitchell, SD
OwnershipVoluntary non-profit - Private
CMS Certification Number431340
Location525 N FosterMitchell, SD 57301 · Davison County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57301 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$126.78 typical visit price
range $55.52 – $167.23
Typical copayment $31.69 (range $13.88 – $41.80)
Most-billed visit code 99204
Established Patient
$69.20 typical visit price
range $18.08 – $137.08
Typical copayment $17.30 (range $4.52 – $34.27)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

93.71/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality88.72
Promoting Interoperability97.84
Improvement Activities40

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AVERA QUEEN OF PEACE
Obstetrics & Gynecology
625 N FOSTER ST STE 108
MITCHELL, SD 57301
Davison County (605) 990-1995

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Krause's NPI number?

The NPI number for Michael Krause is 1073626115. It was assigned to this individual provider in the NPPES registry on August 15, 2006.

Where is Michael Krause located?

Michael Krause practices at 625 N Foster St Ste 108, Mitchell, SD 57301. The listed phone number is (605) 990-1995.

What is Michael Krause's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Michael Krause enrolled in Medicare?

Yes. Michael Krause is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Michael Krause's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Krause reassigns Medicare benefits to 4 organizations: Avera Queen Of Peace (Mitchell, SD), Avera St. Mary's (Pierre, SD), Monument Health Network, Inc. (Hot Springs, SD) and Ascension NE Wisconsin, Inc (Oshkosh, WI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Michael Krause's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael Krause accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Sunflower Health Plan, Avera Health Plans and Oscar Insurance Company and 2 other insurers list Michael Krause as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Michael Krause affiliated with any hospitals?

According to CMS data, Michael Krause is affiliated with Avera Queen Of Peace.

When was this NPI record last updated?

The NPPES record for Michael Krause was last updated on January 2, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.