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MICHELLE MCELROY M.D.
NPI 1205871480
Family Medicine in Brandon, SD

Active since June 19, 2006PECOS EnrolledAccepts Medicare Assignment
1101 E HOLLY BLVD, BRANDON, SD 57005(605) 582-3853(605) 582-3855 Get Directions Write a Review

NPPES record last updated: April 19, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Michelle Mcelroy M.d. NPPES

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

MICHELLE MCELROY M.D. (NPI 1205871480) is an individual family medicine provider in Brandon, South Dakota, licensed in South Dakota (5509) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, is affiliated with Avera Mckennan Hospital & University Health Center, and is a graduate of Sanford School Of Medicine Of University Of South Dakota (2001).

NPPES Registry Identity

NPI1205871480
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameMICHELLE MCELROYCredential: M.D.
Location Address1101 E HOLLY BLVDBrandon, SD 57005-1426
Mailing Address1200 S 7th AveSioux Falls, SD 57105-0900 · (605) 504-5400 · Fax (605) 504-5150
Phone(605) 582-3853
Fax(605) 582-3855
Sole ProprietorNo
Medical School CMSSanford School Of Medicine Of University Of South DakotaGraduated 2001
Enumeration DateJune 19, 2006
Last NPPES UpdateApril 19, 2022
NPPES CertifiedApril 19, 2022
✔ NPI 1205871480 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in SD · 5509
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1101 E HOLLY BLVD, Brandon, SD 57005
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Other Identifiers 1

Medicaid5611642SD

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Avera Health Plans, Medica.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Michelle Mcelroy M.d. 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 ID1052387941
PECOS Enrollment IDI20040902000342
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.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit, 30-39 minutes 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
248 services141 patients
Established patient office or other outpatient visit, 20-29 minutes 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
62 services48 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
42 services42 patients
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit G0438
An annual wellness visit is a yearly appointment with your doctor to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's an opportunity to discuss your health status and goals and get a plan tailored for you.
28 services28 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
23 services23 patients
Established patient office or other outpatient visit, 40-54 minutes 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
14 services13 patients

Hospital Affiliations CMS Care Compare

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

Avera Mckennan Hospital & University Health Center

Acute Care Hospitals · Sioux Falls, SD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number430016
Location1325 S Cliff AveSioux Falls, SD 57117 · Minnehaha County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57005 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
$85.21 typical visit price
range $55.52 – $167.23
Typical copayment $21.30 (range $13.88 – $41.80)
Most-billed visit code 99203
Established Patient
$97.88 typical visit price
range $18.08 – $137.08
Typical copayment $24.47 (range $4.52 – $34.27)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 14

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
7 suppliers34 claims68 services$5.79 avg. paid by Medicare
Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each A4385
DME-Orthotic Devices · category DF010N
1 supplier11 claims220 services$4.47 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
2 suppliers16 claims16 services$37.44 avg. paid by Medicare
Ostomy pouch, drainable, with extended wear barrier attached, with built in convexity, with filter, (1 piece), each A5057
DME-Orthotic Devices · category DF010N
1 supplier11 claims220 services$9.28 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
2 suppliers11 claims11 services$103.77 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
2 suppliers13 claims13 services$20.49 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

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

AVERA MCKENNAN
Family Medicine
1101 E HOLLY BLVD
BRANDON, SD 57005
Minnehaha County (605) 582-3853
ANN J BOSSMAN FNP-BC
Nurse Practitioner (Family)
1101 E HOLLY BLVD
BRANDON, SD 57005
Minnehaha County (605) 582-3853
DR. SAMUEL MAX ZOLLICKER M.D.
Family Medicine
1101 E HOLLY BLVD
BRANDON, SD 57005
Minnehaha County (605) 582-3853
RICHARD BRIGGS M.D.
Family Medicine
1101 E HOLLY BLVD
BRANDON, SD 57005
Minnehaha County (605) 582-3853

Frequently Asked Questions

What is Michelle Mcelroy's NPI number?

The NPI number assigned to this healthcare provider is 1205871480, enumerated as an "individual" on June 19, 2006.

Where is the provider located?

The provider is located at 1101 E HOLLY BLVD BRANDON, SD 57005 and the phone number is (605) 582-3853.

What is the provider's specialty?

Family Medicine with taxonomy code 207Q00000X.

What insurance does Michelle Mcelroy accept?

The provider might be accepting Accepts: Avera Health Plans, Medica, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.

Is Michelle Mcelroy affiliated with any hospitals?

Michelle Mcelroy is affiliated with: AVERA MCKENNAN HOSPITAL & UNIVERSITY HEALTH CENTER.