MICHAEL B. HEISLER M.D.
NPI 1225050610
Internal Medicine in Sioux Falls, SD

Active since July 24, 2006PECOS EnrolledAccepts Medicare Assignment
80.77/100
CMS Quality Rating
1325 S. CLIFF AVE., SIOUX FALLS, SD 57105(605) 322-2460(605) 322-2470 Get Directions Write a Review

NPPES record last updated: December 20, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Michael B. Heisler M.d. NPPES

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

MICHAEL B. HEISLER M.D. (NPI 1225050610) is an individual internal medicine provider in Sioux Falls, South Dakota, licensed in South Dakota (1885) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of George Washington University School Of Medicine (1979).

NPPES Registry Identity

NPI1225050610
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameMICHAEL B. HEISLERCredential: M.D.
Location Address1325 S. CLIFF AVE.Sioux Falls, SD 57105-1007
Mailing Address2400 S. Minnesota Ave, Ste 100Sioux Falls, SD 57105-3762 · (605) 322-7510 · Fax (605) 322-6475
Fax(605) 322-2470
Sole ProprietorNo
Medical School CMSGeorge Washington University School Of MedicineGraduated 1979
Enumeration DateJuly 24, 2006
Last NPPES UpdateDecember 20, 2013
NPI 1225050610 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses Licensed in SD · 1885 Licensed in GA · 035650
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

1325 S. CLIFF AVE., Sioux Falls, SD 57105

Other Identifiers 3

Medicaid6001703SD
Medicare UPIND25331GA
Medicare PINS103939SD

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

Michael B. Heisler 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 ID3173549540
PECOS Enrollment IDI20260529001199
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57105 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
$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.

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.

80.77/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.4
Promoting Interoperability76
Improvement Activities40
Cost58.21

Other Providers at the Same Location NPPES 6

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

Pediatrics (Neonatal-Perinatal Medicine)
1325 S. CLIFF AVE.
SIOUX FALLS, SD 57105
Pediatrics (Neonatal-Perinatal Medicine)
1325 S. CLIFF AVE.
SIOUX FALLS, SD 57105
Pediatrics (Neonatal-Perinatal Medicine)
1325 S. CLIFF AVE.
SIOUX FALLS, SD 57105
Physician Assistant
1325 S. CLIFF AVE.
SIOUX FALLS, SD 57105
Internal Medicine (Critical Care Medicine)
1325 S. CLIFF AVE.
SIOUX FALLS, SD 57105
Pediatrics (Neonatal-Perinatal Medicine)
1325 S. CLIFF AVE.
SIOUX FALLS, SD 57105

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 Heisler's NPI number?

The NPI number for Michael Heisler is 1225050610. It was assigned to this individual provider in the NPPES registry on July 24, 2006.

Where is Michael Heisler located?

Michael Heisler practices at 1325 S. Cliff Ave., Sioux Falls, SD 57105. The listed phone number is (605) 322-2460.

What is Michael Heisler's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Michael Heisler enrolled in Medicare?

Yes. Michael Heisler 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.

When was this NPI record last updated?

The NPPES record for Michael Heisler was last updated on December 20, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.