MICHAEL PAUL LOWE M.D.
NPI 1306996798
Family Medicine in Sisseton, SD

Q: What is Michael Lowe's NPI number?

The NPI number for Michael Lowe is 1306996798. It was assigned to this individual provider in the NPPES registry on January 10, 2007.

Q: What is Michael Lowe's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Michael Lowe was last updated on March 18, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since January 10, 2007PECOS EnrolledAccepts Medicare Assignment

205 ORCHARD DR, SISSETON, SD 57262(605) 698-7681(605) 698-6423 Get Directions Write a Review

NPPES record last updated: March 18, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 18, 2026, Apr 30, 2024 (2 updates tracked since 2024).

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About Michael Paul Lowe M.d. NPPES

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

MICHAEL PAUL LOWE M.D. (NPI 1306996798) is an individual family medicine provider in Sisseton, South Dakota, licensed in Arizona (29130) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, is affiliated with Sanford Medical Center Fargo, and is a graduate of Other (1998).

NPPES Registry Identity

NPI1306996798

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameMICHAEL PAUL LOWECredential: M.D.

Location Address205 ORCHARD DRSisseton, SD 57262-2398

Mailing Address5 Holly LnSisseton, SD 57262-2304 · (928) 468-2100 · Fax (605) 698-6401

Phone(605) 698-7681

Fax(605) 698-6423

Sole ProprietorNo

Medical School CMSOtherGraduated 1998

Enumeration DateJanuary 10, 2007

Last NPPES UpdateMarch 18, 20262 updates tracked since enumeration

NPPES CertifiedMarch 18, 2026

✔ NPI 1306996798 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in AZ · 29130

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.

205 ORCHARD DR, Sisseton, SD 57262

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Avera Health Plans, Blue Cross Blue Shield of Arizona, Medica and more.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

Michael Paul Lowe 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 ID2961405329

PECOS Enrollment IDI20080923000350, I20230922001819

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 3

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

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

38 services25 patients

Hospital discharge day management, 30 minutes or less 99238

Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.

23 services22 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

17 services13 patients

Hospital Affiliations CMS Care Compare 3

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

Sanford Medical Center Fargo

Acute Care Hospitals · Fargo, ND

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number350011

Location801 Broadway NorthFargo, ND 58122 · Cass County

Emergency services Birthing friendly

Prairie Lakes Healthcare System, Inc

Acute Care Hospitals · Watertown, SD

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number430005

Location401 9th Avenue NW Post Office Box 1210Watertown, SD 57201 · Codington County

Emergency services Birthing friendly

Coteau Des Prairies Health Care System

Critical Access Hospitals · Sisseton, SD

OwnershipVoluntary non-profit - Private

CMS Certification Number431339

Location205 Orchard DrSisseton, SD 57262 · Roberts County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57262 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

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

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

2 suppliers13 claims14 services$92.96 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 20

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

MS. LINDA R PETERSON MD

Obstetrics & Gynecology