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DR. MICHELLE L. BAACK MD
NPI 1316911266
Pediatrics in Sioux Falls, SD

Active since February 16, 2006PECOS Enrolled
76.69/100
CMS Quality Rating
1600 W 22ND ST, SIOUX FALLS, SD 57105(605) 312-1000(605) 312-1001 Get Directions Write a Review

NPPES record last updated: July 21, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Michelle L. Baack Md NPPES

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

DR. MICHELLE L. BAACK MD (NPI 1316911266) is an individual pediatrics provider in Sioux Falls, South Dakota, licensed in South Dakota (4522) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1316911266
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. MICHELLE L. BAACKCredential: MD
Location Address1600 W 22ND STSioux Falls, SD 57105-1521
Mailing Address1600 W. 22nd St, Sanford Children's Specialty ClinicSioux Falls, SD 57105-1521 · (605) 312-1000 · Fax (605) 312-1001
Phone(605) 312-1000
Fax(605) 312-1001
Sole ProprietorNo
Enumeration DateFebruary 16, 2006
Last NPPES UpdateJuly 21, 2011
✔ NPI 1316911266 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in SD · 4522
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1600 W 22ND ST, Sioux Falls, SD 57105
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Other Identifiers 3

Medicare ID-Type Unspecified6149SD
Medicare ID-Type Unspecified6701280SD
Medicare UPING88462SD

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Sanford Health Plan, Wellmark Health Plan of Iowa, Inc., Wellmark of South Dakota, Inc..Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Michelle L. Baack Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

2

Medicare enrollment records show Michelle Baack reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Sanford Clinic
Same address
Pediatrics
1600 W 22ND ST
Sioux Falls, SD 57105
  • Reassigned Medicare billing, South Dakota enrollment
  • 826 clinicians in this Medicare group
NPI 1881610889 (605) 312-1000
Sanford Medical Center
0.8 mi
Family Medicine
1420 W 22NDST STE 104
Sioux Falls, SD 57105
  • Reassigned Medicare billing, South Dakota enrollment
  • 1,097 clinicians in this Medicare group
NPI 1093090342 (605) 328-4897

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

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
$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.

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.

76.69/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.56
Promoting Interoperability99
Improvement Activities40
Cost44.56

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.

JANELLE VANDE GRIEND APRN-CPNP
Nurse Practitioner
1600 W 22ND ST
SIOUX FALLS, SD 57105
Minnehaha County (605) 312-1000
KAILEN K KRAUSE
Registered Nurse (Pediatrics)
1600 W 22ND ST
SIOUX FALLS, SD 57105
Minnehaha County (605) 312-1000
AMANDA CHARLENE NOONAN DNP
Nurse Practitioner (Psychiatric/Mental Health)
1600 W 22ND ST
SIOUX FALLS, SD 57105
Minnehaha County (605) 328-6585
KAYELYN J. WAGNER M.D.
Pediatrics (Pediatric Hematology-Oncology)
1600 W 22ND ST
SIOUX FALLS, SD 57105
Minnehaha County (605) 312-1000
AMBER JENAE VELDMAN MD
Pediatrics
1600 W 22ND ST
SIOUX FALLS, SD 57105
Minnehaha County (605) 312-1000
SYED HARIS ZAMIR KAZMI MD
Pediatrics
1600 W 22ND ST
SIOUX FALLS, SD 57105
Minnehaha County (605) 312-1000
MRS. MORGAN DOLORES COLLINS RN, CDCES
Registered Nurse (Diabetes Educator)
1600 W 22ND ST
SIOUX FALLS, SD 57105
Minnehaha County (605) 312-1000
CHARLES A BROBERG DC, PA,
Physician Assistant
1600 W 22ND ST
SIOUX FALLS, SD 57105
Minnehaha County (605) 312-1000

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 Michelle Baack's NPI number?

The NPI number for Michelle Baack is 1316911266. It was assigned to this individual provider in the NPPES registry on February 16, 2006.

Where is Michelle Baack located?

Michelle Baack practices at 1600 W 22nd St, Sioux Falls, SD 57105. The listed phone number is (605) 312-1000.

What is Michelle Baack's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Michelle Baack enrolled in Medicare?

Yes. Michelle Baack is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Michelle Baack's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michelle Baack reassigns Medicare benefits to 2 organizations: Sanford Clinic (Sioux Falls, SD) and Sanford Medical Center (Sioux Falls, SD). 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 Michelle Baack's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michelle Baack accept?

Health plans from Sanford Health Plan, Wellmark Health Plan of Iowa, Inc. and Wellmark of South Dakota, Inc. list Michelle Baack 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.

When was this NPI record last updated?

The NPPES record for Michelle Baack was last updated on July 21, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.