MICHAEL D. HARDER D.O.
NPI 1427064146
Family Medicine in Sioux City, IA

Active since August 01, 2006PECOS EnrolledAccepts Medicare Assignment
4230 HAMILTON BLVD, SIOUX CITY, IA 51104(712) 239-4900(712) 239-2866 Get Directions Write a Review

NPPES record last updated: February 27, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Michael D. Harder D.o. NPPES

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

MICHAEL D. HARDER D.O. (NPI 1427064146) is an individual family medicine provider in Sioux City, Iowa, licensed in Iowa (3726) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with St Lukes Regional Medical Center, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1427064146
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMICHAEL D. HARDERCredential: D.O.
Location Address4230 HAMILTON BLVDSioux City, IA 51104-1137
Mailing Address200 Gold Cir Ste 120Dakota Dunes, SD 57049-5501 · (605) 217-0700 · Fax (605) 217-0701
Fax(712) 239-2866
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateAugust 1, 2006
Last NPPES UpdateFebruary 27, 2026
NPPES CertifiedFebruary 27, 2026
NPI 1427064146 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in IA · 3726
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.
4230 HAMILTON BLVD, Sioux City, IA 51104

Accepted 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 D. Harder 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 ID6305845637
PECOS Enrollment IDI20061213000445
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 38

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.

Injection, denosumab, 1 mg J0897
Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.
2,221 services27 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
774 services337 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 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.
616 services305 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
573 services307 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 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.
530 services323 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
446 services263 patients

Hospital Affiliations CMS Care Compare

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

St Lukes Regional Medical Center

Acute Care Hospitals · Sioux City, IA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number160146
Location2720 Stone Park BoulevardSioux City, IA 51104 · Woodbury County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 51104 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
$81.84 typical visit price
range $52.96 – $161.40
Typical copayment $20.46 (range $13.24 – $40.35)
Most-billed visit code 99203
Established Patient
$94.05 typical visit price
range $16.91 – $131.98
Typical copayment $23.51 (range $4.22 – $32.99)
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 15

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
14 suppliers54 claims126 services$5.74 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
4 suppliers24 claims24 services$87.24 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
3 suppliers22 claims44 services$36.27 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
3 suppliers31 claims147 services$17.37 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
4 suppliers44 claims44 services$51.08 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
5 suppliers38 claims38 services$19.11 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 10

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

Nurse Practitioner (Family)
4230 HAMILTON BLVD
SIOUX CITY, IA 51104
Physician Assistant (Medical)
4230 HAMILTON BLVD, URGENT CARE NORTH SIDE
SIOUX CITY, IA 51104
Family Medicine
4230 HAMILTON BLVD
SIOUX CITY, IA 51104
Family Medicine
4230 HAMILTON BLVD
SIOUX CITY, IA 51104
Family Medicine
4230 HAMILTON BLVD
SIOUX CITY, IA 51104
Family Medicine
4230 HAMILTON BLVD
SIOUX CITY, IA 51104
Nurse Practitioner (Psychiatric/Mental Health)
4230 HAMILTON BLVD
SIOUX CITY, IA 51104
Family Medicine
4230 HAMILTON BLVD
SIOUX CITY, IA 51104

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 Harder's NPI number?

The NPI number for Michael Harder is 1427064146. It was assigned to this individual provider in the NPPES registry on August 1, 2006.

Where is Michael Harder located?

Michael Harder practices at 4230 Hamilton Blvd, Sioux City, IA 51104. The listed phone number is (712) 239-4900.

What is Michael Harder's specialty?

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

Is Michael Harder enrolled in Medicare?

Yes. Michael Harder 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.

What insurance does Michael Harder accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Avera Health Plans and 3 other insurers list Michael Harder 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 Harder affiliated with any hospitals?

According to CMS data, Michael Harder is affiliated with St Lukes Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Michael Harder was last updated on February 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.