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MICHAEL POWELL MD
NPI 1437562139
Family Medicine in Canton, SD

Active since June 10, 2014PECOS EnrolledAccepts Medicare Assignment
82.28/100
CMS Quality Rating
400 N HIAWATHA DR, CANTON, SD 57013(605) 764-1500(605) 764-1501 Get Directions Write a Review

NPPES record last updated: November 21, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Michael Powell Md NPPES

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

MICHAEL POWELL MD (NPI 1437562139) is an individual family medicine provider in Canton, South Dakota, licensed in North Dakota (RL13292) and active in the NPI registry since June 2014. He is enrolled in Medicare PECOS, is affiliated with Avera Mckennan Hospital & University Health Center, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1437562139
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMICHAEL POWELLCredential: MD
Location Address400 N HIAWATHA DRCanton, SD 57013-5800
Mailing Address400 N Hiawatha DrCanton, SD 57013-5800 · (605) 764-1500 · Fax (605) 764-1501
Phone(605) 764-1500
Fax(605) 764-1501
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateJune 10, 2014
Last NPPES UpdateNovember 21, 2017
✔ NPI 1437562139 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in ND · RL13292
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.
400 N HIAWATHA DR, Canton, SD 57013
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Sanford Health Plan, Security Health Plan.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 Powell Md 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 ID7517188378
PECOS Enrollment IDI20170928000982
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.

Hospital Affiliations CMS Care Compare 3

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

Sanford Usd Medical Center

Acute Care Hospitals · Sioux Falls, SD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number430027
Location1305 W 18th St Post Office Box 5039Sioux Falls, SD 57117 · Minnehaha County
Emergency services Birthing friendly

Sanford Canton-Inwood Medical Center - Cah

Critical Access Hospitals · Canton, SD
OwnershipVoluntary non-profit - Private
CMS Certification Number431333
Location440 North Hiawatha DriveCanton, SD 57013 · Lincoln County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57013 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.

82.28/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality88.81
Promoting Interoperability99
Improvement Activities40
Cost52.95

Referred Medical Equipment & Supplies CMS DME claims 2

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
6 suppliers15 claims23 services$6.04 avg. paid by Medicare
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 suppliers12 claims12 services$88.12 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 8

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

MARGARET F DEVICK M.D.
Family Medicine
400 N HIAWATHA DR
CANTON, SD 57013
Lincoln County (605) 987-4378
MRS. CARI ANN FOLKENS CNP
Nurse Practitioner (Family)
400 N HIAWATHA DR
CANTON, SD 57013
Lincoln County (605) 764-1500
GEORGE DANIEL RATH M.D.
Family Medicine
400 N HIAWATHA DR
CANTON, SD 57013
Lincoln County (605) 987-4378
CHANESSE SWANSON PA-C
Physician Assistant
400 N HIAWATHA DR
CANTON, SD 57013
Lincoln County (605) 764-1500
ZACHARY LEE SELCHERT PA
Physician Assistant
400 N HIAWATHA DR
CANTON, SD 57013
Lincoln County (605) 212-1787
JANE C MUTSCHELKNAUS A.R.N.P.
Nurse Practitioner (Family)
400 N HIAWATHA DR
CANTON, SD 57013
Lincoln County (605) 987-4378
MARISA ZWEIFEL PHARMD
Pharmacist
400 N HIAWATHA DR
CANTON, SD 57013
Lincoln County (605) 764-1500
MICHELLE L JOHNSON DO
Family Medicine
400 N HIAWATHA DR
CANTON, SD 57013
Lincoln County (605) 987-4378

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 Powell's NPI number?

The NPI number for Michael Powell is 1437562139. It was assigned to this individual provider in the NPPES registry on June 10, 2014.

Where is Michael Powell located?

Michael Powell practices at 400 N Hiawatha Dr, Canton, SD 57013. The listed phone number is (605) 764-1500.

What is Michael Powell's specialty?

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

Is Michael Powell enrolled in Medicare?

Yes. Michael Powell 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 Powell accept?

Health plans from Medica, Sanford Health Plan and Security Health Plan list Michael Powell 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 Powell affiliated with any hospitals?

According to CMS data, Michael Powell is affiliated with Avera Mckennan Hospital & University Health Center, Sanford Usd Medical Center and Sanford Canton-Inwood Medical Center - Cah.

When was this NPI record last updated?

The NPPES record for Michael Powell was last updated on November 21, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.