LAUREN HSIAO
NPI 1457857047
Family Medicine in Sioux Falls, SD

Active since April 02, 2018PECOS Enrolled
76.69/100
CMS Quality Rating
4405 E 26TH ST, SIOUX FALLS, SD 57103(605) 328-9000(605) 312-9004 Get Directions Write a Review

NPPES record last updated: November 17, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 17, 2023, Oct 20, 2021, Aug 11, 2021 (3 updates tracked since 2021).

About Lauren Hsiao NPPES

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

LAUREN HSIAO (NPI 1457857047) is an individual family medicine provider in Sioux Falls, South Dakota, licensed in California (A174078) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1457857047
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameLAUREN HSIAO
Location Address4405 E 26TH STSioux Falls, SD 57103-4187
Mailing AddressPo Box 5074Sioux Falls, SD 57117-5074
Fax(605) 312-9004
Sole ProprietorNo
Enumeration DateApril 2, 2018
Last NPPES UpdateNovember 17, 20233 updates tracked since enumeration
NPPES CertifiedNovember 17, 2023
NPI 1457857047 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in CA · A174078
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.

4405 E 26TH ST, Sioux Falls, SD 57103

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 (PECOS)

Lauren Hsiao 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.

Areas of Expertise CMS Part B claims 2

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.

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.
108 services86 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.
75 services53 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57103 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.

Family Medicine
4405 E 26TH ST
SIOUX FALLS, SD 57103
Student in an Organized Health Care Education/Training Program
4405 E 26TH ST
SIOUX FALLS, SD 57103
Family Medicine
4405 E 26TH ST
SIOUX FALLS, SD 57103
Nurse Practitioner (Family)
4405 E 26TH ST
SIOUX FALLS, SD 57103
Nurse Practitioner (Family)
4405 E 26TH ST
SIOUX FALLS, SD 57103
Pediatrics
4405 E 26TH ST
SIOUX FALLS, SD 57103
Physician Assistant
4405 E 26TH ST
SIOUX FALLS, SD 57103
Pediatrics
4405 E 26TH ST
SIOUX FALLS, SD 57103

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 Lauren Hsiao's NPI number?

The NPI number for Lauren Hsiao is 1457857047. It was assigned to this individual provider in the NPPES registry on April 2, 2018.

Where is Lauren Hsiao located?

Lauren Hsiao practices at 4405 E 26th St, Sioux Falls, SD 57103. The listed phone number is (605) 328-9000.

What is Lauren Hsiao's specialty?

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

Is Lauren Hsiao enrolled in Medicare?

Yes. Lauren Hsiao is registered in the Medicare PECOS enrollment system.

What insurance does Lauren Hsiao accept?

Health plans from Medica and Security Health Plan list Lauren Hsiao 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 Lauren Hsiao was last updated on November 17, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.