LAUREN HSIAO
NPI 1457857047
Family Medicine in Sioux Falls, SD

Q: 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.

Q: What is Lauren Hsiao'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 Lauren Hsiao was last updated on November 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

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: October 18, 2026.

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

On this page

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 and maintains 3 additional practice locations.

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

Phone(605) 328-9000

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.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

4405 E 26TH ST, Sioux Falls, SD 57103

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Secondary Practice Locations 3

Location 1313 W Shaw AveClovis, CA 93612-3685 · Phone (559) 712-7500

Location 2155 N Fresno StFresno, CA 93701-2302 · Phone (559) 499-6450

Location 3429 E Manning AveParlier, CA 93648-2668 · Phone (800) 492-4227

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Security 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)

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.

Medicare Billing Reassignment

Medicare enrollment records show Lauren Hsiao reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sanford Medical Center

2.8 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.

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

Quality

78.56

Promoting Interoperability

Improvement Activities

Cost

44.56

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.

BETHANY KAY ZEIGLER MD

Family Medicine