MICHAEL RICARD PUUMALA MD
NPI 1821021304
Neurological Surgery in Sioux Falls, SD

Active since July 08, 2006PECOS EnrolledAccepts Medicare Assignment
1301 S. CLIFF AVE, STE 610, SIOUX FALLS, SD 57105(605) 322-8860(605) 322-8868 Get Directions Write a Review

NPPES record last updated: October 16, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Michael Ricard Puumala Md NPPES

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

MICHAEL RICARD PUUMALA MD (NPI 1821021304) is an individual neurological surgery provider in Sioux Falls, South Dakota, licensed in South Dakota (4116) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Avera Mckennan Hospital & University Health Center, and is a graduate of Mayo Medical School (1996).

NPPES Registry Identity

NPI1821021304
Entity TypeIndividualMale
Primary Taxonomy207T00000X
Provider Legal NameMICHAEL RICARD PUUMALACredential: MD
Location Address1301 S. CLIFF AVE, STE 610Sioux Falls, SD 57105-1032
Mailing AddressPo Box 86370Sioux Falls, SD 57118-6370 · (605) 322-7510 · Fax (605) 322-6475
Fax(605) 322-8868
Sole ProprietorNo
Medical School CMSMayo Medical SchoolGraduated 1996
Enumeration DateJuly 8, 2006
Last NPPES UpdateOctober 16, 2018
NPI 1821021304 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207T00000X
License Licensed in SD · 4116
Definition
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
1301 S. CLIFF AVE, Sioux Falls, SD 57105

Other Identifiers 12

Other1821021304SD · Araz/ America's Ppo
Other232615SD · Midlands Choice
Medicaid1821021304IA
Medicaid6100473SD
Other41161SD · Dakotacare
Other4992697SD · Blue Cross
OtherC83141030612Preferred One
OtherHP43169SD · Healthpartners
Other46L91PUMN · Cc Systems/ Blue Plus
Medicaid10025568900NE
Medicaid820816600MN
Other57105AT03SD · Wps Tricare

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 Ricard Puumala 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 ID4385618941
PECOS Enrollment IDI20040823000121
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 6

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.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
16 services16 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.
15 services15 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
13 services13 patients
Insertion of brain neurostimulator pulse device with connection to single electrode array 61885
This is a procedure where a small device, known as a neurostimulator, is implanted in your brain. It sends electrical signals via a connected electrode array to help regulate abnormal brain activity. It's often used for conditions like Parkinson's disease.
11 services11 patients
Insertion of brain neurostimulator pulse device with connection to 2 or more electrode arrays 61886
This procedure involves placing a small device, called a neurostimulator, in your brain. It sends electrical impulses via 2 or more connected electrodes to specific brain areas to help control symptoms. It's a safe and common procedure.
11 services11 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

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
$126.78 typical visit price
range $55.52 – $167.23
Typical copayment $31.69 (range $13.88 – $41.80)
Most-billed visit code 99204
Established Patient
$69.20 typical visit price
range $18.08 – $137.08
Typical copayment $17.30 (range $4.52 – $34.27)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

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

Nurse Practitioner (Family)
1301 S. CLIFF AVE, STE 401
SIOUX FALLS, SD 57105
Nurse Practitioner (Family)
1301 S. CLIFF AVE, STE 601
SIOUX FALLS, SD 57105
Physician Assistant (Surgical)
1301 S. CLIFF AVE, STE 610
SIOUX FALLS, SD 57105
Internal Medicine (Pulmonary Disease)
1301 S. CLIFF AVE, STE 601
SIOUX FALLS, SD 57105
Physical Medicine & Rehabilitation
1301 S. CLIFF AVE, STE 401
SIOUX FALLS, SD 57105
Nurse Practitioner (Family)
1301 S. CLIFF AVE, SUITE 610
SIOUX FALLS, SD 57105

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 Puumala's NPI number?

The NPI number for Michael Puumala is 1821021304. It was assigned to this individual provider in the NPPES registry on July 8, 2006.

Where is Michael Puumala located?

Michael Puumala practices at 1301 S. Cliff Ave Ste 610, Sioux Falls, SD 57105. The listed phone number is (605) 322-8860.

What is Michael Puumala's specialty?

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

Is Michael Puumala enrolled in Medicare?

Yes. Michael Puumala 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 Puumala 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 1 other insurer list Michael Puumala 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 Puumala affiliated with any hospitals?

According to CMS data, Michael Puumala is affiliated with Avera Mckennan Hospital & University Health Center.

When was this NPI record last updated?

The NPPES record for Michael Puumala was last updated on October 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.