MICHAEL SHAWN BAUER MD
NPI 1821136219
Surgery in Sioux Falls, SD

Active since February 01, 2007PECOS EnrolledAccepts Medicare Assignment
911 E 20TH ST, STE 700, SIOUX FALLS, SD 57105(605) 334-0393(605) 334-6028 Get Directions Write a Review

NPPES record last updated: June 6, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Michael Shawn Bauer Md NPPES

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

MICHAEL SHAWN BAUER MD (NPI 1821136219) is an individual surgery provider in Sioux Falls, South Dakota, licensed in South Dakota (7572) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS, is affiliated with Avera Mckennan Hospital & University Health Center, and is a graduate of University Of Nebraska College Of Medicine (2004).

NPPES Registry Identity

NPI1821136219
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameMICHAEL SHAWN BAUERCredential: MD
Location Address911 E 20TH ST, STE 700Sioux Falls, SD 57105-1049
Mailing Address911 E 20th St, Ste 700Sioux Falls, SD 57105-1049 · (605) 334-0393 · Fax (605) 334-6028
Fax(605) 334-6028
Sole ProprietorNo
Medical School CMSUniversity Of Nebraska College Of MedicineGraduated 2004
Enumeration DateFebruary 1, 2007
Last NPPES UpdateJune 6, 2016
✔ NPI 1821136219 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses✔ Licensed in SD · 7572✔ Licensed in MN · 58295
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
911 E 20TH ST, Sioux Falls, SD 57105

Other Names 1

Other Name (5)Mike Bauer

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Michael Shawn Bauer 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 ID2860599008
PECOS Enrollment IDI20090730000381
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 Reassignments

3

Medicare enrollment records show Michael Bauer reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Surgery
911 E. 20TH ST., STE. 700
Sioux Falls, SD 57105
  • Reassigned Medicare billing, South Dakota enrollment
  • 23 clinicians in this Medicare group
Rural Health
307 E STATE ST
Marion, SD 57043
  • Reassigned Medicare billing, South Dakota enrollment
  • Also billed through NPI 1003818006 (South Dakota)
  • 36 clinicians in this Medicare group
Obstetrics & Gynecology
920 4TH AVE SW, SUITE 210
Pipestone, MN 56164
  • Reassigned Medicare billing, Minnesota enrollment
  • Medicare enrollment name: Pipestone County Medical Center
  • Also billed through NPI 1598751240 (Minnesota)
  • 71 clinicians in this Medicare group

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 4

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.

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
38 services14 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.
31 services31 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.
22 services22 patients
Removal of gallbladder using an endoscope 47562
This procedure, known as endoscopic gallbladder removal, involves a surgeon using a special tool called an endoscope to remove your gallbladder through small incisions. It's typically done to treat gallstones and related complications. It's a less invasive method, often leading to quicker recovery.
12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Freeman Medical Center - Cah

Critical Access Hospitals · Freeman, SD
OwnershipVoluntary non-profit - Private
CMS Certification Number431313
Location510 E 8th St Post Office Box 370Freeman, SD 57029 · Hutchinson County
Emergency services

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
$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
$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 20

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

Surgery
911 E 20TH ST, STE 700
SIOUX FALLS, SD 57105
Internal Medicine (Endocrinology, Diabetes & Metabolism)
911 E 20TH ST, STE 500
SIOUX FALLS, SD 57105
Specialist
911 E 20TH ST, SUITE 400
SIOUX FALLS, SD 57105
Nurse Practitioner (Family)
911 E 20TH ST, SUITE 303
SIOUX FALLS, SD 57105
Registered Nurse
911 E 20TH ST
SIOUX FALLS, SD 57105
Nurse Practitioner (Women's Health)
911 E 20TH ST, STE 200
SIOUX FALLS, SD 57105
Nurse Practitioner (Acute Care)
911 E 20TH ST
SIOUX FALLS, SD 57105
Psychiatry & Neurology (Psychiatry)
911 E 20TH ST, STE. 403
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 Bauer's NPI number?

The NPI number for Michael Bauer is 1821136219. It was assigned to this individual provider in the NPPES registry on February 1, 2007. The provider is also known as Mike Bauer.

Where is Michael Bauer located?

Michael Bauer practices at 911 E 20th St Ste 700, Sioux Falls, SD 57105. The listed phone number is (605) 334-0393.

What is Michael Bauer's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Michael Bauer enrolled in Medicare?

Yes. Michael Bauer 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.

Which organizations bill Medicare for Michael Bauer's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Bauer reassigns Medicare benefits to 3 organizations: Surgical Institute Of South Dakota, PC (Sioux Falls, SD), Freeman Regional Health Services (Marion, SD) and Pipestone County Medical Center Avera (Pipestone, MN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Michael Bauer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael Bauer accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and Avera Health Plans and 4 other insurers list Michael Bauer 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 Bauer affiliated with any hospitals?

According to CMS data, Michael Bauer is affiliated with Avera Mckennan Hospital & University Health Center and Freeman Medical Center - Cah.

When was this NPI record last updated?

The NPPES record for Michael Bauer was last updated on June 6, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.