MICHAEL KENNETH HUDALLA M.D.
NPI 1891785424
Family Medicine in Staples, MN

Q: What is Michael Hudalla's NPI number?

The NPI number for Michael Hudalla is 1891785424. It was assigned to this individual provider in the NPPES registry on October 25, 2005.

Q: What is Michael Hudalla'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 Michael Hudalla was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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 October 25, 2005PECOS EnrolledAccepts Medicare Assignment

49725 COUNTY 83, STAPLES, MN 56479(218) 894-1515(218) 894-1316 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Michael Kenneth Hudalla M.d. NPPES

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

MICHAEL KENNETH HUDALLA M.D. (NPI 1891785424) is an individual family medicine provider in Staples, Minnesota, licensed in Minnesota (44193) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with Lakewood Health System, and is a graduate of University Of Minnesota Medical School (1997).

NPPES Registry Identity

NPI1891785424

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameMICHAEL KENNETH HUDALLACredential: M.D.

Location Address49725 COUNTY 83Staples, MN 56479-5280

Mailing Address49725 County 83Staples, MN 56479-5280 · (218) 894-1515 · Fax (218) 894-1316

Phone(218) 894-1515

Fax(218) 894-1316

Sole ProprietorNo

Medical School CMSUniversity Of Minnesota Medical SchoolGraduated 1997

Enumeration DateOctober 25, 2005

Last NPPES UpdateJuly 8, 2007

✔ NPI 1891785424 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in MN · 44193

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.

49725 COUNTY 83, Staples, MN 56479

Open in Google Maps ↗

Other Identifiers 1

Medicare UPINH23218MN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.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 Kenneth Hudalla M.d. 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 ID1153227772

PECOS Enrollment IDI20031212000154

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

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Lakewood Health System

Critical Access Hospitals · Staples, MN

OwnershipVoluntary non-profit - Other

CMS Certification Number241329

Location49725 County Road 83Staples, MN 56479 · Todd County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 56479 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

$85.82 typical visit price

range $56.00 – $168.28

Typical copayment $21.45 (range $14.00 – $42.07)

Most-billed visit code 99203

Established Patient

$98.61 typical visit price

range $18.32 – $138.04

Typical copayment $24.65 (range $4.58 – $34.51)

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.

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.

Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) E0470

DME-Other DME · category DE001N

1 supplier12 claims12 services$107.55 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

1 supplier34 claims34 services$7.97 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 20

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

LAKEWOOD HEALTH SYSTEM

Durable Medical Equipment & Medical Supplies