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MR. MICHAEL DAVID WHISLER PA-C
NPI 1902560618
Physician Assistant in Sioux Falls, SD

Active since October 28, 2021PECOS EnrolledAccepts Medicare Assignment
82.28/100
CMS Quality Rating
1205 S GRANGE AVE STE 401, SIOUX FALLS, SD 57105(605) 328-8120 Get Directions Write a Review

NPPES record last updated: January 29, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 3, 2023, Apr 12, 2022 (2 updates tracked since 2022).

About Mr. Michael David Whisler Pa-c NPPES

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

MR. MICHAEL DAVID WHISLER PA-C (NPI 1902560618) is an individual physician assistant in Sioux Falls, South Dakota, licensed in Iowa (111298) and active in the NPI registry since October 2021. He is enrolled in Medicare PECOS, is affiliated with Sanford Sheldon Medical Center, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1902560618
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. MICHAEL DAVID WHISLERCredential: PA-C
Location Address1205 S GRANGE AVE STE 401Sioux Falls, SD 57105-0410
Mailing AddressPo Box 5074Sioux Falls, SD 57117-5074
Phone(605) 328-8120
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateOctober 28, 2021
Last NPPES UpdateJanuary 29, 20242 updates tracked since enumeration
NPPES CertifiedJanuary 29, 2024
✔ NPI 1902560618 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in IA · 111298
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1205 S GRANGE AVE STE 401, Sioux Falls, SD 57105
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Sanford Health Plan, Security Health Plan.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

Mr. Michael David Whisler Pa-c 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 ID4789071846
PECOS Enrollment IDI20230602002292
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 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.

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.
344 services171 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.
106 services65 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.
80 services57 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.
45 services37 patients

Hospital Affiliations CMS Care Compare 5

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

Sanford Sheldon Medical Center

Critical Access Hospitals · Sheldon, IA
OwnershipVoluntary non-profit - Private
CMS Certification Number161381
Location118 North 7th AvenueSheldon, IA 51201 · Obrien County
Emergency services

Windom Area Health

Critical Access Hospitals · Windom, MN
OwnershipGovernment - Local
CMS Certification Number241332
Location2150 Hospital Drive, PO Box 339Windom, MN 56101 · Cottonwood County
Emergency services

Sanford Usd Medical Center

Acute Care Hospitals · Sioux Falls, SD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number430027
Location1305 W 18th St Post Office Box 5039Sioux Falls, SD 57117 · Minnehaha County
Emergency services Birthing friendly

Douglas County Memorial Hospital-Cah

Critical Access Hospitals · Armour, SD
OwnershipVoluntary non-profit - Private
CMS Certification Number431305
Location708 8th StArmour, SD 57313 · Douglas County
Emergency services

Sanford Vermillion Hospital

Critical Access Hospitals · Vermillion, SD
OwnershipVoluntary non-profit - Private
CMS Certification Number431336
Location20 South Plum StreetVermillion, SD 57069 · Clay 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.

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.

82.28/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality88.81
Promoting Interoperability99
Improvement Activities40
Cost52.95

Other Providers at the Same Location NPPES 3

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

BERTHA S. AYI M.D. FACP
Internal Medicine (Infectious Disease)
1205 S GRANGE AVE STE 401
SIOUX FALLS, SD 57105
Minnehaha County (712) 226-4437
EMAD M A ABU SITTA M.D
Internal Medicine (Infectious Disease)
1205 S GRANGE AVE STE 401
SIOUX FALLS, SD 57105
Minnehaha County (605) 328-8120
ANNALISA KRISTINE CUNNINGHAM FNP
Nurse Practitioner (Family)
1205 S GRANGE AVE STE 401
SIOUX FALLS, SD 57105
Minnehaha County (605) 312-8350

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 Whisler's NPI number?

The NPI number for Michael Whisler is 1902560618. It was assigned to this individual provider in the NPPES registry on October 28, 2021.

Where is Michael Whisler located?

Michael Whisler practices at 1205 S Grange Ave Ste 401, Sioux Falls, SD 57105. The listed phone number is (605) 328-8120.

What is Michael Whisler's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Michael Whisler enrolled in Medicare?

Yes. Michael Whisler 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 Whisler accept?

Health plans from Medica, Sanford Health Plan and Security Health Plan list Michael Whisler 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 Whisler affiliated with any hospitals?

According to CMS data, Michael Whisler is affiliated with Sanford Sheldon Medical Center, Windom Area Health, Sanford Usd Medical Center, Douglas County Memorial Hospital-Cah and Sanford Vermillion Hospital.

When was this NPI record last updated?

The NPPES record for Michael Whisler was last updated on January 29, 2024. 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.