HAO LI M.D.
NPI 1932586997
Orthopaedic Surgery in Sioux Falls, SD

Active since April 29, 2015PECOS EnrolledAccepts Medicare Assignment
76.69/100
CMS Quality Rating
1210 W 18TH ST STE G01, SIOUX FALLS, SD 57104(605) 328-2663 Get Directions Write a Review

NPPES record last updated: November 18, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 18, 2021, Jul 26, 2021, Jun 24, 2020 (3 updates tracked since 2020).

About Hao Li M.d. NPPES

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

HAO LI M.D. (NPI 1932586997) is an individual orthopaedic surgery provider in Sioux Falls, South Dakota, licensed in South Dakota (12749) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS, is affiliated with Sanford Worthington Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1932586997
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameHAO LICredential: M.D.
Location Address1210 W 18TH ST STE G01Sioux Falls, SD 57104-4651
Mailing AddressPo Box 5074Sioux Falls, SD 57117-5074
Sole ProprietorNo
Medical School CMSDrexel University College Of MedicineGraduated 2015
Enumeration DateApril 29, 2015
Last NPPES UpdateNovember 18, 20213 updates tracked since enumeration
NPPES CertifiedNovember 18, 2021
NPI 1932586997 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in SD · 12749
Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Also ListedOrthopaedic Surgery · Hand SurgeryTaxonomy 207XS0106X · License 12749 (SD)
1210 W 18TH ST STE G01, Sioux Falls, SD 57104

Secondary Practice Locations 2

Location 11250 E Marshall St, Box 980153Richmond, VA 23298-5051 · Phone (804) 828-7394 · Fax (804) 828-1522
Location 2Wake Forest Baptist Health Medical Center BoulevardWinston Salem, NC 27157-5051 · Phone (336) 716-4717

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

Hao Li 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 ID8224343991
PECOS Enrollment IDI20211124002146
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.

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.
67 services46 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.
65 services65 patients
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.
52 services52 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.
47 services39 patients
Release and/or relocation of hand nerve 64721
This procedure involves adjusting or moving a nerve in your hand to alleviate discomfort or improve function. The nerve may be compressed, causing pain or numbness. By releasing or relocating the nerve, these symptoms can be reduced, enhancing hand usage.
16 services14 patients
Injection into tendon or ligament 20550
An injection into a tendon or ligament involves placing medication directly into these areas to help reduce inflammation and pain. It's often used for conditions like arthritis or tendonitis. The procedure is quick and usually involves a local anesthetic.
13 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Sanford Worthington Medical Center

Acute Care Hospitals · Worthington, MN
OwnershipVoluntary non-profit - Private
CMS Certification Number240022
Location1018 Sixth Avenue PO Box 997Worthington, MN 56187 · Nobles County
Emergency services Birthing friendly

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57104 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.

76.69/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.56
Promoting Interoperability99
Improvement Activities40
Cost44.56

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf L3908
DME-Orthotic Devices · category DF000N
3 suppliers15 claims19 services$45.97 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.

Orthopaedic Surgery (Hand Surgery)
1210 W 18TH ST STE G01
SIOUX FALLS, SD 57104
Nurse Practitioner
1210 W 18TH ST STE G01
SIOUX FALLS, SD 57104
Physician Assistant
1210 W 18TH ST STE G01
SIOUX FALLS, SD 57104
Family Medicine (Sports Medicine)
1210 W 18TH ST STE G01
SIOUX FALLS, SD 57104
Nurse Practitioner (Family)
1210 W 18TH ST STE G01
SIOUX FALLS, SD 57104
Physical Therapist
1210 W 18TH ST STE G01
SIOUX FALLS, SD 57104
Nurse Practitioner
1210 W 18TH ST STE G01
SIOUX FALLS, SD 57104
Physician Assistant
1210 W 18TH ST STE G01
SIOUX FALLS, SD 57104

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 Hao Li's NPI number?

The NPI number for Hao Li is 1932586997. It was assigned to this individual provider in the NPPES registry on April 29, 2015.

Where is Hao Li located?

Hao Li practices at 1210 W 18th St Ste G01, Sioux Falls, SD 57104. The listed phone number is (605) 328-2663.

What is Hao Li's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Hao Li enrolled in Medicare?

Yes. Hao Li 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 Hao Li accept?

Health plans from Medica, Sanford Health Plan and Security Health Plan list Hao Li 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 Hao Li affiliated with any hospitals?

According to CMS data, Hao Li is affiliated with Sanford Worthington Medical Center and Sanford Usd Medical Center.

When was this NPI record last updated?

The NPPES record for Hao Li was last updated on November 18, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.