DR. MICHAEL SUTCLIFFE DO
NPI 1952319196
Family Medicine in Indianola, IA

Q: What is Michael Sutcliffe's NPI number?

The NPI number for Michael Sutcliffe is 1952319196. It was assigned to this individual provider in the NPPES registry on August 3, 2006.

Q: What is Michael Sutcliffe'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 Sutcliffe was last updated on August 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 August 03, 2006PECOS EnrolledAccepts Medicare Assignment

1504 N 1ST ST, INDIANOLA, IA 50125(515) 875-9520(515) 875-9521 Get Directions Write a Review

NPPES record last updated: August 17, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 17, 2021, Jun 21, 2018 (2 updates tracked since 2018).

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About Dr. Michael Sutcliffe Do NPPES

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

DR. MICHAEL SUTCLIFFE DO (NPI 1952319196) is an individual family medicine provider in Indianola, Iowa, licensed in Iowa (DO-03323) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Guthrie County Hospital, and is a graduate of Des Moines University Of Osteopathic Medicine And Health Sciences (1999).

NPPES Registry Identity

NPI1952319196

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. MICHAEL SUTCLIFFECredential: DO

Location Address1504 N 1ST STIndianola, IA 50125

Mailing Address7147 Vista Dr Ste 150West Des Moines, IA 50266-9313 · (515) 875-9925 · Fax (515) 875-9923

Phone(515) 875-9520

Fax(515) 875-9521

Sole ProprietorNo

Medical School CMSDes Moines University Of Osteopathic Medicine And Health SciencesGraduated 1999

Enumeration DateAugust 3, 2006

Last NPPES UpdateAugust 17, 20212 updates tracked since enumeration

NPPES CertifiedAugust 17, 2021

✔ NPI 1952319196 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in IA · DO-03323

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.

1504 N 1ST ST, Indianola, IA 50125

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Other Identifiers 1

Medicaid3214437IA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health, Oscar Insurance Company, Wellmark Health Plan of Iowa, Inc..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

Dr. Michael Sutcliffe Do 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 ID4385625268

PECOS Enrollment IDI20040526001199

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

Medicare enrollment records show Michael Sutcliffe reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Knoxville Community Hospital Inc

24 mi

Critical Access

1002 SOUTH LINCOLN ST
Knoxville, IA 50138

Reassigned Medicare billing, Iowa enrollment
Also billed through NPI 1770591661 (Iowa)
98 clinicians in this Medicare group

NPI 1922087915 (641) 842-2151

Clarke County Public Hospital

26 mi

Emergency Medicine

800 S FILLMORE ST
Osceola, IA 50213

Reassigned Medicare billing, Iowa enrollment
Also billed through NPI 1114954997 (Iowa)
64 clinicians in this Medicare group

NPI 1023045804 (641) 342-2184

Guthrie County Hospital

40 mi

Rural Health

312 N FREMONT ST STE A
Stuart, IA 50250

Reassigned Medicare billing, Iowa enrollment
Also billed through NPI 1366414534 (Iowa)
33 clinicians in this Medicare group

NPI 1528349719 (515) 523-8050

Decatur County Hospital

44 mi

Critical Access

1405 NW CHURCH ST
Leon, IA 50144

Reassigned Medicare billing, Iowa enrollment
38 clinicians in this Medicare group

NPI 1144209255 (641) 446-4871

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare 2

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

Guthrie County Hospital

Critical Access Hospitals · Guthrie Center, IA

OwnershipVoluntary non-profit - Other

CMS Certification Number161314

Location710 North 12th StreetGuthrie Center, IA 50115 · Guthrie County

Emergency services

Clarke County Hospital

Critical Access Hospitals · Osceola, IA

OwnershipVoluntary non-profit - Other

CMS Certification Number161348

Location800 S Fillmore StOsceola, IA 50213 · Clarke County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 50125 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

$81.84 typical visit price

range $52.96 – $161.40

Typical copayment $20.46 (range $13.24 – $40.35)

Most-billed visit code 99203

Established Patient

$94.05 typical visit price

range $16.91 – $131.98

Typical copayment $23.51 (range $4.22 – $32.99)

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 5

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

7 suppliers35 claims70 services$5.69 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

3 suppliers16 claims16 services$62.27 avg. paid by Medicare

Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620

DME-Drugs Administered Through DME · category DG006N

3 suppliers17 claims1,530 services$0.09 avg. paid by Medicare

Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg J7626

DME-Drugs Administered Through DME · category DG000N

3 suppliers13 claims930 services$0.80 avg. paid by Medicare

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

2 suppliers18 claims23 services$194.89 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 9

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

DR. JERRY LEHR DO

Family Medicine