DR. MICHAEL GERLACH MD
NPI 1962476093
Family Medicine in Mitchell, SD
About Dr. Michael Gerlach Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MICHAEL GERLACH MD (NPI 1962476093) is an individual family medicine provider in Mitchell, South Dakota, licensed in South Dakota (4902) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Sanford Usd Medical Center, and is a graduate of Sanford School Of Medicine Of University Of South Dakota (1998).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
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
Dr. Michael Gerlach 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.
Medicare Billing Reassignments
2Medicare enrollment records show Michael Gerlach reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Mitchell, SD 57301
- Reassigned Medicare billing, South Dakota enrollment
- Also billed through NPI 1992466635 (South Dakota)
- 227 clinicians in this Medicare group
Mitchell, SD 57301
- Reassigned Medicare billing, South Dakota enrollment
- 111 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 62
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Sanford Usd Medical Center
Acute Care Hospitals · Sioux Falls, SDAvera Queen Of Peace
Critical Access Hospitals · Mitchell, SDPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 57301 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Reported Quality Measures
Referred Medical Equipment & Supplies CMS DME claims 21
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
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 Gerlach's NPI number?
The NPI number for Michael Gerlach is 1962476093. It was assigned to this individual provider in the NPPES registry on February 15, 2006.
Where is Michael Gerlach located?
Michael Gerlach practices at 818 W Havens St, Mitchell, SD 57301. The listed phone number is (605) 996-7526.
What is Michael Gerlach's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Michael Gerlach enrolled in Medicare?
Yes. Michael Gerlach 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 Gerlach's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Michael Gerlach reassigns Medicare benefits to 2 organizations: Avera Queen Of Peace (Mitchell, SD) and Rural Health Care, Inc (Mitchell, SD). 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 Gerlach's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Michael Gerlach accept?
Health plans from Avera Health Plans, Oscar Insurance Company, Sanford Health Plan and Wellmark of South Dakota, Inc. list Michael Gerlach 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 Gerlach affiliated with any hospitals?
According to CMS data, Michael Gerlach is affiliated with Sanford Usd Medical Center and Avera Queen Of Peace.
When was this NPI record last updated?
The NPPES record for Michael Gerlach was last updated on October 24, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.