J MICHAEL BACHARACH MD
NPI 1972566172
Internal Medicine - Cardiovascular Disease in Sioux Falls, SD
About J Michael Bacharach Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
J MICHAEL BACHARACH MD (NPI 1972566172) is an individual cardiovascular disease provider in Sioux Falls, South Dakota, licensed in South Dakota (3990) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Avera Marshall Regional Medical Ctr, and is a graduate of University Of Wisconsin School Of Medicine (1986).
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Other Identifiers 11
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
J Michael Bacharach 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 J Bacharach reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Sioux Falls, SD 57108
- Reassigned Medicare billing, Iowa, Minnesota and South Dakota enrollments
- Also billed through NPI 1023003969 (South Dakota)
- 34 clinicians in this Medicare group
Marshall, MN 56258
- Reassigned Medicare billing, Minnesota enrollment
- 141 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 52
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 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Avera Marshall Regional Medical Ctr
Critical Access Hospitals · Marshall, MNPipestone County Medical Center
Critical Access Hospitals · Pipestone, MNAvera St Mary's Hospital
Acute Care Hospitals · Pierre, SDAvera Mckennan Hospital & University Health Center
Acute Care Hospitals · Sioux Falls, SDAvera Heart Hospital Of South Dakota
Acute Care Hospitals · Sioux Falls, SDPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 57108 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
SIOUX FALLS, SD 57108
SIOUX FALLS, SD 57108
SIOUX FALLS, SD 57108
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 J Bacharach's NPI number?
The NPI number for J Bacharach is 1972566172. It was assigned to this individual provider in the NPPES registry on April 10, 2006. The provider is also known as John Michael Bacharach MD.
Where is J Bacharach located?
J Bacharach practices at 4520 W 69th St, Sioux Falls, SD 57108. The listed phone number is (605) 977-5000.
What is J Bacharach's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.
Is J Bacharach enrolled in Medicare?
Yes. J Bacharach 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 J Bacharach's services?
According to the CMS Revalidation Reassignment List (October 2026 release), J Bacharach reassigns Medicare benefits to 2 organizations: Heart Hospital Of South Dakota LLC (Sioux Falls, SD) and Avera Marshall (Marshall, MN). 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 J Bacharach's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does J Bacharach accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Sunflower Health Plan, Avera Health Plans and Oscar Insurance Company and 2 other insurers list J Bacharach 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 J Bacharach affiliated with any hospitals?
According to CMS data, J Bacharach is affiliated with Avera Marshall Regional Medical Ctr, Pipestone County Medical Center, Avera St Mary's Hospital, Avera Mckennan Hospital & University Health Center and Avera Heart Hospital Of South Dakota.
When was this NPI record last updated?
The NPPES record for J Bacharach was last updated on April 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.