J MICHAEL BACHARACH MD
NPI 1972566172
Internal Medicine - Cardiovascular Disease in Sioux Falls, SD

Active since April 10, 2006PECOS EnrolledAccepts Medicare Assignment
4520 W 69TH ST, SIOUX FALLS, SD 57108(605) 977-5000(605) 977-5377 Get Directions Write a Review

NPPES record last updated: April 27, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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

NPI1972566172
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameJ MICHAEL BACHARACHCredential: MD
Location Address4520 W 69TH STSioux Falls, SD 57108-8148
Mailing Address4520 W 69th StSioux Falls, SD 57108-8148 · (605) 977-5000 · Fax (605) 977-5377
Fax(605) 977-5377
Sole ProprietorNo
Medical School CMSUniversity Of Wisconsin School Of MedicineGraduated 1986
Enumeration DateApril 10, 2006
Last NPPES UpdateApril 27, 2020
NPPES CertifiedApril 27, 2020
✔ NPI 1972566172 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in SD · 3990
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Also ListedSurgery · Vascular SurgeryTaxonomy 2086S0129X · License 3990 (SD)
4520 W 69TH ST, Sioux Falls, SD 57108

Other Names 1

Other Name (5)John Michael Bacharach Md

Other Identifiers 11

Other3990SD · Dakotacare
Medicaid6002910SD
Other0004040SD · Sd Bcbs
Other03A41BAMN · Mn Bcbs - Plan 91057no
Medicaid0970046IA
Other35693Health Partners
Other497L1BAMN · Bcbs Mn Under 538r2no
Other165023Ucare
Other931451029029Preferred One
Other56195IA · Ia Bcbs #
Medicaid575892100MN

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.

PECOS PAC ID3971510306
PECOS Enrollment IDI20131113002120, I20140118000058
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

2

Medicare 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.

Cardiovascular Disease
4520 W 69TH ST
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
Critical Access
300 S BRUCE ST
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.

Ultrasound of both sides of head and neck blood flow 93880
An ultrasound of the head and neck blood flow is a safe, non-invasive procedure that uses sound waves to create images of blood vessels. It helps detect abnormalities like blockages or clots, ensuring optimal blood flow.
535 services500 patients
Ultrasound study of arm and leg arteries 93922
An ultrasound study of arm and leg arteries is a non-invasive procedure that uses sound waves to create images of your arteries. It helps in checking blood flow, identifying blockages, or detecting other abnormalities in your arteries.
361 services300 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.
203 services203 patients
Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152
This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.
189 services156 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
184 services140 patients
Ultrasound study of one arm or leg veins with compression and maneuvers 93971
This is a non-invasive procedure using sound waves to visualize veins in an arm or leg. It involves applying gentle pressure and performing certain movements. It helps identify any abnormal blood flow or clots, ensuring vascular health.
144 services141 patients

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, MN
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number241359
Location300 South Bruce StreetMarshall, MN 56258 · Lyon County
Emergency services

Pipestone County Medical Center

Critical Access Hospitals · Pipestone, MN
OwnershipGovernment - Local
CMS Certification Number241374
Location916 4th Avenue SouthwestPipestone, MN 56164 · Pipestone County
Emergency services

Avera St Mary's Hospital

Acute Care Hospitals · Pierre, SD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number430015
Location801 E SiouxPierre, SD 57501 · Hughes County
Emergency services Birthing friendly

Avera Mckennan Hospital & University Health Center

Acute Care Hospitals · Sioux Falls, SD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number430016
Location1325 S Cliff AveSioux Falls, SD 57117 · Minnehaha County
Emergency services Birthing friendly

Avera Heart Hospital Of South Dakota

Acute Care Hospitals · Sioux Falls, SD
5/5 CMS rating
OwnershipProprietary
CMS Certification Number430095
Location4500 W 69th StSioux Falls, SD 57108 · Lincoln County
Emergency services

Physician 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.

New Patient
$126.78 typical visit price
range $55.52 – $167.23
Typical copayment $31.69 (range $13.88 – $41.80)
Most-billed visit code 99204
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.

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.

Internal Medicine (Cardiovascular Disease)
4520 W 69TH ST
SIOUX FALLS, SD 57108
Thoracic Surgery (Cardiothoracic Vascular Surgery)
4520 W 69TH ST
SIOUX FALLS, SD 57108
Internal Medicine (Cardiovascular Disease)
4520 W 69TH ST
SIOUX FALLS, SD 57108
Physician Assistant
4520 W 69TH ST
SIOUX FALLS, SD 57108
Nurse Practitioner (Family)
4520 W 69TH ST
SIOUX FALLS, SD 57108
Thoracic Surgery (Cardiothoracic Vascular Surgery)
4520 W 69TH ST
SIOUX FALLS, SD 57108
Nurse Practitioner (Family)
4520 W 69TH ST
SIOUX FALLS, SD 57108
Internal Medicine (Cardiovascular Disease)
4520 W 69TH ST
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.