DR. MICHAEL MCNAMARA D.O.
NPI 1972575843
Obstetrics & Gynecology - Maternal & Fetal Medicine in Sioux Falls, SD

Active since February 06, 2006PECOS EnrolledAccepts Medicare Assignment
77.99/100
CMS Quality Rating
1500 W 22ND ST, STE 401, SIOUX FALLS, SD 57105(605) 328-4600 Get Directions Write a Review

NPPES record last updated: March 25, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Michael Mcnamara D.o. NPPES

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

DR. MICHAEL MCNAMARA D.O. (NPI 1972575843) is an individual maternal & fetal medicine provider in Sioux Falls, South Dakota, licensed in South Dakota (5527) 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 At Still University Of Health Sciences, College Of Osteo Med, Kirksville (1986).

NPPES Registry Identity

NPI1972575843
Entity TypeIndividualMale
Primary Taxonomy207VM0101X
Provider Legal NameDR. MICHAEL MCNAMARACredential: D.O.
Location Address1500 W 22ND ST, STE 401Sioux Falls, SD 57105-7702
Mailing AddressPo Box 5074Sioux Falls, SD 57117-5074
Sole ProprietorNo
Medical School CMSAt Still University Of Health Sciences, College Of Osteo Med, KirksvilleGraduated 1986
Enumeration DateFebruary 6, 2006
Last NPPES UpdateMarch 25, 2022
NPPES CertifiedMarch 25, 2022
NPI 1972575843 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & Gynecology · Maternal & Fetal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207VM0101X
Licenses Licensed in SD · 5527 Licensed in CA · 20A6958
Definition

An obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their effect on both the mother and the fetus. The specialist also possesses expertise in the most current diagnostic and treatment modalities used in the care of patients with complicated pregnancies.

1500 W 22ND ST, Sioux Falls, SD 57105

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

Dr. Michael Mcnamara D.o. 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 ID4688608748
PECOS Enrollment IDI20080501000437
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.

Hospital Affiliations CMS Care Compare

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, 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 57105 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.

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.

77.99/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.13
Promoting Interoperability99
Improvement Activities40
Cost47.35

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.

Obstetrics & Gynecology (Reproductive Endocrinology)
1500 W 22ND ST, STE 102
SIOUX FALLS, SD 57105
Obstetrics & Gynecology
1500 W 22ND ST, STE 301
SIOUX FALLS, SD 57105
Obstetrics & Gynecology
1500 W 22ND ST, STE 301
SIOUX FALLS, SD 57105
Advanced Practice Midwife
1500 W 22ND ST, STE 301
SIOUX FALLS, SD 57105
Plastic Surgery
1500 W 22ND ST, STE 104
SIOUX FALLS, SD 57105
Midwife
1500 W 22ND ST, STE 301
SIOUX FALLS, SD 57105
Physician Assistant
1500 W 22ND ST, STE 102
SIOUX FALLS, SD 57105
Plastic Surgery
1500 W 22ND ST, STE 101
SIOUX FALLS, SD 57105

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 Mcnamara's NPI number?

The NPI number for Michael Mcnamara is 1972575843. It was assigned to this individual provider in the NPPES registry on February 6, 2006.

Where is Michael Mcnamara located?

Michael Mcnamara practices at 1500 W 22nd St Ste 401, Sioux Falls, SD 57105. The listed phone number is (605) 328-4600.

What is Michael Mcnamara's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Maternal & Fetal Medicine, with taxonomy code 207VM0101X.

Is Michael Mcnamara enrolled in Medicare?

Yes. Michael Mcnamara 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 Michael Mcnamara accept?

Health plans from Medica, Oscar Insurance Company, Sanford Health Plan and Security Health Plan list Michael Mcnamara 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 Mcnamara affiliated with any hospitals?

According to CMS data, Michael Mcnamara is affiliated with Sanford Usd Medical Center.

When was this NPI record last updated?

The NPPES record for Michael Mcnamara was last updated on March 25, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.