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DR. MICHAEL J NIEHAUS MD
NPI 1992764096
Surgery in West Burlington, IA

Active since March 20, 2006PECOS EnrolledAccepts Medicare Assignment
77.81/100
CMS Quality Rating
1223 S GEAR AVE, STE 202, WEST BURLINGTON, IA 52655(319) 768-4350(319) 768-4355 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Michael J Niehaus Md NPPES

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

DR. MICHAEL J NIEHAUS MD (NPI 1992764096) is an individual surgery provider in West Burlington, Iowa, licensed in Iowa (23646) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Southeast Iowa Regional Medical Center, and is a graduate of University Of Iowa, Rj & L Carver College Of Medicine (1985).

NPPES Registry Identity

NPI1992764096
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. MICHAEL J NIEHAUSCredential: MD
Location Address1223 S GEAR AVE, STE 202West Burlington, IA 52655-1685
Mailing AddressPo Box 540West Burlington, IA 52655-1685 · (319) 768-4350 · Fax (319) 768-4355
Phone(319) 768-4350
Fax(319) 768-4355
Sole ProprietorNo
Medical School CMSUniversity Of Iowa, Rj & L Carver College Of MedicineGraduated 1985
Enumeration DateMarch 20, 2006
Last NPPES UpdateMarch 7, 2023
✔ NPI 1992764096 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses✔ Licensed in IA · 23646✔ Licensed in IA · 21014
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
1223 S GEAR AVE, West Burlington, IA 52655
Open in Google Maps ↗

Other Identifiers 7

Medicaid0085811IA
OtherC01404IA · Rr Med
Medicaid1023564IA
Other70237IA · Blue Shield
Other020013500Rrmc
Medicaid19927674096IA
OtherP00424584IA · Rr Med

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and more.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 J Niehaus 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 ID4486647187
PECOS Enrollment IDI20040407001046
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.

Areas of Expertise CMS Part B claims 7

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.

Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito G0500
Moderate sedation is a method where a physician uses medication to help you relax during a gastrointestinal endoscopy. An independent trained observer will be present to monitor your vital signs and ensure your safety throughout the procedure. It's a common and safe practice.
49 services46 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
25 services17 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
22 services21 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
16 services16 patients
Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm 43249
This procedure involves using a flexible tube with a camera, called an endoscope, to gently expand narrowed areas in your esophagus, stomach, or upper small bowel. A small balloon is inflated, making it easier for food and liquid to pass through. It's safe and effective.
16 services16 patients
Diagnostic exam of large bowel using a flexible endoscope 45378
This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.
13 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Southeast Iowa Regional Medical Center

Acute Care Hospitals · West Burlington, IA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number160057
Location1221 South Gear AvenueWest Burlington, IA 52655 · Des Moines County
Emergency services Birthing friendly

Henry County Health Center

Critical Access Hospitals · Mount Pleasant, IA
OwnershipGovernment - Local
CMS Certification Number161356
Location407 S White StMount Pleasant, IA 52641 · Henry County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 52655 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
$66.36 typical visit price
range $16.91 – $131.98
Typical copayment $16.59 (range $4.22 – $32.99)
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.

77.81/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality67.62
Promoting Interoperability100
Improvement Activities40
Cost58.43

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.

JANETTE M SCHULZ ARNP
Nurse Practitioner (Women's Health)
1223 S GEAR AVE, STE 208
WEST BURLINGTON, IA 52655
Des Moines County (319) 752-4541
MICHAEL J MCCOY M.D.
Obstetrics & Gynecology
1223 S GEAR AVE, STE 208
WEST BURLINGTON, IA 52655
Des Moines County (319) 752-4541
AMERICAN PROSTHETICS & ORTHOTICS, INC.
Prosthetic/Orthotic Supplier
1223 S GEAR AVE, SUITE 011
WEST BURLINGTON, IA 52655
Des Moines County (319) 753-2822
JAMES A HENDRIX M.D.
Pediatrics
1223 S GEAR AVE, SUITE 108
WEST BURLINGTON, IA 52655
Des Moines County (319) 753-5177
ORTHOPEDICS & SPORTS MEDICINE PLC
Orthopaedic Surgery
1223 S GEAR AVE, EASTMAN PLAZA-SUITE 101
WEST BURLINGTON, IA 52655
Des Moines County (319) 753-5352
LINDA C MCCABE CPNP, ARNP
Nurse Practitioner
1223 S GEAR AVE, SUITE 108
WEST BURLINGTON, IA 52655
Des Moines County (319) 753-5177
MRS. BRANDY PARKER ARNP
Nurse Practitioner (Family)
1223 S GEAR AVE, EASTMAN PLAZA, SUITE 304
WEST BURLINGTON, IA 52655
Des Moines County (319) 768-3200
DR. MARK L WOODARD D.O.
Internal Medicine (Cardiovascular Disease)
1223 S GEAR AVE, SUITE 109
WEST BURLINGTON, IA 52655
Des Moines County (319) 768-1820

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 Niehaus's NPI number?

The NPI number for Michael Niehaus is 1992764096. It was assigned to this individual provider in the NPPES registry on March 20, 2006.

Where is Michael Niehaus located?

Michael Niehaus practices at 1223 S Gear Ave Ste 202, West Burlington, IA 52655. The listed phone number is (319) 768-4350.

What is Michael Niehaus's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Michael Niehaus enrolled in Medicare?

Yes. Michael Niehaus 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 Niehaus accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 1 other insurer list Michael Niehaus 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 Niehaus affiliated with any hospitals?

According to CMS data, Michael Niehaus is affiliated with Southeast Iowa Regional Medical Center and Henry County Health Center.

When was this NPI record last updated?

The NPPES record for Michael Niehaus was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.