Michael Sutcliffe, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

DO-03323 Issued in IA

Practice address

1504 N 1St St
Indianola, IA 50125

Phone

(515) 875-9520

Fax

(515) 875-9521

NPI assigned

Aug 3, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Emergency Medicine

Education

Des Moines University of Osteopathic Medicine and Health Sciences, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Clarke County Public HospitalGroup PAC ID 1951219328, shared by 4 NPIs, 43 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Clarke County Hospital Hospital, Osceola, IA, CCN 161348
• Guthrie County Hospital Hospital, Guthrie Center, IA, CCN 161314

Merit-based Incentive Payment System (MIPS)

Final score

93.78 of 100Reported as apm

Quality

80.38

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: msutcliffe893240@direct.unitypoint.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Clarke County Public Hospital

  dba Clarke County Hospital

  • Emergency Medicine Physician
  • Osceola, IA
  • NPI 1023045804

  Family Medicine

  Medicare reassignment NPD
• Clarke County Public Hospital

  • Critical Access Hospital
  • Osceola, IA
  • NPI 1114954997
  Medicare reassignment NPD
• Guthrie County Hospital

  • Critical Access Hospital
  • Guthrie Center, IA
  • NPI 1366414534
  Medicare reassignment NPD
• Knoxville Community Hospital Inc

  dba Knoxville Hospital & Clinics

  • Emergency Medicine Physician
  • Knoxville, IA
  • NPI 1770591661
  Medicare reassignment NPD
• Knoxville Community Hospital Inc

  dba Knoxville Hospital & Clinics

  • Critical Access Hospital
  • Knoxville, IA
  • NPI 1922087915
  Medicare reassignment NPD
• Decatur County Hospital

  • Critical Access Hospital
  • Leon, IA
  • NPI 1144209255
  Medicare reassignment
• Clarke County Public Hospital

  dba Clarke County Clinic

  • Rural Health Clinic/Center
  • Osceola, IA
  • NPI 1851856132

  Family Medicine

  NPD
• Guthrie County Hospital

  dba GCH Clinics

  • Family Medicine Physician
  • Panora, IA
  • NPI 1962654921
  NPD
• Knoxville Community Hospital Inc

  dba Knoxville Hospital & Clinics

  • Family Medicine Physician
  • Knoxville, IA
  • NPI 1578570677
  NPD
• St Luke's Methodist Hospital

  • General Acute Care Hospital
  • Cedar Rapids, IA
  • NPI 1083708226
  NPD
• Madison County Memorial Hospital

  dba Madison County Health Care System

  • Medicare Defined Swing Bed Hospital Unit
  • Winterset, IA
  • NPI 1194880112
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Clarke County Public Hospital

  • Critical Access Hospital
  • Osceola, IA
  • NPI 1114954997
  Care Compare affiliation
• Guthrie County Hospital

  • Critical Access Hospital
  • Guthrie Center, IA
  • NPI 1366414534
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629158400000",
    "number": "1952319196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7147 VISTA DR STE 150",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502669313",
            "telephone_number": "515-875-9925",
            "fax_number": "515-875-9923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1504 N 1ST ST",
            "city": "INDIANOLA",
            "state": "IA",
            "postal_code": "50125",
            "telephone_number": "515-875-9520",
            "fax_number": "515-875-9521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUTCLIFFE",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-03",
        "last_updated": "2021-08-17",
        "certification_date": "2021-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "DO-03323",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3214437",
            "state": "IA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "michaelsutcliffe@tic.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "1504 N 1st St",
            "city": "Indianola",
            "state": "IA",
            "country_code": "US",
            "postal_code": "50125",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• David A. Smith, DO
• Renee Staudacher, DO
• Amanda Stoner, DPT
• Stephanie Storm, PTA
• Courtney Lynn Struthers, D.D.S.
• Sonya Swenzinski, OTD, OTR/L
• Michal Schippers Taylor, CNA
• The Evangelical Lutheran Good Samaritan Society (Good Samaritan Society - Indianola)
• The Evangelical Lutheran Good Samaritan Society (Good Samaritan Society - Home Care)
• Natalie Rielle Theroux, DPT

• Family Medicine Physician in Indianola, IA
• Providers in Indianola, IA by specialty
• Family Medicine Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.