Michael Hodge, D.O.
NPI 1225561863 · Hospitalist Physician · Sioux Falls, SD
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Michael Hodge, D.O. is a Hospitalist Physician provider in Sioux Falls, SD (NPI 1225561863).
Provider details
- NPI number
- 1225561863
- Entity type
- Individual
- Primary specialty
- Hospitalist PhysicianAllopathic & Osteopathic Physicians
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- No
- License
- 34.014249 (OH)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
9 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
297 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Initial Hospital Care With Straightforward Or Low-Level Medical Decision Making, If Using Time, at Least 55 Minutes99222 | 189 | $123 |
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 | 90 | $164 |
| Initial Hospital Care With Straightforward Or Low-Level Medical Decision Making, If Using Time, at Least 55 Minutes99222 | 18 | $124 |
Typical Medicare-allowed amounts for these services range $123–$164 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Practice location
Mailing address
Additional practice locations (1)
- 131 Coventry St Fl 2Hartford, CT 06112-1548Phone: (860) 714-2812Fax: (860) 714-8541
Registry dates
- Enumerated
- 2017-04-11
- Last updated
- 2023-08-23
- Certified
- 2023-08-23
Frequently asked questions
- What is Michael Hodge's NPI number?
- Michael Hodge's National Provider Identifier (NPI) is 1225561863, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Michael Hodge's specialty?
- Michael Hodge is listed in the NPPES registry with a primary specialty of Hospitalist Physician (Allopathic & Osteopathic Physicians).
- Where is Michael Hodge located?
- Michael Hodge's practice location on file with NPPES is 1305 W 18th St, Sioux Falls, SD 57105-0401.
- What is Michael Hodge's phone number?
- The practice phone number listed in the NPPES registry for Michael Hodge is (605) 328-4973.
- Does Michael Hodge accept Medicare?
- Michael Hodge is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Michael Hodge's NPI active?
- Yes — Michael Hodge's NPI (1225561863) is active in the NPPES registry as of the last update on 2023-08-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.