Jennifer Sivak-Callcott, M.D.

Primary specialty

Ophthalmic Plastic and Reconstructive Surgery PhysicianTaxonomy code 207WX0200X

License

20698 Issued in WV

Practice address

1000 Mon Health Medical Park Dr Ste 1100
Morgantown, WV 26505-1143

Phone

(304) 598-2200

Fax

(304) 413-2222

NPI assigned

Mar 8, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WV

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

Ophthalmology

Education

Ohio State University College of Medicine, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Monongalia County General Hospital CompanyGroup PAC ID 9638073380, 241 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mon Health Medical Center Hospital, Morgantown, WV, CCN 510024

Merit-based Incentive Payment System (MIPS)

Final score

90.94 of 100Reported as apm

Quality

69.71

Promoting interoperability

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Monongalia County General Hospital Company

  dba Mon Health Medical Center

  • Specialist
  • Morgantown, WV
  • NPI 1447673223
  Medicare reassignment Care Compare group NPD
• The Seeing Hand Association, Inc.

  • Voluntary or Charitable Agency
  • Wheeling, WV
  • NPI 1407943970
  NPD (past)

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

• Monongalia County General Hospital Company

  dba Mon Health Medical Center

  • Specialist
  • Morgantown, WV
  • NPI 1447673223

  Hospital

  Care Compare affiliation
• Monongalia County General Hospital Company

  dba Mon Health Medical Center

  • General Acute Care Hospital
  • Morgantown, WV
  • NPI 1659489631
  Care Compare affiliation

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

{
    "created_epoch": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711929600000",
    "number": "1154398188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 MON HEALTH MEDICAL PARK DR STE 1100",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265051143",
            "telephone_number": "304-598-2200",
            "fax_number": "304-413-2222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 MON HEALTH MEDICAL PARK DR STE 1100",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265051143",
            "telephone_number": "304-598-2200",
            "fax_number": "304-413-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIVAK-CALLCOTT",
        "first_name": "JENNIFER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-08",
        "last_updated": "2024-04-01",
        "certification_date": "2024-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "WV",
            "license": "20698",
            "primary": false
        },
        {
            "code": "207WX0200X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery",
            "state": "WV",
            "license": "20698",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1806573000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert A Sisler, MA
• Deniz Siso
• Sidney Marie Sisson, MD
• Kayla Marie Sistilli
• Nanda Krishnan Siva, MD/MBA
• Christina Sivak, CRNA
• Mona Ovia Sivaneri, DDS
• Taha Siyam, MD
• Daniel Chadwick Sizemore, MD
• Jenna Sizemore, M.D.

• Ophthalmic Plastic and Reconstructive Surgery Physician in Morgantown, WV
• Providers in Morgantown, WV by specialty
• Ophthalmic Plastic and Reconstructive Surgery Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2024; 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.