Roger Sebastian Sica, DO

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

2010-01567 Issued in NC

Practice address

1717 Shipyard Blvd Ste 100
Wilmington, NC 28403-8019

Phone

(910) 794-5355

Fax

(910) 794-5358

NPI assigned

Aug 26, 2008

Last updated

Aug 6, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

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

Dermatology

Education

Rowan University School of Osteopathic Medicine, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Summit Plastic Surgery and Dermatology, PLLCGroup PAC ID 1153723531, 11 clinicians

Summit Cosmetic Surgery Center,PAGroup PAC ID 7911973987, 11 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

88.68 of 100Reported as group

Quality

83.12

Promoting interoperability

100

Improvement activities

40

Cost

79.15

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Summit Cosmetic Surgery Center,PA

  • Surgery Physician
  • Wilmington, NC
  • NPI 1922061092
  Medicare reassignment Care Compare group NPD
• Summit Plastic Surgery & Dermatology, PLLC

  • Dermatology Physician
  • Wilmington, NC
  • NPI 1437749330
  Medicare reassignment Care Compare group
• Vein Specialists of North Carolina, PA

  • Surgery Physician
  • Wilmington, NC
  • NPI 1124225057
  NPD (past)
• American Dermatology Associates Inc

  • MOHS-Micrographic Surgery Physician
  • Sarasota, FL
  • NPI 1225065741
  NPD (past)

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

{
    "created_epoch": "1219708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785974400000",
    "number": "1154578797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 EXCHANGE CT STE 110",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334314450",
            "telephone_number": "561-948-0291",
            "fax_number": "561-859-0429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 SHIPYARD BLVD STE 100",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284038019",
            "telephone_number": "910-794-5355",
            "fax_number": "910-794-5358"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "306 S Campbell St",
            "address_purpose": "LOCATION",
            "city": "Burgaw",
            "state": "NC",
            "postal_code": "284255010",
            "country_code": "US",
            "telephone_number": "800-337-6663",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SICA",
        "first_name": "ROGER",
        "middle_name": "SEBASTIAN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-26",
        "last_updated": "2026-08-06",
        "certification_date": "2026-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "OS10085",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NC",
            "license": "2010-01567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marisela Shults
• Dana Brent Shumate, DDS
• Paul Shuping
• Payton Shy, LCMHCA
• Christine Wilcox Sibona, M.S., CCC-SLP
• Nasar Ahmad Siddiqi, MD
• Mary Sides
• Leanza Sidey
• Mallory J Siebert
• Neil Siekman, MD

• Dermatology Physician in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Dermatology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2026; 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.