NPIMap

Individual provider Active NPI

Tracy Sisk, D.O.

  • Anesthesiology Physician
  • Brighton, CO
National Provider Identifier
1316258908
Registry record updated Jun 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
8026 Issued in AK
Practice address
1600 Prairie Center Pkwy
Brighton, CO 80601-4006
Phone
(303) 422-9438
NPI assigned
Jun 29, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 93605 SC
Anesthesiology Physician 207L00000X UO2367 FL
Anesthesiology Physician 207L00000X OS13980 FL
Anesthesiology Physician 207L00000X DR.0071710 CO
Anesthesiology Physician 207L00000X 8026 AK Primary

Addresses

Primary practice location

1600 Prairie Center Pkwy
Brighton, CO 80601-4006

Mailing address

PO Box 668
Arvada, CO 80001-0668
Phone (303) 422-9438

Other practice location 1

3300 Providence Dr Ste 207
Anchorage, AK 99508-4620
Phone (907) 279-0555

Other practice location 2

1325 Spring St
Greenwood, SC 29646-3860
Phone (864) 725-4111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, MT, CO, SC4 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20160629001802 FL Practitioner - Anesthesiology 5395987689 Reassigns benefits to 1 organization
I20210322001020 MT Practitioner - Anesthesiology 5395987689 Reassigns benefits to 1 organization
I20231121002006 CO Practitioner - Anesthesiology 5395987689 Reassigns benefits to 1 organization
I20250404001314 SC Practitioner - Anesthesiology 5395987689 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Kansas City University of Med & Biosciences, College of Osteo Med, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Self Medical GroupGroup PAC ID 6002953916, 393 clinicians
Anesthesia Services of Platte Valley Prof LLCGroup PAC ID 1254332497, 12 clinicians

Practice addresses (Care Compare)

1325 Spring St
Greenwood, SC 29646-3860
Phone (864) 725-4111

1600 Prairie Ctr Pkwy
Brighton, CO 80601-4006
Phone (303) 498-1600

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.84 of 100Reported as group
Quality
59.5
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
DR.0071710COMDAnesthesiology Physician
OS13980FLMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Partners of Montana PC CurrentSince May 3, 2021 Accepting new patients
Brevard Physician Associates, PLLC Anesthesiology CurrentSince Nov 1, 2021 Accepting new patients
Anesthesia Services of Platte Valley Prof LLC Anesthesiology CurrentSince Nov 20, 2023 Accepting new patients
Self Medical Group Current Accepting new patients
Self Medical Group CurrentSince Jan 15, 2025 Accepting new patients
Self Medical Group Anesthesiology CurrentSince Jan 15, 2025 Accepting new patients
University Hospitals Medical Group Inc Anesthesiology Past Accepting new patients

Locations

Dept 0906
Denver, CO 80256

1350 Hickory St
Melbourne, FL 32901
Phone (321) 434-1771

75 Remittance Dr
Dept 6764
Chicago, IL 60675

1233 N 30th St
Billings, MT 59101
Phone (406) 237-3850

2900 12th Ave N
Ste 205W
Billings, MT 59101
Phone (406) 254-0704

1144 N 28th St
Billings, MT 59101
Phone (406) 237-5900

1325 Spring St
Greenwood, SC 29646
Phone (864) 227-4111

104 Wells Ave
Greenwood, SC 29646

2605 Kinard St
Ste 200
Newberry, SC 29108
Phone (803) 276-1866

Interoperability endpoints

  • Direct secure messaging: tsisk573163@selfregional.direct-ci.net

Organizations & group practices 7

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.

Hospital & facility affiliations 7

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

NPI Registry JSON

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

{
    "created_epoch": "1277769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748995200000",
    "number": "1316258908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 668",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800010668",
            "telephone_number": "303-422-9438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 PRAIRIE CENTER PKWY",
            "city": "BRIGHTON",
            "state": "CO",
            "postal_code": "806014006",
            "telephone_number": "303-422-9438"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3300 Providence Dr Ste 207",
            "address_purpose": "LOCATION",
            "city": "Anchorage",
            "state": "AK",
            "postal_code": "995084620",
            "country_code": "US",
            "telephone_number": "907-279-0555",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1325 Spring St",
            "address_purpose": "LOCATION",
            "city": "Greenwood",
            "state": "SC",
            "postal_code": "296463860",
            "country_code": "US",
            "telephone_number": "864-725-4111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SISK",
        "first_name": "TRACY",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-29",
        "last_updated": "2025-06-04",
        "certification_date": "2025-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "SC",
            "license": "93605",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "UO2367",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "OS13980",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CO",
            "license": "DR.0071710",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "AK",
            "license": "8026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brighton, CO

Sources for this page

Verify at the official NPI Registry.