James Gregory Sisco, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD00032087 Issued in WA

Practice address

410 E King St
Chewelah, WA 99109-0137

Phone

(509) 935-8711

Fax

(509) 935-4882

NPI assigned

Dec 11, 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 3

Medicare fee-for-service enrollment

Enrolled in WA

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

Family Practice

Education

University of Washington School of Medicine, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Chewelah Associated Physicians PSGroup PAC ID 9537057765, 4 clinicians

Providence Health and Services - WaGroup PAC ID 9739249350, shared by 3 NPIs, 12 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Providence St Joseph Hospital Hospital, Chewelah, WA, CCN 501309
• Prov Sacred HRT Med Ctr & Childs Hosp. Hospital, Spokane, WA, CCN 500054
• Providence Mount Carmel Hospital Hospital, Colville, WA, CCN 501326
• Providence St Joseph Hospital Nursing home, CCN 50Z309

Merit-based Incentive Payment System (MIPS)

Final score

96.57 of 100Reported as group

Quality

90.73

Improvement activities

40

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.

• Chewelah Associated Physicians PS

  • Family Medicine Physician
  • Chewelah, WA
  • NPI 1104971365
  Medicare reassignment Care Compare group NPD
• Providence Health & Services - Wa

  • Critical Access Hospital
  • Chewelah, WA
  • NPI 1750532321
  Medicare reassignment NPD
• Providence Health & Services - Wa

  • Critical Access Hospital
  • Chewelah, WA
  • NPI 1902058399
  Medicare reassignment NPD
• Providence Health & Services - Washington

  • Critical Access Hospital
  • Colville, WA
  • NPI 1003067679
  Medicare reassignment NPD
• Providence Health & Services - Washington

  • Critical Access Hospital
  • Colville, WA
  • NPI 1841442332
  Medicare reassignment NPD

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

• Providence Health & Services - Wa

  • General Acute Care Hospital
  • Spokane, WA
  • NPI 1144471715
  Care Compare affiliation
• Providence Health & Services - Wa

  • Medicare Defined Swing Bed Hospital Unit
  • Chewelah, WA
  • NPI 1447402839

  Nursing home

  Care Compare affiliation
• Providence Health & Services - Wa

  • Critical Access Hospital
  • Chewelah, WA
  • NPI 1750532321
  Care Compare affiliation
• Providence Health & Services - Washington

  • Critical Access Hospital
  • Colville, WA
  • NPI 1003067679
  Care Compare affiliation

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213747200000",
    "number": "1447310347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 137",
            "city": "CHEWELAH",
            "state": "WA",
            "postal_code": "991090137",
            "telephone_number": "509-935-8711",
            "fax_number": "509-935-4882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 E KING ST",
            "city": "CHEWELAH",
            "state": "WA",
            "postal_code": "991090137",
            "telephone_number": "509-935-8711",
            "fax_number": "509-935-4882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SISCO",
        "first_name": "JAMES",
        "middle_name": "GREGORY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-11",
        "last_updated": "2008-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD00032087",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US DEPT OF LABOR",
            "identifier": "191826000",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8156788",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WA STATE L&I",
            "identifier": "123031",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Justin E Rollis
• Aaric Ross, PHARMD
• Bradley Paul Roth, MD
• Verna Michelle Monique Sarquilla, MSW
• Shelley Gail Schreibman
• Slate and Beam LLC
• David Stroyan
• Elle Taylor
• Hailey Fay Taylor
• Jaeda Renee Templeton, LMP

• Family Medicine Physician in Chewelah, WA
• Providers in Chewelah, WA by specialty
• Family Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; 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.