Doyle Russell Sickles, M.D.

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

WV12344 Issued in WV

Practice address

29 Hospital PLZ
Suite C
Weston, WV 26452-8470

Phone

(304) 269-4431

Fax

(304) 269-9803

NPI assigned

Sep 19, 2007

Last updated

Jan 22, 2013By 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 1

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

Merit-based Incentive Payment System (MIPS)

Final score

90.94 of 100Reported as apm

Quality

69.71

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Stonewall Jackson Memorial Hospital Company

  • Rural Acute Care Hospital
  • Weston, WV
  • NPI 1477559433

  Corporate Director

  CMS ownership

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.

• Stonewall Jackson Memorial Hospital Company

  • Rural Acute Care Hospital
  • Weston, WV
  • NPI 1477559433
  Medicare reassignment NPD
• Doyle R. Sickles, MD Inc.

  • Orthopaedic Surgery Physician
  • Clarksburg, WV
  • NPI 1558388397
  NPD (past) Authorized official
• Stonewall Jackson Memorial Hospital Company

  dba Weston Orthopedic and Sports Medicine Center

  • Orthopaedic Surgery Physician
  • Weston, WV
  • NPI 1922392851
  NPD
• Radiological Physician Associates Inc

  • Diagnostic Radiology Physician
  • Fairmont, WV
  • NPI 1811996960
  NPD (past)
• United Hospital Center, Inc.

  • Internal Medicine Physician
  • Bridgeport, WV
  • NPI 1760965586

  Orthopaedic Surgery

  NPD (past)

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

{
    "created_epoch": "1190160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358812800000",
    "number": "1609062157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 HOSPITAL PLZ",
            "address_2": "SUITE C",
            "city": "WESTON",
            "state": "WV",
            "postal_code": "264528470",
            "telephone_number": "304-269-4431",
            "fax_number": "304-269-9803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 HOSPITAL PLZ",
            "address_2": "SUITE C",
            "city": "WESTON",
            "state": "WV",
            "postal_code": "264528470",
            "telephone_number": "304-269-4431",
            "fax_number": "304-269-9803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SICKLES",
        "first_name": "DOYLE",
        "middle_name": "RUSSELL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-19",
        "last_updated": "2013-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "WV",
            "license": "WV12344",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0099385000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James Jay Shaver, DDS
• Shelly Shaw
• Isabelle R Shepp
• Natasha Sherrard
• Carolyn Shreve
• Lauren Elise Siers, DPT, ATC
• Janet Sims
• Lyndsey Sines, PHARMD
• Melvin Dan Singleton, M.A.
• Marah Elaine Sinnett

• Orthopaedic Surgery Physician in Weston, WV
• Providers in Weston, WV by specialty
• Orthopaedic Surgery Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.