Individual provider Active NPI

Gayle B Sisbarro, D.O.

  • Family Medicine Physician
  • Lancaster, PA
National Provider Identifier
1801881792
Registry record updated Dec 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS006214L Issued in PA
Practice address
1160 Manheim Pike
Lancaster, PA 17601-3127
Phone
(717) 869-4689
Fax
(717) 869-4690
NPI assigned
Sep 16, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS006214L PA Primary

Addresses

Primary practice location

1160 Manheim Pike
Lancaster, PA 17601-3127

Mailing address

1160 Manheim Pike
Lancaster, PA 17601-3127
Phone (717) 869-4689

Other practice location 1

1251 E Main St
Annville, PA 17003-1643
Phone (717) 867-4671

Other identifiers 8

IdentifierTypeStateIssuer
02994401OtherPACAPITAL BLUE CROSS
37180 S1QBOtherPAGEISINGER HEALTH PLAN
4573072OtherPAAETNA NON-HMO
532477OtherPAHIGHMARK BLUE SHIELD
001223118MedicaidPA
578228OtherPAAETNA HMO
B43285OtherPAHEALTH ASSURANCE
P002628OtherPAGATEWAY HEALTH PLAN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address gsisbarro54484@phsdirect.pinnaclehealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20100429001095 PA Practitioner - Family Practice 2062549603 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Philadelphia College of Osteopathic Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pinnacle Health Medical ServicesGroup PAC ID 7618960493, 1,025 clinicians
Phoenix Rehabilitation and Health Services IncGroup PAC ID 3476464298, shared by 2 NPIs, 2,775 clinicians

Practice addresses (Care Compare)

1251 E Main St
Pinnaclehealth Annville Family Medicine
Annville, PA 17003-1643
Phone (717) 867-4671

2000 Westinghouse Dr
Suite 200
Cranberry Township, PA 16066-5238

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.08 of 100Reported as group
Quality
76.48
Promoting interoperability
100
Improvement activities
40
Cost
77.12

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS006214LPAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Health Medical Services CurrentSince May 1, 2017 Accepting new patients
Pinnacle Health Medical Services Family Medicine Current Accepting new patients
Pinnacle Health Medical Services CurrentSince Jan 1, 2024 Accepting new patients
Pinnacle Health Medical Services CurrentSince May 1, 2017 Accepting new patients
Pinnacle Health Medical Services Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Lancaster General Medical Group Family Medicine Past Accepting new patients

Locations

1251 E Main St
Annville, PA 17003
Phone (717) 867-4671

409 S 2nd St
Ste 2F
Harrisburg, PA 17104
Phone (717) 231-8049

2501 N 3rd St
Fl 2
Harrisburg, PA 17110
Phone (717) 782-2100

1160 Manheim Pike
Lancaster, PA 17601
Phone (717) 397-7505

3045 Marietta Ave
Lancaster, PA 17601
Phone (717) 299-4644

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 17

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

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1126828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607731200000",
    "number": "1801881792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1160 MANHEIM PIKE",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176013127",
            "telephone_number": "717-869-4689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1160 MANHEIM PIKE",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176013127",
            "telephone_number": "717-869-4689",
            "fax_number": "717-869-4690"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1251 E Main St",
            "address_purpose": "LOCATION",
            "city": "Annville",
            "state": "PA",
            "postal_code": "170031643",
            "country_code": "US",
            "telephone_number": "717-867-4671",
            "fax_number": "717-867-4981",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SISBARRO",
        "first_name": "GAYLE",
        "middle_name": "B",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-16",
        "last_updated": "2020-12-12",
        "certification_date": "2020-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS006214L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS",
            "identifier": "02994401",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEISINGER HEALTH PLAN",
            "identifier": "37180 S1QB",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA NON-HMO",
            "identifier": "4573072",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "532477",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001223118",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "578228",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH ASSURANCE",
            "identifier": "B43285",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GATEWAY HEALTH PLAN",
            "identifier": "P002628",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gsisbarro54484@phsdirect.pinnaclehealth.org",
            "affiliation": "N",
            "address_1": "1160 Manheim Pike",
            "city": "Lancaster",
            "state": "PA",
            "country_code": "US",
            "postal_code": "176013127",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lancaster, PA

Sources for this page

Verify at the official NPI Registry.