Kyle Sicher, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

215990 Issued in AK

Practice address

3100 Tongass Ave
Ketchikan, AK 99901-5746

Phone

(907) 225-5171

Fax

(907) 370-2533

NPI assigned

Jun 10, 2021

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 AK, WY2 enrollments

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 2

Specialty

Emergency Medicine

Education

University of Connecticut School of Medicine, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Campbell County Hospital DistrictGroup PAC ID 2860392529, 128 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Campbell County Health Hospital, Gillette, WY, CCN 530002

Merit-based Incentive Payment System (MIPS)

Final score

79.12 of 100Reported as group

Quality

81.91

Promoting interoperability

100

Improvement activities

40

Cost

40.93

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ksicher657227@direct.peacehealth.org

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.

• Campbell County Hospital District

  • Internal Medicine Physician
  • Gillette, WY
  • NPI 1710098868
  Medicare reassignment Care Compare group NPD
• Nes Washington, Inc.

  • Emergency Medicine Physician
  • Ketchikan, AK
  • NPI 1215239595
  Medicare reassignment NPD
• Campbell County Hospital District

  • Clinical Pathology/Laboratory Medicine Physician
  • Gillette, WY
  • NPI 1205511912
  NPD
• Campbell County Hospital District

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Gillette, WY
  • NPI 1881730141
  NPD
• Campbell County Hospital District

  • Community/Retail Pharmacy
  • Gillette, WY
  • NPI 1992874218
  NPD

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

• Campbell County Hospital District

  • General Acute Care Hospital
  • Gillette, WY
  • NPI 1487638417
  Care Compare affiliation
• Campbell County Hospital District

  • Ambulatory Surgical Clinic/Center
  • Gillette, WY
  • NPI 1780738153

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1623283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731628800000",
    "number": "1831766492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1467 FOUNTAIN SQUARE DR # 13",
            "city": "AUSTINTOWN",
            "state": "OH",
            "postal_code": "445154668",
            "telephone_number": "970-691-2193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 TONGASS AVE",
            "city": "KETCHIKAN",
            "state": "AK",
            "postal_code": "999015746",
            "telephone_number": "907-225-5171",
            "fax_number": "907-370-2533"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1044 Belmont Avenue",
            "address_2": "Dept of Medical Education",
            "address_purpose": "LOCATION",
            "city": "Youngstown",
            "state": "OH",
            "postal_code": "44504",
            "country_code": "US",
            "telephone_number": "970-691-2193",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "667 Eastland Ave SE",
            "address_purpose": "LOCATION",
            "city": "Warren",
            "state": "OH",
            "postal_code": "444844503",
            "country_code": "US",
            "telephone_number": "970-691-2193",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8401 Market Street",
            "address_2": "Dept of Medical Education",
            "address_purpose": "LOCATION",
            "city": "Boardman",
            "state": "OH",
            "postal_code": "44512",
            "country_code": "US",
            "telephone_number": "970-691-2193",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SICHER",
        "first_name": "KYLE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-10",
        "last_updated": "2024-11-15",
        "certification_date": "2024-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "57.251345",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AK",
            "license": "215990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roman Shepard
• Rebecca E Shern, R.D.
• Mark James Sherrard
• Joann Shimek
• Rachel Shull, LMT
• Darryl Anthony Simons
• Hadlee Emma Simonson
• Helene Rae Simpson, BHA
• Audrey Eileen Small, CNM
• Alicia Jo Smith

• Emergency Medicine Physician in Ketchikan, AK
• Providers in Ketchikan, AK by specialty
• Emergency Medicine Physician in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2024; 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.