MR. MICHAEL ALEXANDER SYWAK MD
NPI 1003104639
Surgery - Vascular Surgery in Cookeville, TN

Active since July 18, 2011PECOS EnrolledAccepts Medicare Assignment
85.98/100
CMS Quality Rating
222 W 4TH ST STE 201, COOKEVILLE, TN 38501(931) 783-4269(931) 372-0401 Get Directions Write a Review

NPPES record last updated: May 1, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 26, 2022, Jan 6, 2020 (2 updates tracked since 2020).

About Mr. Michael Alexander Sywak Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. MICHAEL ALEXANDER SYWAK MD (NPI 1003104639) is an individual vascular surgery provider in Cookeville, Tennessee, licensed in Tennessee (58850) and active in the NPI registry since July 2011. He is enrolled in Medicare PECOS, is affiliated with Cumberland Medical Center, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1003104639
Entity TypeIndividualMale
Primary Taxonomy2086S0129X
Provider Legal NameMR. MICHAEL ALEXANDER SYWAKCredential: MD
Location Address222 W 4TH ST STE 201Cookeville, TN 38501-2413
Mailing Address140 W 7th StCookeville, TN 38501-1726 · (931) 783-5582 · Fax (931) 526-6760
Fax(931) 372-0401
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateJuly 18, 2011
Last NPPES UpdateMay 1, 20252 updates tracked since enumeration
NPPES CertifiedMay 1, 2025
NPI 1003104639 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
License Licensed in TN · 58850
Definition

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

222 W 4TH ST STE 201, Cookeville, TN 38501

Other Identifiers 1

MedicaidQ050621TN

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mr. Michael Alexander Sywak Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2365780954
PECOS Enrollment IDI20190809000262
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 22

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
333 services294 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
90 services82 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
74 services74 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
61 services60 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
59 services59 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
48 services48 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Cumberland Medical Center

Acute Care Hospitals · Crossville, TN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440009
Location421 S Main StCrossville, TN 38555 · Cumberland County
Emergency services Birthing friendly

Cookeville Regional Medical Center

Acute Care Hospitals · Cookeville, TN
1/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number440059
Location1 Medical Center BoulevardCookeville, TN 38501 · Putnam County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38501 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

85.98/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality71.79
Promoting Interoperability91
Improvement Activities40
Cost68.77

Reported Quality Measures

Advance Care Plan
7%866 patients1/55-star benchmark: 100%
Breast Cancer Screening
10%240 patients1/55-star benchmark: 93%
Cervical Cancer Screening
5%137 patients1/55-star benchmark: 98%
Closing the Referral Loop: Receipt of Specialist Report
33%79 patients2/55-star benchmark: 87%
Colorectal Cancer Screening
36%653 patients2/55-star benchmark: 88%
Controlling High Blood Pressure
77%290 patients4/55-star benchmark: 91%
Diabetes: Eye Exam
10%125 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
81%125 patients1/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
99%1,572 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
2%853 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
25%1,139 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
1%1,046 patients1/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
30%837 patients2/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 79% · 701 patients
Patients screened: 99% · 701 patients
27%193 patients2/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
43%405 patients2/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
78%790 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 878 patients
Patients totalRate: 2% · 881 patients
2%881 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$19.50 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$109.33 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant (Surgical)
222 W 4TH ST STE 201
COOKEVILLE, TN 38501
Internal Medicine (Clinical Cardiac Electrophysiology)
222 W 4TH ST STE 201
COOKEVILLE, TN 38501
Nurse Practitioner
222 W 4TH ST STE 201
COOKEVILLE, TN 38501
Nurse Practitioner
222 W 4TH ST STE 201
COOKEVILLE, TN 38501
Thoracic Surgery (Cardiothoracic Vascular Surgery)
222 W 4TH ST STE 201
COOKEVILLE, TN 38501
Nurse Practitioner
222 W 4TH ST STE 201
COOKEVILLE, TN 38501
Thoracic Surgery (Cardiothoracic Vascular Surgery)
222 W 4TH ST STE 201
COOKEVILLE, TN 38501
Physician Assistant
222 W 4TH ST STE 201
COOKEVILLE, TN 38501

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Sywak's NPI number?

The NPI number for Michael Sywak is 1003104639. It was assigned to this individual provider in the NPPES registry on July 18, 2011.

Where is Michael Sywak located?

Michael Sywak practices at 222 W 4th St Ste 201, Cookeville, TN 38501. The listed phone number is (931) 783-4269.

What is Michael Sywak's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Is Michael Sywak enrolled in Medicare?

Yes. Michael Sywak is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Michael Sywak accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 3 other insurers list Michael Sywak as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Michael Sywak affiliated with any hospitals?

According to CMS data, Michael Sywak is affiliated with Cumberland Medical Center and Cookeville Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Michael Sywak was last updated on May 1, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.