DR. JOSHUA SCOTT SIKES OD
NPI 1003149113
Optometrist in Chapel Hill, NC

Q: What is Joshua Sikes's NPI number?

The NPI number for Joshua Sikes is 1003149113. It was assigned to this individual provider in the NPPES registry on September 9, 2009.

Q: What is Joshua Sikes's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Q: When was this NPI record last updated?

The NPPES record for Joshua Sikes was last updated on March 10, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 09, 2009PECOS Enrolled

235 S ELLIOTT RD, CHAPEL HILL, NC 27514(919) 968-4774(919) 492-5291 Get Directions Write a Review

NPPES record last updated: March 10, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Dr. Joshua Scott Sikes Od NPPES

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

DR. JOSHUA SCOTT SIKES OD (NPI 1003149113) is an individual optometrist in Chapel Hill, North Carolina, licensed in North Carolina (2174) and active in the NPI registry since September 2009. He is enrolled in Medicare PECOS and is a graduate of University Alabama Birmingham - School Of Optometry (2009).

NPPES Registry Identity

NPI1003149113

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameDR. JOSHUA SCOTT SIKESCredential: OD

Location Address235 S ELLIOTT RDChapel Hill, NC 27514-5831

Mailing Address235 S Elliott RdChapel Hill, NC 27514-5831 · (919) 968-4774 · Fax (919) 492-5291

Phone(919) 968-4774

Fax(919) 492-5291

Sole ProprietorNo

Medical School CMSUniversity Alabama Birmingham - School Of OptometryGraduated 2009

Enumeration DateSeptember 9, 2009

Last NPPES UpdateMarch 10, 2016

✔ NPI 1003149113 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

Licenses✔ Licensed in NC · 2174✔ Licensed in HI · 703

Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

235 S ELLIOTT RD, Chapel Hill, NC 27514

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Other Identifiers 2

Medicaid5914407NC

Medicare PIN2484628NC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of NC, Oscar Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Joshua Scott Sikes Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9739220377

PECOS Enrollment IDI20100105000479

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.

Medicare Billing Reassignment

Medicare enrollment records show Joshua Sikes reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Chapel Hill Eyecare, Od PLLC

Same address

Medical Specialty

235 S ELLIOTT RD
Chapel Hill, NC 27514

Reassigned Medicare billing, North Carolina enrollment
3 clinicians in this Medicare group

NPI 1790291219 (919) 968-4774

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

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.

Photography of the retina 92250

Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.

186 services172 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.

164 services152 patients

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.

86 services48 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.

22 services22 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27514 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

$125.01 typical visit price

range $54.12 – $165.09

Typical copayment $31.25 (range $13.53 – $41.27)

Most-billed visit code 99204

Established Patient

$67.72 typical visit price

range $17.21 – $134.61

Typical copayment $16.93 (range $4.30 – $33.65)

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.

Other Providers at the Same Location NPPES 4

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

LAUREL BETH GROPPER OD

Optometrist

235 S ELLIOTT RD
CHAPEL HILL, NC 27514

Orange County (919) 968-4774

MICHAEL DAVID CARSTENS OD

Optometrist

235 S ELLIOTT RD
CHAPEL HILL, NC 27514

Orange County (919) 968-4774

CHAPEL HILL EYECARE, OD PLLC

Clinic/Center (Medical Specialty)

235 S ELLIOTT RD
CHAPEL HILL, NC 27514

Orange County (919) 968-4774

CHAPEL HILL EYE CARE AND OPTOMETRY PA

Optometrist

235 S ELLIOTT RD
CHAPEL HILL, NC 27514

Orange County (919) 968-4774

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 Joshua Sikes's NPI number?

The NPI number for Joshua Sikes is 1003149113. It was assigned to this individual provider in the NPPES registry on September 9, 2009.

Where is Joshua Sikes located?

Joshua Sikes practices at 235 S Elliott Rd, Chapel Hill, NC 27514. The listed phone number is (919) 968-4774.

What is Joshua Sikes's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Joshua Sikes enrolled in Medicare?

Yes. Joshua Sikes is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Joshua Sikes's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Joshua Sikes reassigns Medicare benefits to Chapel Hill Eyecare, Od PLLC (Chapel Hill, NC). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Joshua Sikes's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Joshua Sikes accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of NC, Oscar Health, Oscar Health Insurance and Oscar Health Maintenance Organization of Florida and 6 other insurers list Joshua Sikes 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.

When was this NPI record last updated?

The NPPES record for Joshua Sikes was last updated on March 10, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.