JAKE SIDES
NPI 1003279662
Surgery in Bristol, TN

Q: What is Jake Sides's NPI number?

The NPI number for Jake Sides is 1003279662. It was assigned to this individual provider in the NPPES registry on March 31, 2016.

Q: What is Jake Sides's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Q: When was this NPI record last updated?

The NPPES record for Jake Sides was last updated on July 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 March 31, 2016PECOS EnrolledAccepts Medicare Assignment

1 MEDICAL PARK BLVD STE 250W, BRISTOL, TN 37620(423) 844-6620(423) 844-6626 Get Directions Write a Review

NPPES record last updated: July 3, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 3, 2024, Sep 27, 2021, Mar 31, 2016 (3 updates tracked since 2016).

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About Jake Sides NPPES

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

JAKE SIDES (NPI 1003279662) is an individual surgery provider in Bristol, Tennessee, licensed in Tennessee (63286) and active in the NPI registry since March 2016. He is enrolled in Medicare PECOS, is affiliated with Wellmont Bristol Regional Medical Center, and maintains a secondary practice location in Marion.

NPPES Registry Identity

NPI1003279662

Entity TypeIndividualMale

Primary Taxonomy208600000X

Provider Legal NameJAKE SIDES

Location Address1 MEDICAL PARK BLVD STE 250WBristol, TN 37620-7431

Mailing Address1021 W Oakland Ave Ste 310Johnson City, TN 37604-2192 · (423) 302-6565

Phone(423) 844-6620

Fax(423) 844-6626

Sole ProprietorYes

Medical School CMSOtherGraduated 2016

Enumeration DateMarch 31, 2016

Last NPPES UpdateJuly 3, 20243 updates tracked since enumeration

NPPES CertifiedJuly 3, 2024

✔ NPI 1003279662 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

Licenses✔ Licensed in TN · 63286✔ Licensed in VA · 0101275797

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1 MEDICAL PARK BLVD STE 250W, Bristol, TN 37620

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Secondary Practice Location 1

Location 1594 Radio Hill RdMarion, VA 24354-4224 · Phone (423) 844-6620

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter Health, Ambetter of Alabama 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 and accepts Medicare assignment

Jake Sides 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 ID9436441870

PECOS Enrollment IDI20210719000075, I20230113000969

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 Reassignments

Medicare enrollment records show Jake Sides reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Bristol Surgical Associates PC

Same address

Surgery

1 MEDICAL PARK BLVD, 250 WEST
Bristol, TN 37620

Reassigned Medicare billing, Tennessee enrollment
9 clinicians in this Medicare group

NPI 1811066947 (423) 844-6620

Wellmont Medical Associates Inc

1.8 mi

Pulmonary Disease

350 BLOUNTVILLE HWY STE 106
Bristol, TN 37620

Reassigned Medicare billing, Tennessee enrollment
861 clinicians in this Medicare group

NPI 1780986257 (423) 968-2446

Wps Providers Inc

17 mi

General Practice

130 W RAVINE RD
Kingsport, TN 37660

Reassigned Medicare billing, Tennessee and Virginia enrollments
81 clinicians in this Medicare group

NPI 1003904095 (423) 224-4000

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 9

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.

100 services65 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

64 services43 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

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

34 services30 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

31 services30 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

Hospital Affiliations CMS Care Compare 4

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

Wellmont Bristol Regional Medical Center

Acute Care Hospitals · Bristol, TN

1/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number440012

LocationOne Medical Park BlvdBristol, TN 37620 · Sullivan County

Emergency services Birthing friendly

Russell County Hospital

Acute Care Hospitals · Lebanon, VA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number490002

Location58 Carroll StreetLebanon, VA 24266 · Russell County

Emergency services

Smyth County Community Hospital

Acute Care Hospitals · Marion, VA

OwnershipVoluntary non-profit - Private

CMS Certification Number490038

Location245 Medical Park DriveMarion, VA 24354 · Smyth County

Emergency services

Johnston Memorial Hospital

Acute Care Hospitals · Abingdon, VA

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number490053

Location16000 Johnston Memorial DriveAbingdon, VA 24211 · Washington County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37620 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.

Referred Medical Equipment & Supplies CMS DME claims 3

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

Parenteral nutrition solution, not otherwise specified, 10 grams lipids B4185

Other-Enteral and Parenteral · category OB005N

1 supplier14 claims433 services$11.19 avg. paid by Medicare

Parenteral nutrition supply kit; premix, per day B4220

Other-Enteral and Parenteral · category OB005N

1 supplier14 claims89 services$7.97 avg. paid by Medicare

Parenteral nutrition administration kit, per day B4224

Other-Enteral and Parenteral · category OB005N

1 supplier14 claims89 services$24.90 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 7

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

KELLY A COX NP

Nurse Practitioner (Family)