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GERARD F SYKES MD
NPI 1013057991
Internal Medicine in Bronx, NY

Active since February 08, 2007PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
3510 JOHNSON AVE, BRONX, NY 10463(718) 601-8205(718) 601-8693 Get Directions Write a Review

NPPES record last updated: December 6, 2011. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Gerard F Sykes Md NPPES

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

GERARD F SYKES MD (NPI 1013057991) is an individual internal medicine provider in Bronx, New York, licensed in New York (233170) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS, is affiliated with Englewood Hospital And Medical Center, and is a graduate of Other (1990).

NPPES Registry Identity

NPI1013057991
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameGERARD F SYKESCredential: MD
Location Address3510 JOHNSON AVEBronx, NY 10463-1603
Mailing Address3510 Johnson AveBronx, NY 10463-1603 · (718) 601-8205 · Fax (718) 601-8693
Phone(718) 601-8205
Fax(718) 601-8693
Sole ProprietorNo
Medical School CMSOtherGraduated 1990
Enumeration DateFebruary 8, 2007
Last NPPES UpdateDecember 6, 2011
✔ NPI 1013057991 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NY · 233170
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
3510 JOHNSON AVE, Bronx, NY 10463
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.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

Gerard F Sykes 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 ID1658390497
PECOS Enrollment IDI20240916003622
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

3

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

Montefiore Medical Center
1.6 mi
Anesthesiology
111 E 210TH ST
Bronx, NY 10467
  • Reassigned Medicare billing, New York enrollment
  • 5,251 clinicians in this Medicare group
NPI 1063525152 (914) 378-6021
Medical Associates Of Englewood, PC
3.3 mi
Internal Medicine
350 ENGLE ST
Englewood, NJ 07631
  • Reassigned Medicare billing, New Jersey enrollment
  • 849 clinicians in this Medicare group
NPI 1952681918 (201) 608-2136
White Plains Medical Diagnostic Services, PC
15 mi
Internal Medicine
160 N MIDLAND AVE
Nyack, NY 10960
  • Reassigned Medicare billing, New York enrollment
  • 130 clinicians in this Medicare group
NPI 1689955338 (845) 348-2000

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.

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
173 services44 patients
Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439
Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.
99 services36 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.
40 services35 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.
14 services12 patients

Hospital Affiliations CMS Care Compare

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

Englewood Hospital And Medical Center

Acute Care Hospitals · Englewood, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310045
Location350 Engle StEnglewood, NJ 07631 · Bergen County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10463 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
Most-billed visit code 99214
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

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 Gerard Sykes's NPI number?

The NPI number for Gerard Sykes is 1013057991. It was assigned to this individual provider in the NPPES registry on February 8, 2007.

Where is Gerard Sykes located?

Gerard Sykes practices at 3510 Johnson Ave, Bronx, NY 10463. The listed phone number is (718) 601-8205.

What is Gerard Sykes's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Gerard Sykes enrolled in Medicare?

Yes. Gerard Sykes 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.

Which organizations bill Medicare for Gerard Sykes's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gerard Sykes reassigns Medicare benefits to 3 organizations: Montefiore Medical Center (Bronx, NY), Medical Associates Of Englewood, PC (Englewood, NJ) and White Plains Medical Diagnostic Services, PC (Nyack, NY). Each 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 Gerard Sykes's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Gerard Sykes accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Gerard Sykes 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 Gerard Sykes affiliated with any hospitals?

According to CMS data, Gerard Sykes is affiliated with Englewood Hospital And Medical Center.

When was this NPI record last updated?

The NPPES record for Gerard Sykes was last updated on December 6, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.