NICHOLAS E SIPES PA-C
NPI 1013323039
Physician Assistant in Du Bois, PA

Active since July 10, 2014PECOS EnrolledAccepts Medicare Assignment
96.56/100
CMS Quality Rating
100 HOSPITAL AVE, DU BOIS, PA 15801(814) 375-3261(814) 375-3397 Get Directions Write a Review

NPPES record last updated: April 23, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Nicholas E Sipes Pa-c NPPES

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

NICHOLAS E SIPES PA-C (NPI 1013323039) is an individual physician assistant in Du Bois, Pennsylvania, licensed in Pennsylvania (MA056985) and active in the NPI registry since July 2014. He is enrolled in Medicare PECOS, is affiliated with Penn Highlands Dubois, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1013323039
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameNICHOLAS E SIPESCredential: PA-C
Location Address100 HOSPITAL AVEDu Bois, PA 15801-1440
Mailing Address100 Hospital AveDu Bois, PA 15801-1440 · (814) 375-6549 · Fax (814) 372-2864
Fax(814) 375-3397
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateJuly 10, 2014
Last NPPES UpdateApril 23, 2019
NPI 1013323039 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in PA · MA056985
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

100 HOSPITAL AVE, Du Bois, PA 15801

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

Nicholas E Sipes Pa-c 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 ID244552768
PECOS Enrollment IDI20141211000214
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 6

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.

Drainage of fluid from abdominal cavity using imaging guidance 49083
This procedure involves removing excess fluid from your abdominal cavity, which can relieve discomfort. A specialist uses imaging technology to guide a thin needle into the right spot. The fluid is then drained out safely.
125 services25 patients
Fine needle aspiration biopsy using ultrasound guidance, first growth 10005
Fine needle aspiration biopsy with ultrasound guidance is a procedure where a thin needle is inserted into a growth to extract a small sample. Ultrasound helps accurately locate the growth. This sample is then analyzed to determine the nature of the growth.
50 services46 patients
Aspiration of fluid from chest cavity using imaging guidance 32555
This procedure, known as a thoracentesis, involves removing fluid from the space between the lungs and chest wall, called the pleural space. It's performed under imaging guidance to ensure precision. It can help diagnose conditions or relieve symptoms like shortness of breath.
46 services38 patients
Removal of spinal fluid with lower back spinal tap for diagnostic test using imaging guidance 62328
A lower back spinal tap, guided by imaging, is a procedure to collect spinal fluid for testing. A needle is carefully inserted into the lower back to draw out fluid. This can help diagnose various conditions. It's performed under local anesthesia to minimize discomfort.
16 services15 patients
Fine needle aspiration biopsy using ultrasound guidance, each additional growth 10006
A fine needle aspiration biopsy with ultrasound guidance is a procedure where a thin needle is used to collect cells from a growth. Ultrasound helps accurately locate the growth. If there's more than one growth, each one is biopsied separately.
12 services12 patients
Fluoroscopic guidance for needle placement 77002
Fluoroscopic guidance for needle placement is a medical procedure that uses a special X-ray technology to help accurately place a needle in the body. It's often used in biopsies, injections or other treatments to ensure precision and safety.
12 services12 patients

Hospital Affiliations CMS Care Compare 3

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

Penn Highlands Dubois

Acute Care Hospitals · Dubois, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390086
Location100 Hospital AvenueDubois, PA 15801 · Clearfield County

Penn Highlands Mon Valley

Acute Care Hospitals · Monongahela, PA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390147
Location1163 Country Club RoadMonongahela, PA 15063 · Washington County
Emergency services

Penn Highlands Brookville

Critical Access Hospitals · Brookville, PA
OwnershipVoluntary non-profit - Private
CMS Certification Number391312
Location100 Hospital RoadBrookville, PA 15825 · Jefferson County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15801 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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.

96.56/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability95.96
Improvement Activities40

Other Providers at the Same Location NPPES 20

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

Nurse Practitioner
100 HOSPITAL AVE
DU BOIS, PA 15801
Nurse Practitioner (Family)
100 HOSPITAL AVE
DU BOIS, PA 15801
Radiology (Diagnostic Radiology)
100 HOSPITAL AVE
DU BOIS, PA 15801
Anesthesiology
100 HOSPITAL AVE
DU BOIS, PA 15801
Nurse Practitioner
100 HOSPITAL AVE
DU BOIS, PA 15801
Registered Nurse
100 HOSPITAL AVE
DU BOIS, PA 15801
Nurse Practitioner (Gerontology)
100 HOSPITAL AVE
DU BOIS, PA 15801
Family Medicine
100 HOSPITAL AVE
DU BOIS, PA 15801

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 Nicholas Sipes's NPI number?

The NPI number for Nicholas Sipes is 1013323039. It was assigned to this individual provider in the NPPES registry on July 10, 2014.

Where is Nicholas Sipes located?

Nicholas Sipes practices at 100 Hospital Ave, Du Bois, PA 15801. The listed phone number is (814) 375-3261.

What is Nicholas Sipes's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Nicholas Sipes enrolled in Medicare?

Yes. Nicholas Sipes 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.

Is Nicholas Sipes affiliated with any hospitals?

According to CMS data, Nicholas Sipes is affiliated with Penn Highlands Dubois, Penn Highlands Mon Valley and Penn Highlands Brookville.

When was this NPI record last updated?

The NPPES record for Nicholas Sipes was last updated on April 23, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.