MICHAEL J SINCLAIR MD
NPI 1043200181
Family Medicine in Loxahatchee, FL

Active since October 27, 2005PECOS EnrolledAccepts Medicare Assignment
13005 STATE ROAD 80, STE 111, LOXAHATCHEE, FL 33470(561) 798-2002(561) 798-3450 Get Directions Write a Review

NPPES record last updated: July 9, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Michael J Sinclair Md NPPES

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

MICHAEL J SINCLAIR MD (NPI 1043200181) is an individual family medicine provider in Loxahatchee, Florida, licensed in Florida (ME0047669) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with Hca Florida Palms West Hospital, and is a graduate of University Of Michigan Medical School (1983).

NPPES Registry Identity

NPI1043200181
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMICHAEL J SINCLAIRCredential: MD
Location Address13005 STATE ROAD 80, STE 111Loxahatchee, FL 33470-9206
Mailing Address13005 State Road 80, Ste 111Loxahatchee, FL 33470-9206 · (561) 798-2002 · Fax (561) 798-3450
Fax(561) 798-3450
Sole ProprietorYes
Medical School CMSUniversity Of Michigan Medical SchoolGraduated 1983
Enumeration DateOctober 27, 2005
Last NPPES UpdateJuly 9, 2015
NPI 1043200181 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in FL · ME0047669
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

13005 STATE ROAD 80, Loxahatchee, FL 33470

Other Identifiers 1

Medicare UPIND58311FL

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

Michael J Sinclair 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 ID7810175585
PECOS Enrollment IDI20110711000307
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 10

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 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.
500 services171 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
469 services161 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.
219 services132 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
129 services129 patients
Annual alcohol misuse screening, 5 to 15 minutes G0442
An annual alcohol misuse screening is a 15-minute check-up to assess your drinking habits. It helps identify if you're consuming alcohol in a way that could harm your health. This is not a judgment, but a tool to promote your wellbeing.
122 services122 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
117 services117 patients

Hospital Affiliations CMS Care Compare

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

Hca Florida Palms West Hospital

Acute Care Hospitals · Loxahatchee, FL
3/5 CMS rating
OwnershipProprietary
CMS Certification Number100269
Location13001 Southern BlvdLoxahatchee, FL 33470 · Palm Beach County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33470 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
$91.69 typical visit price
range $58.56 – $179.05
Typical copayment $22.92 (range $14.64 – $44.76)
Most-billed visit code 99203
Established Patient
$103.21 typical visit price
range $18.44 – $144.68
Typical copayment $25.80 (range $4.61 – $36.17)
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.

Referred Medical Equipment & Supplies CMS DME claims

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers23 claims30 services$6.02 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 4

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

Internal Medicine (Nephrology)
13005 STATE ROAD 80, SUITE# 141
LOXAHATCHEE, FL 33470
Internal Medicine (Nephrology)
13005 STATE ROAD 80, SUITE 141
LOXAHATCHEE, FL 33470
Internal Medicine (Nephrology)
13005 STATE ROAD 80
LOXAHATCHEE, FL 33470
Internal Medicine (Nephrology)
13005 STATE ROAD 80, SUITE 141
LOXAHATCHEE, FL 33470

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1043200181, enumerated as an "individual" on October 27, 2005.

The provider is located at 13005 STATE ROAD 80 STE 111 LOXAHATCHEE, FL 33470 and the phone number is (561) 798-2002.

Family Medicine with taxonomy code 207Q00000X.

The provider might be accepting Accepts: Ambetter from Superior HealthPlan, Ambetter. Please consult your insurance carrier or call the provider to verify.

Michael Sinclair is affiliated with: HCA FLORIDA PALMS WEST HOSPITAL.