DRAKE EVAN SISNEROS MD
NPI 1053934711
Family Medicine in Johnstown, CO

Active since May 28, 2020PECOS Enrolled
72.72/100
CMS Quality Rating
473 CASTLE PINES AVE STE 1, JOHNSTOWN, CO 80534(970) 587-7781(970) 587-7738 Get Directions Write a Review

NPPES record last updated: July 26, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 26, 2023, Aug 12, 2020, May 28, 2020 (3 updates tracked since 2020).

About Drake Evan Sisneros Md NPPES

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

DRAKE EVAN SISNEROS MD (NPI 1053934711) is an individual family medicine provider in Johnstown, Colorado, licensed in Colorado (DR.0067853) and active in the NPI registry since May 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053934711
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDRAKE EVAN SISNEROSCredential: MD
Location Address473 CASTLE PINES AVE STE 1Johnstown, CO 80534-7859
Mailing Address6801 W 20th St Unit 101Greeley, CO 80634-9640 · (970) 378-8000 · Fax (970) 378-8035
Fax(970) 587-7738
Sole ProprietorNo
Enumeration DateMay 28, 2020
Last NPPES UpdateJuly 26, 20233 updates tracked since enumeration
NPPES CertifiedJuly 26, 2023
NPI 1053934711 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in CO · DR.0067853
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.
473 CASTLE PINES AVE STE 1, Johnstown, CO 80534

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Drake Evan Sisneros Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

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.
18 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80534 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
$89.43 typical visit price
range $58.06 – $174.82
Typical copayment $22.35 (range $14.51 – $43.70)
Most-billed visit code 99203
Established Patient
$102.03 typical visit price
range $18.88 – $142.79
Typical copayment $25.50 (range $4.72 – $35.69)
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.

72.72/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.85
Promoting Interoperability73
Improvement Activities40
Cost49.72

Referred Medical Equipment & Supplies CMS DME claims 2

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

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$84.25 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$32.48 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.

Family Medicine
473 CASTLE PINES AVE STE 1
JOHNSTOWN, CO 80534
Family Medicine
473 CASTLE PINES AVE STE 1
JOHNSTOWN, CO 80534
Family Medicine (Adolescent Medicine)
473 CASTLE PINES AVE STE 1
JOHNSTOWN, CO 80534
Family Medicine
473 CASTLE PINES AVE STE 1
JOHNSTOWN, CO 80534

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 Drake Sisneros's NPI number?

The NPI number for Drake Sisneros is 1053934711. It was assigned to this individual provider in the NPPES registry on May 28, 2020.

Where is Drake Sisneros located?

Drake Sisneros practices at 473 Castle Pines Ave Ste 1, Johnstown, CO 80534. The listed phone number is (970) 587-7781.

What is Drake Sisneros's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Drake Sisneros enrolled in Medicare?

Yes. Drake Sisneros is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Drake Sisneros was last updated on July 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.