DR. DAVID E. SISSON M.D.
NPI 1073574612
Internal Medicine - Nephrology in Winchester, VA

Q: What is David Sisson's NPI number?

The NPI number for David Sisson is 1073574612. It was assigned to this individual provider in the NPPES registry on March 31, 2006.

Q: What is David Sisson's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Q: When was this NPI record last updated?

The NPPES record for David Sisson was last updated on August 4, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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, 2006PECOS EnrolledAccepts Medicare Assignment

812 AMHERST ST, STE 201, WINCHESTER, VA 22601(540) 450-1600(540) 450-0166 Get Directions Write a Review

NPPES record last updated: August 4, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. David E. Sisson M.d. NPPES

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

DR. DAVID E. SISSON M.D. (NPI 1073574612) is an individual nephrology provider in Winchester, Virginia, licensed in Virginia (0101221449) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Winchester Medical Center, and is a graduate of Other (1994).

NPPES Registry Identity

NPI1073574612

Entity TypeIndividualMale

Primary Taxonomy207RN0300X

Provider Legal NameDR. DAVID E. SISSONCredential: M.D.

Location Address812 AMHERST ST, STE 201Winchester, VA 22601

Mailing Address812 Amherst St, Ste 201Winchester, VA 22601 · (540) 450-1600 · Fax (540) 450-0166

Phone(540) 450-1600

Fax(540) 450-0166

Sole ProprietorNo

Medical School CMSOtherGraduated 1994

Enumeration DateMarch 31, 2006

Last NPPES UpdateAugust 4, 2011

✔ NPI 1073574612 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians

Taxonomy Code207RN0300X

License✔ Licensed in VA · 0101221449

Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

812 AMHERST ST, Winchester, VA 22601

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Other Identifiers 5

Medicaid6000048000WV

Medicare PIN00X420R02VA

Medicare UPING97972

Medicaid1073574612VA

Other298306VA · Blue Cross Of Virginia

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

Dr. David E. Sisson M.d. 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 ID2264435171

PECOS Enrollment IDI20070621000186

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 16

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.

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.

476 services184 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.

390 services290 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.

175 services154 patients

Dialysis services, 4 or more physician visits per month (20 years or older) 90960

Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.

130 services61 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.

120 services110 patients

Hemodialysis procedure with physician evaluation 90935

Hemodialysis is a treatment that uses a machine to filter waste and excess fluid from your blood when your kidneys can't. A physician checks your health before, during, and after the procedure to ensure it's working effectively for you.

71 services34 patients

Home dialysis services per month (20 years or older) 90966

Home dialysis services provide kidney treatment for patients aged 20 or older right in their own homes. This service includes necessary equipment, supplies, and support for performing dialysis. It's a convenient option that allows patients to maintain their daily routines while receiving essential care.

57 services21 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.

38 services31 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

35 services25 patients

Manual urinalysis test with examination using microscope, automated 81001

A manual urinalysis test with automated microscopic examination is a lab process that checks your urine for health indicators. It involves a machine scanning your sample to identify any abnormal elements, which can assist in diagnosing various conditions.

32 services32 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

27 services21 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.

21 services21 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

21 services21 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

21 services20 patients

Dialysis services, 2-3 physician visits per month (20 years or older) 90961

Dialysis is a treatment that performs the function of healthy kidneys if they're not working properly. It removes waste and excess fluid from your blood. 2-3 physician visits per month are recommended for monitoring your health and adjusting your treatment as needed. This service is available for those aged 20 years and older.

16 services14 patients

Face-to-face educational services related to the care of chronic kidney disease; individual, per session, per one hour G0420

This service involves one-on-one educational sessions about managing chronic kidney disease. Each session lasts about an hour. Topics can include understanding the disease, dietary changes, medication management, and lifestyle modifications to help control the condition.

12 services12 patients

Hospital Affiliations CMS Care Compare 5

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

Winchester Medical Center

Acute Care Hospitals · Winchester, VA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number490005

Location1840 Amherst StWinchester, VA 22601 · Winchester City County

Emergency services Birthing friendly

Warren Memorial Hospital

Acute Care Hospitals · Front Royal, VA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number490033

Location351 Valley Health WayFront Royal, VA 22630 · Warren County

Emergency services

Shenandoah Memorial Hospital

Critical Access Hospitals · Woodstock, VA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number491305

Location759 South Main StreetWoodstock, VA 22664 · Shenandoah County

Emergency services

Valley Health War Memorial Hospital

Critical Access Hospitals · Berkeley Springs, WV

OwnershipVoluntary non-profit - Private

CMS Certification Number511309

Location1 Healthy WayBerkeley Springs, WV 25411 · Morgan County

Emergency services

Hampshire Memorial Hospital

Critical Access Hospitals · Romney, WV

OwnershipVoluntary non-profit - Private

CMS Certification Number511311

Location363 Sunrise BoulevardRomney, WV 26757 · Hampshire County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22601 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

$129.04 typical visit price

range $56.19 – $170.30

Typical copayment $32.26 (range $14.04 – $42.57)

Most-billed visit code 99204

Established Patient

$99.13 typical visit price

range $18.07 – $138.91

Typical copayment $24.78 (range $4.51 – $34.72)

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 5

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

Azathioprine, oral, 50 mg J7500

Treatment-Treatment - Miscellaneous · category RX029N

1 supplier12 claims360 services$1.14 avg. paid by Medicare

Prednisone, immediate release or delayed release, oral, 1 mg J7512

Treatment-Treatment - Miscellaneous · category RX029N

2 suppliers17 claims2,550 services$0.01 avg. paid by Medicare

Cyclosporine, oral, 25 mg J7515

Treatment-Treatment - Miscellaneous · category RX029N

1 supplier12 claims1,350 services$0.60 avg. paid by Medicare

Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511

Treatment-Chemotherapy · category RH012N

4 suppliers19 claims19 services$18.02 avg. paid by Medicare

Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512

Treatment-Chemotherapy · category RH012N

2 suppliers29 claims32 services$12.66 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 13

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

MEENAKSHI GOPAL MD

Internal Medicine

812 AMHERST ST, SUITE 101
WINCHESTER, VA 22601

Winchester City (540) 722-0220

MRS. JENNIFER ANN LUTZ FNP

Internal Medicine (Nephrology)

812 AMHERST ST
WINCHESTER, VA 22601

Winchester City (540) 335-5232

WINCHESTER PSYCHIATRIC CONSULTANTS, PC

Psychiatry & Neurology (Psychiatry)

812 AMHERST ST, SUITE 302
WINCHESTER, VA 22601

Winchester City (540) 431-5067

ANNE E. SCHEMPP PA-C

Physician Assistant

812 AMHERST ST, SUITE 101
WINCHESTER, VA 22601

Winchester City (540) 722-0220

KATHERINE MARIE RUTHERFORD

Nurse Practitioner (Family)

812 AMHERST ST
WINCHESTER, VA 22601

Winchester City (540) 450-1600

VALLEY FAMILY PRACTICE LLC

Family Medicine

812 AMHERST ST, SUITE 101
WINCHESTER, VA 22601

Winchester City (540) 722-0220

RENAL PHYSICIAN ASSOCIATES OF WINCHESTER PLC

Clinic/Center (Medical Specialty)

812 AMHERST ST, STE 201
WINCHESTER, VA 22601

Winchester City (540) 450-1600

ROBERT W DUCK MD

Family Medicine

812 AMHERST ST, SUITE 101
WINCHESTER, VA 22601

Winchester City (540) 722-0220

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 David Sisson's NPI number?

The NPI number for David Sisson is 1073574612. It was assigned to this individual provider in the NPPES registry on March 31, 2006.

Where is David Sisson located?

David Sisson practices at 812 Amherst St Ste 201, Winchester, VA 22601. The listed phone number is (540) 450-1600.

What is David Sisson's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is David Sisson enrolled in Medicare?

Yes. David Sisson 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 David Sisson affiliated with any hospitals?

According to CMS data, David Sisson is affiliated with Winchester Medical Center, Warren Memorial Hospital, Shenandoah Memorial Hospital, Valley Health War Memorial Hospital and Hampshire Memorial Hospital.

When was this NPI record last updated?

The NPPES record for David Sisson was last updated on August 4, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.