JOHNNY B SISNEROS PAC
NPI 1093705857
Physician Assistant in Alamosa, CO

Q: What is Johnny Sisneros's NPI number?

The NPI number for Johnny Sisneros is 1093705857. It was assigned to this individual provider in the NPPES registry on October 24, 2005.

Q: What is Johnny Sisneros's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Johnny Sisneros was last updated on February 19, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 October 24, 2005PECOS EnrolledAccepts Medicare Assignment

106 BLANCA AVE STE 300, ALAMOSA, CO 81101(719) 589-3658 Get Directions Write a Review

NPPES record last updated: February 19, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Johnny B Sisneros Pac NPPES

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

JOHNNY B SISNEROS PAC (NPI 1093705857) is an individual physician assistant in Alamosa, Colorado, licensed in Colorado (1122) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS and is a graduate of Other (1998).

NPPES Registry Identity

NPI1093705857

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameJOHNNY B SISNEROSCredential: PAC

Location Address106 BLANCA AVE STE 300Alamosa, CO 81101-2340

Mailing Address106 Blanca Ave Ste 300Alamosa, CO 81101-2340 · (719) 589-3658 · Fax (719) 589-0997

Phone(719) 589-3658

Sole ProprietorNo

Medical School CMSOtherGraduated 1998

Enumeration DateOctober 24, 2005

Last NPPES UpdateFebruary 19, 2020

✔ NPI 1093705857 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 CO · 1122

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.

106 BLANCA AVE STE 300, Alamosa, CO 81101

Open in Google Maps ↗

Other Identifiers 2

Other840706945058CO · Rocky Mountain Health Pla

Other970027495Travelers Medicare

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

Johnny B Sisneros Pac 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 ID6103874037

PECOS Enrollment IDI20050107000368

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 81101 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

$72.20 typical visit price

range $18.88 – $142.79

Typical copayment $18.05 (range $4.72 – $35.69)

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.

Referred Medical Equipment & Supplies CMS DME claims 15

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

7 suppliers49 claims94 services$5.57 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

5 suppliers15 claims15 services$1.14 avg. paid by Medicare

Full face mask used with positive airway pressure device, each A7030

DME-Other DME · category DE001N

2 suppliers20 claims20 services$103.76 avg. paid by Medicare

Face mask interface, replacement for full face mask, each A7031

DME-Other DME · category DE001N

2 suppliers19 claims57 services$41.67 avg. paid by Medicare

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

3 suppliers18 claims18 services$22.57 avg. paid by Medicare

Tubing used with positive airway pressure device A7037

DME-Other DME · category DE001N

3 suppliers20 claims20 services$20.77 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 6

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

MICHAEL DAVID GRUBER M D PC

Family Medicine