Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ALEXANDER MICHAEL SIDOR MD
NPI 1104315316
Radiology - Vascular & Interventional Radiology in Lakeland, FL

Q: What is Alexander Sidor's NPI number?

The NPI number for Alexander Sidor is 1104315316. It was assigned to this individual provider in the NPPES registry on May 2, 2018.

Q: What is Alexander Sidor's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Vascular & Interventional Radiology, with taxonomy code 2085R0204X.

Q: When was this NPI record last updated?

The NPPES record for Alexander Sidor was last updated on October 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 days 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 May 02, 2018PECOS Enrolled

76.98/100

CMS Quality Rating

1417 LAKELAND HILLS BLVD STE 102, LAKELAND, FL 33805(863) 577-0316 Get Directions Write a Review

NPPES record last updated: October 14, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 14, 2026, Sep 4, 2025, May 2, 2018 (3 updates tracked since 2018).

On this page

About Alexander Michael Sidor Md NPPES

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

ALEXANDER MICHAEL SIDOR MD (NPI 1104315316) is an individual vascular & interventional radiology provider in Lakeland, Florida, licensed in Florida (ME146057) and active in the NPI registry since May 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104315316

Entity TypeIndividualMale

Primary Taxonomy2085R0204X

Provider Legal NameALEXANDER MICHAEL SIDORCredential: MD

Location Address1417 LAKELAND HILLS BLVD STE 102Lakeland, FL 33805-3200

Mailing Address35 Kingston RdMedia, PA 19063-1850 · (610) 892-3999

Phone(863) 577-0316

Sole ProprietorNo

Enumeration DateMay 2, 2018

Last NPPES UpdateOctober 14, 20263 updates tracked since enumeration

NPPES CertifiedOctober 14, 2026

✔ NPI 1104315316 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Vascular & Interventional RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0204X

License✔ Licensed in FL · ME146057

Definition

A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.

1417 LAKELAND HILLS BLVD STE 102, Lakeland, FL 33805

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alexander Michael Sidor 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.

Medicare Billing Reassignments

Medicare enrollment records show Alexander Sidor reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Radiology & Imaging Specialists Of Lakeland, PA

0.1 mi

Diagnostic Radiology

1305 LAKELAND HILLS BLVD
Lakeland, FL 33805

Reassigned Medicare billing, Florida enrollment
83 clinicians in this Medicare group

NPI 1649543992 (863) 688-2334

Baycare Outpatient Imaging LLC

9.1 mi

Diagnostic Radiology

3198 N. PARK ROAD, SUITE 102
Plant City, FL 33563

Reassigned Medicare billing, Florida enrollment
173 clinicians in this Medicare group

NPI 1376238642 (813) 757-1204

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

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.

Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152

This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.

45 services42 patients

Ultrasonic guidance for blood vessel access 76937

Ultrasonic guidance for blood vessel access is a medical procedure where sound waves are used to create images of your blood vessels. This helps doctors to accurately locate and access the vessels for treatments or tests, ensuring safety and precision.

17 services15 patients

Fluoroscopic guidance for insertion or removal of central vein access device 77001

Fluoroscopic guidance for central vein access device insertion or removal is a procedure where a special X-ray, called a fluoroscope, is used to help accurately place or remove a device in a central vein. This device aids in delivering medications or collecting blood samples.

15 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33805 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

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$70.04 typical visit price

range $17.57 – $139.16

Typical copayment $17.51 (range $4.39 – $34.79)

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.

76.98/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

72.91

Improvement Activities

Other Providers at the Same Location NPPES 2

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

RADIOLOGY & IMAGING SPECIALISTS OF LAKELAND, PA

Radiology (Vascular & Interventional Radiology)

1417 LAKELAND HILLS BLVD STE 102
LAKELAND, FL 33805

Polk County (863) 688-2334

MAX MIRANDA PA

Physician Assistant

1417 LAKELAND HILLS BLVD STE 102
LAKELAND, FL 33805

Polk County (863) 577-0316

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 Alexander Sidor's NPI number?

The NPI number for Alexander Sidor is 1104315316. It was assigned to this individual provider in the NPPES registry on May 2, 2018.

Where is Alexander Sidor located?

Alexander Sidor practices at 1417 Lakeland Hills Blvd Ste 102, Lakeland, FL 33805. The listed phone number is (863) 577-0316.

What is Alexander Sidor's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Vascular & Interventional Radiology, with taxonomy code 2085R0204X.

Is Alexander Sidor enrolled in Medicare?

Yes. Alexander Sidor is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Alexander Sidor's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alexander Sidor reassigns Medicare benefits to 2 organizations: Radiology & Imaging Specialists Of Lakeland, PA (Lakeland, FL) and Baycare Outpatient Imaging LLC (Plant City, FL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Alexander Sidor's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Alexander Sidor was last updated on October 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 days 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.