TIMOTHY CHRISTIAN SITTER MD
NPI 1104813252
Orthopaedic Surgery - Sports Medicine in Sugar Land, TX

NPI Status: Active since October 04, 2005

Contact Information

16811 SOUTHWEST FWY
SUGAR LAND, TX
ZIP 77479
Phone: (281) 690-4678
Fax: (281) 565-8808

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  • Individual
  • Male
  • Orthopaedic Surgery
  • Sports Medicine
  • Accepts Insurance
  • PECOS Enrolled

About TIMOTHY SITTER

This page provides the complete NPI Profile along with additional information for Timothy Sitter, a provider established in Sugar Land, Texas with a medical specialization in Orthopaedic Surgery, focusing in sports medicine . The healthcare provider is registered in the NPI registry with number 1104813252 assigned on October 2005. The practitioner's primary taxonomy code is 207XX0005X with license number H4706 (TX). The provider is registered as an individual and his NPI record was last updated 7 years ago.

NPI
1104813252
Provider Name
TIMOTHY CHRISTIAN SITTER MD
Gender
Male
Entity Type
Individual
Location Address
16811 SOUTHWEST FWY SUGAR LAND, TX 77479
Location Phone
(281) 690-4678
Location Fax
(281) 565-8808
Mailing Address
16811 SOUTHWEST FWY SUGAR LAND, TX 77479
Mailing Phone
(281) 690-4678
Mailing Fax
(281) 565-8808
Is Sole Proprietor?
No
Enumeration Date
10-04-2005
Last Update Date
06-10-2019
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Orthopaedic Surgery Sports Medicine

Taxonomy Code
207XX0005X
Type
Allopathic & Osteopathic Physicians
License No.
H4706
License State
TX
Taxonomy Description
An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207X00000XAllopathic & Osteopathic Physicians

Orthopaedic Surgery

H4706 (TX)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Community Premier Gold 005 (No deductible for PCP, Specialist, Urgent Care & Generics, $0 PCP 24/7 Virtual Care Options) - HMO
  • Community Premier Gold 021 (No deductible for PCP, Specialist, Urgent Care & Generics, $0 PCP 24/7 Virtual Care Options) - HMO
  • Community Premier Silver 012 (No deductible for PCP, Urgent Care & Generics, $0 PCP 24/7 Virtual Care Options) - HMO
  • Community Premier Silver 020 (No deductible for PCP, Specialist, Urgent Care & Generics, $0 PCP 24/7 Virtual Care Options) - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
8BP172OTHER (01)TXBLUE CROSS BLUE SHIELD
129239307MEDICAID (05)TX 
129239309MEDICAID (05)TX 
129239306MEDICAID (05)TX 
129239308MEDICAID (05)TX 
610119705OTHER (01)TXUS DEPT OF LABOR
P00734625OTHER (01)TXRAILROAD MEDICARE
P01055724OTHER (01)TXRR MEDICARE
129239311MEDICAID (05)TX 

Medicare Participation & PECOS Enrollment Status

Timothy Sitter is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Provider Referred Orders for Durable Medical Equipment, Devices & Supplies

The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.

Durable Medical Equipment

  • DME-Other DME (DE000N)

    Walker, folding, wheeled, adjustable or fixed height (HCPCS:E0143)

    3 DME suppliers used 18 Medicare Claims 18 Services Paid

Orthotic Devices

  • DME-Orthotic Devices (DF000N)

    Shoulder orthosis, figure of eight design abduction restrainer, canvas and webbing, prefabricated, off-the-shelf (HCPCS:L3660)

    2 DME suppliers used 29 Medicare Claims 29 Services Paid

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Aspiration and/or injection of fluid from large joint

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

This service was performed 547 times for 284 patients

Established patient office or other outpatient visit, 20-29 minutes

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.

This service was performed 492 times for 352 patients

Established patient office or other outpatient visit, 30-39 minutes

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.

This service was performed 171 times for 149 patients

Hyaluronan or derivative, monovisc, for intra-articular injection, per dose

Monovisc is a treatment involving an injection of hyaluronan or its derivative into a joint, often the knee. This substance, found naturally in joint fluid, helps lubricate and cushion the joint. The injection can help ease pain, improve mobility, and reduce inflammation caused by arthritis.

This service was performed 88 times for 47 patients

Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose

Orthovisc is a treatment involving injections of a substance called hyaluronan into your joints. Hyaluronan is a natural substance in your joint fluid that aids in movement and reduces pain. The Orthovisc injections help replenish this substance, relieving joint pain.

This service was performed 430 times for 101 patients

Injection, methylprednisolone acetate, 40 mg

Methylprednisolone acetate is a medication given through an injection. It's a type of corticosteroid, which reduces inflammation and immune responses. It can be used to treat various conditions like arthritis, allergies, and skin diseases. This dose is 40 mg.

This service was performed 262 times for 127 patients

Injection, methylprednisolone acetate, 80 mg

Methylprednisolone acetate is a strong anti-inflammatory medication. It is often given as an 80 mg injection to reduce inflammation and pain. It's commonly used for conditions like arthritis, allergic disorders, or other inflammatory diseases.

This service was performed 40 times for 37 patients

Knee replacement

A knee replacement is a surgical procedure where a damaged or diseased knee joint is replaced with an artificial one. This can relieve pain and improve mobility. The procedure involves removing damaged parts of the knee and inserting a prosthetic joint. Recovery may take several weeks.

This service was performed for 101 patients

Lower limb (leg) arthroscopy (minimally invasive joint repair)

Lower limb arthroscopy is a minimally invasive procedure that allows doctors to examine and repair issues in your leg joints. It involves making small incisions through which a tiny camera and instruments are inserted. This technique can help diagnose and treat various joint problems with less pain and quicker recovery time.

This service was performed for 26 patients

New patient office or other outpatient visit, 30-44 minutes

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

This service was performed 195 times for 195 patients

New patient office or other outpatient visit, 45-59 minutes

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.

This service was performed 55 times for 55 patients

Partial removal of collar bone at shoulder using an endoscope

This procedure involves the partial removal of the collar bone at the shoulder using an endoscope, a tool with a light and camera. It's done to relieve pain or improve shoulder movement. The surgeon makes small incisions, then uses the endoscope to guide their work.

This service was performed 17 times for 17 patients

Prosthetic repair of shoulder joint, total shoulder

Total shoulder prosthetic repair is a surgical procedure to replace a damaged shoulder joint with artificial components. It aims to relieve pain and restore mobility. The procedure involves replacing the ball (humeral head) and socket (glenoid) of the shoulder joint.

This service was performed 19 times for 18 patients

Removal of knee cartilage using an endoscope

This procedure, known as arthroscopic knee surgery, involves using a small camera (endoscope) to view the inside of your knee. Small instruments are used to remove damaged cartilage. This can help alleviate pain and improve knee function.

This service was performed 12 times for 12 patients

Repair of knee joint with drilling and or scraping of joint using an endoscope

This is a minimally invasive procedure where an endoscope, a small camera, is inserted into the knee joint. The surgeon then drills or scrapes the joint to remove any damaged tissue or bone. This can help improve mobility and reduce pain.

This service was performed 12 times for 12 patients

Replacement of knee joint, both sides of knee

A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.

This service was performed 46 times for 46 patients

Shaving of part of shoulder bone and repair of ligament using an endoscope

This procedure involves using a tiny camera, called an endoscope, to view and repair a damaged shoulder ligament. Simultaneously, a small portion of the shoulder bone is shaved to alleviate discomfort and improve movement. It's a minimally invasive technique that aids in a quicker recovery.

This service was performed 17 times for 17 patients

Upper limb (arm) arthroscopy (minimally invasive joint repair)

Upper limb arthroscopy is a minimally invasive procedure used to examine and treat issues within your arm's joints. A small camera, called an arthroscope, is inserted through a tiny incision, providing a clear view of the joint. This method often results in less pain and faster recovery compared to open surgery.

This service was performed for 29 patients

X-ray of knee, 3 views

An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.

This service was performed 151 times for 121 patients

X-ray of knee, 4 or more views

An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.

This service was performed 368 times for 259 patients

X-ray of shoulder, minimum of 2 views

An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.

This service was performed 168 times for 124 patients

X-ray of upper spine, 2-3 views

An X-ray of the upper spine, with 2-3 views, is a painless procedure that employs a small amount of radiation to capture images of your neck and upper back. It assists in diagnosing conditions like arthritis, fractures, or spinal deformities.

This service was performed 14 times for 14 patients

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1104813252, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 48. The final step is to find the difference between that total and the next multiple of ten (50 - 48 = 2).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
0
Doubled → 0
Pos 4
4
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
1
Unchanged
Pos 7
3
Doubled → 6
Pos 8
2
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
2
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 8 → 16 → 7 3 → 6 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 0 + 4 + 1 + 6 + 1 + 6 + 2 + 1 + 0 + 24 = 48

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 48 is 50. The difference is the calculated check digit.

50 - 48 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1104813252.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Physician Assistant
16811 SOUTHWEST FWY
SUGAR LAND, TX 77479
Orthopaedic Surgery
16811 SOUTHWEST FWY
SUGAR LAND, TX 77479
Orthopaedic Surgery
16811 SOUTHWEST FWY
SUGAR LAND, TX 77479
Orthopaedic Surgery (Sports Medicine)
16811 SOUTHWEST FWY, 2ND FLOOR
SUGAR LAND, TX 77479
Internal Medicine (Critical Care Medicine)
16811 SOUTHWEST FWY, SUITE 300
SUGAR LAND, TX 77479
Orthopaedic Surgery (Sports Medicine)
16811 SOUTHWEST FWY
SUGAR LAND, TX 77479
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
16811 SOUTHWEST FWY
SUGAR LAND, TX 77479
Specialist/Technologist (Athletic Trainer)
16811 SOUTHWEST FWY
SUGAR LAND, TX 77479
Orthopaedic Surgery
16811 SOUTHWEST FWY
SUGAR LAND, TX 77479
Orthopaedic Surgery
16811 SOUTHWEST FWY
SUGAR LAND, TX 77479
Physician Assistant
16811 SOUTHWEST FWY
SUGAR LAND, TX 77479
Orthopaedic Surgery (Hand Surgery)
16811 SOUTHWEST FWY
SUGAR LAND, TX 77479
Orthopaedic Surgery (Sports Medicine)
16811 SOUTHWEST FWY
SUGAR LAND, TX 77479
Orthopaedic Surgery (Hand Surgery)
16811 SOUTHWEST FWY
SUGAR LAND, TX 77479
Specialist/Technologist (Athletic Trainer)
16811 SOUTHWEST FWY
SUGAR LAND, TX 77479
Physician Assistant
16811 SOUTHWEST FWY
SUGAR LAND, TX 77479
Physician Assistant (Surgical)
16811 SOUTHWEST FWY
SUGAR LAND, TX 77479
Physician Assistant
16811 SOUTHWEST FWY
SUGAR LAND, TX 77479
Physical Medicine & Rehabilitation (Sports Medicine)
16811 SOUTHWEST FWY
SUGAR LAND, TX 77479
Orthopaedic Surgery (Sports Medicine)
16811 SOUTHWEST FWY
SUGAR LAND, TX 77479

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104813252, enumerated as an "individual" on October 04, 2005.

The provider is located at 16811 SOUTHWEST FWY SUGAR LAND, TX 77479 and the phone number is (281) 690-4678.

Orthopaedic Surgery with taxonomy code 207XX0005X and a focus in Sports Medicine.

The provider might be accepting Accepts: Community Health Choice, Blue Cross Blue Shield,. Please consult your insurance carrier or call the provider to verify.