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DR. JONATHAN WILFRED SIXON M.D.
NPI 1114027570
Family Medicine in Milford, NH

Active since September 25, 2006PECOS EnrolledAccepts Medicare Assignment
444 NASHUA ST, MILFORD, NH 03055(603) 673-3014(603) 672-7654 Get Directions Write a Review

NPPES record last updated: May 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Jonathan Wilfred Sixon M.d. NPPES

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

DR. JONATHAN WILFRED SIXON M.D. (NPI 1114027570) is an individual family medicine provider in Milford, New Hampshire, licensed in New Hampshire (12080) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with St Joseph Hospital, and is a graduate of State University Of New York Downstate Medical Center (2000).

NPPES Registry Identity

NPI1114027570
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. JONATHAN WILFRED SIXONCredential: M.D.
Location Address444 NASHUA STMilford, NH 03055-4915
Mailing AddressC/o St Mary's Health System - Provider Enrollment, Po Box 7291Lewiston, ME 04243-3100 · (207) 777-8695 · Fax (207) 777-8800
Phone(603) 673-3014
Fax(603) 672-7654
Sole ProprietorNo
Medical School CMSState University Of New York Downstate Medical CenterGraduated 2000
Enumeration DateSeptember 25, 2006
Last NPPES UpdateMay 22, 2020
NPPES CertifiedMay 22, 2020
✔ NPI 1114027570 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NH · 12080
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.

444 NASHUA ST, Milford, NH 03055
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Other Identifiers 1

Medicaid3073830NH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from NH Healthy Families, Harvard Pilgrim Health Care.Insurance ›

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. Jonathan Wilfred Sixon 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 ID2668489824
PECOS Enrollment IDI20060313000461
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 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.

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.
480 services268 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
190 services190 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.
148 services121 patients

Hospital Affiliations CMS Care Compare 2

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

St Joseph Hospital

Acute Care Hospitals · Nashua, NH
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number300011
Location172 Kinsley StNashua, NH 03060 · Hillsborough County
Emergency services Birthing friendly

Southern Nh Medical Center

Acute Care Hospitals · Nashua, NH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number300020
Location8 Prospect StreetNashua, NH 03060 · Hillsborough County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 03055 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
$89.14 typical visit price
range $57.75 – $174.26
Typical copayment $22.28 (range $14.43 – $43.56)
Most-billed visit code 99203
Established Patient
$101.54 typical visit price
range $18.70 – $142.15
Typical copayment $25.38 (range $4.67 – $35.53)
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 3

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
4 suppliers13 claims22 services$6.24 avg. paid by Medicare
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
2 suppliers16 claims16 services$86.30 avg. paid by Medicare
Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds K0823
DME-Wheelchairs · category DD009N
1 supplier12 claims12 services$129.48 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 13

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

DR. ANDREW BARTON PHARMD
Pharmacist
444 NASHUA ST
MILFORD, NH 03055
Hillsborough County (603) 673-3014
ISABELLE WILDER HOLDEN RN
Registered Nurse (Pediatrics)
444 NASHUA ST
MILFORD, NH 03055
Hillsborough County (603) 673-3870
ASHLEY SOULARD APRN FNP
Nurse Practitioner (Family)
444 NASHUA ST
MILFORD, NH 03055
Hillsborough County (603) 673-3014
DR. MICHAEL ROSENFELD M.D.
Pediatrics
444 NASHUA ST
MILFORD, NH 03055
Hillsborough County (603) 673-3870
SAFANA MUSHTAQ M.D.
Family Medicine
444 NASHUA ST
MILFORD, NH 03055
Hillsborough County (603) 673-3014
JENNY L SMITH APRN, FNP-BC
Nurse Practitioner (Family)
444 NASHUA ST, ST. JOSEPH HOSPITAL FAMILY PRACTICE
MILFORD, NH 03055
Hillsborough County (603) 673-3014
MS. MARY I CARLSON APRN
Nurse Practitioner (Pediatrics)
444 NASHUA ST
MILFORD, NH 03055
Hillsborough County (603) 673-3870
KELSEY KILGORE APRN
Nurse Practitioner (Family)
444 NASHUA ST
MILFORD, NH 03055
Hillsborough County (603) 673-3870

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 Jonathan Sixon's NPI number?

The NPI number for Jonathan Sixon is 1114027570. It was assigned to this individual provider in the NPPES registry on September 25, 2006.

Where is Jonathan Sixon located?

Jonathan Sixon practices at 444 Nashua St, Milford, NH 03055. The listed phone number is (603) 673-3014.

What is Jonathan Sixon's specialty?

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

Is Jonathan Sixon enrolled in Medicare?

Yes. Jonathan Sixon 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.

What insurance does Jonathan Sixon accept?

Health plans from Ambetter from NH Healthy Families and Harvard Pilgrim Health Care list Jonathan Sixon as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Jonathan Sixon affiliated with any hospitals?

According to CMS data, Jonathan Sixon is affiliated with St Joseph Hospital and Southern Nh Medical Center.

When was this NPI record last updated?

The NPPES record for Jonathan Sixon was last updated on May 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.