GARY ROSS SIRKEN DO
NPI 1164469334
Internal Medicine - Nephrology in Langhorne, PA

Active since May 31, 2006PECOS EnrolledAccepts Medicare Assignment
825 TOWN CENTER DRIVE, SUITE 152, LANGHORNE, PA 19047(215) 741-3510(215) 741-3519 Get Directions Write a Review

NPPES record last updated: December 13, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Gary Ross Sirken Do NPPES

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

GARY ROSS SIRKEN DO (NPI 1164469334) is an individual nephrology provider in Langhorne, Pennsylvania, licensed in Pennsylvania (OS010180L) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Hospital Of Univ Of Pennsylvania, and is a graduate of Philadelphia College Of Osteopathic Medicine (1997).

NPPES Registry Identity

NPI1164469334
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameGARY ROSS SIRKENCredential: DO
Location Address825 TOWN CENTER DRIVE, SUITE 152Langhorne, PA 19047-3030
Mailing AddressPo Box 538Levittown, PA 19058-0538 · (215) 741-3510 · Fax (215) 741-3519
Fax(215) 741-3519
Sole ProprietorNo
Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 1997
Enumeration DateMay 31, 2006
Last NPPES UpdateDecember 13, 2024
NPPES CertifiedDecember 13, 2024
✔ NPI 1164469334 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in PA · OS010180L
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.
Also ListedInternal MedicineTaxonomy 207R00000X · License OS010180L (PA)
825 TOWN CENTER DRIVE, Langhorne, PA 19047

Other Identifiers 1

Medicaid0019054860003PA

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Gary Ross Sirken Do 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 ID5799757837
PECOS Enrollment IDI20040810000565
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

5

Medicare enrollment records show Gary Sirken reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Cardiovascular Disease
370 MIDDLETOWN BLVD, SUITE 510
Langhorne, PA 19047
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 490 clinicians in this Medicare group
Diagnostic Radiology
4900 FRANKFORD AVE
Philadelphia, PA 19124
  • Reassigned Medicare billing, Pennsylvania enrollment
  • Medicare enrollment name: Methodist Associates In Healthcare, Inc
  • 600 clinicians in this Medicare group
Family Medicine
605 N BETHLEHEM PIKE
Lower Gwynedd, PA 19002
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 25 clinicians in this Medicare group
General Practice
33 S. 9TH STREET
Philadelphia, PA 19107
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 1,739 clinicians in this Medicare group
Nephrology
30 MEDICAL CENTER BLVD, SUITE 303
Upland, PA 19013
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 44 clinicians in this Medicare group

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 14

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.
764 services216 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.
419 services266 patients
Dialysis services, per day, less than full month service (20 years or older) 90970
Dialysis is a treatment that replicates some functions of healthy kidneys when they're not working properly. It helps to remove waste, salt, and excess water from your body and maintain a safe level of certain chemicals in your blood. This service, for patients aged 20 or older, is provided on a daily basis for less than a full month.
332 services15 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.
252 services70 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.
169 services71 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.
164 services147 patients

Hospital Affiliations CMS Care Compare 3

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

Hospital Of Univ Of Pennsylvania

Acute Care Hospitals · Philadelphia, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390111
Location34th & Spruce StsPhiladelphia, PA 19104 · Philadelphia County
Emergency services Birthing friendly

Thomas Jefferson University Hospital

Acute Care Hospitals · Philadelphia, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390174
Location111 South 11th StreetPhiladelphia, PA 19107 · Philadelphia County
Emergency services Birthing friendly

St Mary Medical Center

Acute Care Hospitals · Langhorne, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390258
LocationLanghorne-Newtown RdLanghorne, PA 19047 · Bucks County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19047 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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 2

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

Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
3 suppliers24 claims2,010 services$0.28 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
3 suppliers17 claims17 services$17.88 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 2

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

Internal Medicine (Nephrology)
825 TOWN CENTER DRIVE, SUITE 152
LANGHORNE, PA 19047
Internal Medicine (Nephrology)
825 TOWN CENTER DRIVE, SUITE 152
LANGHORNE, PA 19047

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 Gary Sirken's NPI number?

The NPI number for Gary Sirken is 1164469334. It was assigned to this individual provider in the NPPES registry on May 31, 2006.

Where is Gary Sirken located?

Gary Sirken practices at 825 Town Center Drive Suite 152, Langhorne, PA 19047. The listed phone number is (215) 741-3510.

What is Gary Sirken's specialty?

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

Is Gary Sirken enrolled in Medicare?

Yes. Gary Sirken 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.

Which organizations bill Medicare for Gary Sirken's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gary Sirken reassigns Medicare benefits to 5 organizations: Aria Health Physician Services (Langhorne, PA), Methodist Associates In Health Care, Inc (Philadelphia, PA), Abington Memorial Hospital (Lower Gwynedd, PA), Jefferson University Physicians (Philadelphia, PA) and Clinical Renal Associates, LLC (Upland, PA). 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 Gary Sirken's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Gary Sirken accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Gary Sirken 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 Gary Sirken affiliated with any hospitals?

According to CMS data, Gary Sirken is affiliated with Hospital Of Univ Of Pennsylvania, Thomas Jefferson University Hospital and St Mary Medical Center.

When was this NPI record last updated?

The NPPES record for Gary Sirken was last updated on December 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.