SYDNI MAZER MCGOUGH PA-C
NPI 1174207120
Physician Assistant in San Antonio, TX

Q: What is Sydni Mcgough's NPI number?

The NPI number for Sydni Mcgough is 1174207120. It was assigned to this individual provider in the NPPES registry on June 12, 2023.

Q: What is Sydni Mcgough'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 Sydni Mcgough was last updated on May 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since June 12, 2023PECOS Enrolled

111 DALLAS ST, SAN ANTONIO, TX 78205(248) 924-5255 Get Directions Write a Review

NPPES record last updated: May 10, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 10, 2026, Jun 12, 2023 (2 updates tracked since 2023).

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About Sydni Mazer Mcgough Pa-c NPPES

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

SYDNI MAZER MCGOUGH PA-C (NPI 1174207120) is an individual physician assistant in San Antonio, Texas and active in the NPI registry since June 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1174207120

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameSYDNI MAZER MCGOUGHCredential: PA-C

Location Address111 DALLAS STSan Antonio, TX 78205-1201

Mailing Address7088 Cedarbank DrWest Bloomfield, MI 48324-2400 · (248) 924-5255

Phone(248) 924-5255

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateJune 12, 2023

Last NPPES UpdateMay 10, 20262 updates tracked since enumeration

NPPES CertifiedMay 10, 2026

✔ NPI 1174207120 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

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.

111 DALLAS ST, San Antonio, TX 78205

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sydni Mazer Mcgough Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID840630729

PECOS Enrollment IDI20260602004666

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.

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

43 services43 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

39 services39 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

34 services23 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78205 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

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$68.55 typical visit price

range $17.52 – $136.11

Typical copayment $17.13 (range $4.38 – $34.02)

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.

Other Providers at the Same Location NPPES 20

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

CHRISTIAN JOSEPH REITANO M.D.

Radiology (Diagnostic Radiology)