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MICHAEL SIRKIN M.D.
NPI 1194759589
Orthopaedic Surgery - Orthopaedic Trauma in East Stroudsburg, PA

Active since July 10, 2006PECOS EnrolledAccepts Medicare Assignment
95.2/100
CMS Quality Rating
505 INDEPENDENCE RD, EAST STROUDSBURG, PA 18301(610) 402-8900 Get Directions Write a Review

NPPES record last updated: August 20, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 20, 2024, Oct 24, 2023, Jan 28, 2022 (3 updates tracked since 2022).

About Michael Sirkin M.d. NPPES

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

MICHAEL SIRKIN M.D. (NPI 1194759589) is an individual orthopaedic trauma provider in East Stroudsburg, Pennsylvania, licensed in New Jersey (25MA06114700) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Lehigh Valley Hospital, and maintains a secondary practice location in Newark.

NPPES Registry Identity

NPI1194759589
Entity TypeIndividualMale
Primary Taxonomy207XX0801X
Provider Legal NameMICHAEL SIRKINCredential: M.D.
Location Address505 INDEPENDENCE RDEast Stroudsburg, PA 18301-7916
Mailing Address30 Bergen St, Admc 12 1205Newark, NJ 07107-3000
Phone(610) 402-8900
Sole ProprietorNo
Medical School CMSOtherGraduated 1991
Enumeration DateJuly 10, 2006
Last NPPES UpdateAugust 20, 20243 updates tracked since enumeration
NPPES CertifiedAugust 20, 2024
✔ NPI 1194759589 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic Surgery · Orthopaedic TraumaAllopathic & Osteopathic Physicians
Taxonomy Code207XX0801X
License✔ Licensed in NJ · 25MA06114700
Definition
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic trauma surgeons deal with the evaluation and management of acute orthopaedic injuries, evaluation and treatment of post-traumatic deformities and nonunions, acute and delayed reconstruction of pelvic and acetabular fractures, as well as osteotomy in the adult hip for treatment of hip arthritis.
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License MD481783 (PA)
505 INDEPENDENCE RD, East Stroudsburg, PA 18301
Open in Google Maps ↗

Secondary Practice Location 1

Location 190 Bergen St, DOC 1200Newark, NJ 07103-2425 · Phone (973) 972-2150 · Fax (973) 972-2155

Other Identifiers 1

Medicaid7362005NJ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.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

Michael Sirkin 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 ID1557543006
PECOS Enrollment IDI20231229001263
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 Reassignment

Medicare enrollment records show Michael Sirkin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Lehigh Valley Physician Group
0.1 mi
Family Medicine
511 VNA RD FL 2
East Stroudsburg, PA 18301
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 2,895 clinicians in this Medicare group
NPI 1962155473 (570) 369-5001

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 11

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.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
65 services63 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.
42 services32 patients
X-ray of ankle, minimum of 3 views 73610
An ankle X-ray is a quick, painless imaging test. It involves capturing at least three different images or 'views' of your ankle using small amounts of radiation. These images help identify any abnormalities or injuries, such as fractures or arthritis.
35 services12 patients
X-ray of thigh bone, minimum 2 views 73552
An X-ray of the thigh bone is a non-invasive imaging test. It involves passing a small amount of radiation through the thigh to produce images of the bone structure. At least two different angles are captured for a comprehensive view. This helps detect fractures, infections, or other abnormalities.
30 services16 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.
29 services29 patients
X-ray of hip, 2-3 views 73502
An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.
20 services16 patients

Hospital Affiliations CMS Care Compare 3

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

Lehigh Valley Hospital

Acute Care Hospitals · Allentown, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390133
Location1200 South Cedar Crest BoulevardAllentown, PA 18103 · Lehigh County
Emergency services Birthing friendly

Lehigh Valley Hospital - Hazleton

Acute Care Hospitals · Hazleton, PA
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number390185
Location700 East Broad StreetHazleton, PA 18201 · Luzerne County
Emergency services Birthing friendly

Lehigh Valley Hospital - Pocono

Acute Care Hospitals · East Stroudsburg, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390201
Location206 East Brown StreetEast Stroudsburg, PA 18301 · Monroe County
Emergency services Birthing friendly

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.

95.2/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.76
Promoting Interoperability96
Improvement Activities40

Other Providers at the Same Location NPPES 19

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

MYTHILI SEETHARAMAN MD
Internal Medicine (Rheumatology)
505 INDEPENDENCE RD
EAST STROUDSBURG, PA 18301
Monroe County (610) 776-5038
DYLAN KEITH BILLINGS
Physical Therapy Assistant
505 INDEPENDENCE RD
EAST STROUDSBURG, PA 18301
Monroe County (570) 420-8080
MARIA JORDAN
Physical Therapist
505 INDEPENDENCE RD
EAST STROUDSBURG, PA 18301
Monroe County (610) 861-8080
POCONO VASCULAR INSTITUTE PC
Specialist
505 INDEPENDENCE RD, SUITE C
EAST STROUDSBURG, PA 18301
Monroe County (570) 421-5003
DR. BAILEY BRUGLER PT, DPT
Physical Therapist
505 INDEPENDENCE RD
EAST STROUDSBURG, PA 18301
Monroe County (484) 273-4241
DR. BORIS PAUL M.D.,F.A.C.S
Surgery (Vascular Surgery)
505 INDEPENDENCE RD, STE E
EAST STROUDSBURG, PA 18301
Monroe County (570) 421-5997
POCONO FAMILY HEALTH, LLC
Specialist
505 INDEPENDENCE RD, SUITE C
EAST STROUDSBURG, PA 18301
Monroe County (570) 421-5003
MS. SHAYNA MARIE KSANZNAK CRNP
Nurse Practitioner (Family)
505 INDEPENDENCE RD
EAST STROUDSBURG, PA 18301
Monroe County (610) 402-8900

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 Michael Sirkin's NPI number?

The NPI number for Michael Sirkin is 1194759589. It was assigned to this individual provider in the NPPES registry on July 10, 2006.

Where is Michael Sirkin located?

Michael Sirkin practices at 505 Independence Rd, East Stroudsburg, PA 18301. The listed phone number is (610) 402-8900.

What is Michael Sirkin's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Orthopaedic Trauma, with taxonomy code 207XX0801X.

Is Michael Sirkin enrolled in Medicare?

Yes. Michael Sirkin 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 organization bills Medicare for Michael Sirkin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Sirkin reassigns Medicare benefits to Lehigh Valley Physician Group (East Stroudsburg, PA). The 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 Michael Sirkin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael Sirkin accept?

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

According to CMS data, Michael Sirkin is affiliated with Lehigh Valley Hospital, Lehigh Valley Hospital - Hazleton and Lehigh Valley Hospital - Pocono.

When was this NPI record last updated?

The NPPES record for Michael Sirkin was last updated on August 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.