MS. AGNES SIDES PA
NPI 1235505413
Physician Assistant in Great Neck, NY

Active since August 11, 2015PECOS EnrolledAccepts Medicare Assignment
560 NORTHERN BLVD, GREAT NECK, NY 11021(516) 487-6200 Get Directions Write a Review

NPPES record last updated: August 11, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ms. Agnes Sides Pa NPPES

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

MS. AGNES SIDES PA (NPI 1235505413) is an individual physician assistant in Great Neck, New York, licensed in New York (011694) and active in the NPI registry since August 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2006).

NPPES Registry Identity

NPI1235505413
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMS. AGNES SIDESCredential: PA
Location Address560 NORTHERN BLVDGreat Neck, NY 11021-5118
Mailing Address320 Carvel AveCedarhurst, NY 11516-1422
Sole ProprietorYes
Medical School CMSOtherGraduated 2006
Enumeration DateAugust 11, 2015
NPI 1235505413 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses Licensed in NY · 011694 Licensed in NY · 001694
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.

560 NORTHERN BLVD, Great Neck, NY 11021

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

Ms. Agnes Sides Pa 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 ID4082974217
PECOS Enrollment IDI20180208002623
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 10

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.

Professional service for preparation and provision of 1 or more antigens 95165
This service involves the creation and supply of antigens, substances that stimulate your immune system to fight diseases. These antigens can be used in vaccines or allergy tests to help your body build defenses against specific health threats.
2,686 services28 patients
Test for allergy using allergenic extract 95004
An allergy test with allergenic extract is a diagnostic method to identify substances causing allergic reactions. Small amounts of common allergens are introduced to your body, usually through skin pricks or blood tests. Your body's response helps determine your allergies.
2,018 services30 patients
Professional service for multiple injections of allergen 95117
The professional service for multiple injections of allergens involves administering small doses of specific allergens into your body. This is done to help your immune system become less sensitive to them, reducing your allergic reaction over time. It's a safe, effective way to manage allergies.
668 services28 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
647 services33 patients
Test for allergy using allergenic extract injected into skin 95024
An allergy skin test involves injecting a small amount of allergenic extract into your skin. This test helps determine if you're allergic to specific substances. If allergic, a small red bump appears at the test site. It's safe and quick.
536 services16 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.
255 services101 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11021 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
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.

General Practice
560 NORTHERN BLVD
GREAT NECK, NY 11021
Internal Medicine (Endocrinology, Diabetes & Metabolism)
560 NORTHERN BLVD
GREAT NECK, NY 11021
Internal Medicine (Endocrinology, Diabetes & Metabolism)
560 NORTHERN BLVD
GREAT NECK, NY 11021
Specialist
560 NORTHERN BLVD, STE 102
GREAT NECK, NY 11021
Otolaryngology
560 NORTHERN BLVD
GREAT NECK, NY 11021
Dentist (Periodontics)
560 NORTHERN BLVD, SUITE 205
GREAT NECK, NY 11021
Obstetrics & Gynecology (Gynecology)
560 NORTHERN BLVD, SUITE 103
GREAT NECK, NY 11021
Specialist
560 NORTHERN BLVD, SUITE 102
GREAT NECK, NY 11021

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 Agnes Sides's NPI number?

The NPI number for Agnes Sides is 1235505413. It was assigned to this individual provider in the NPPES registry on August 11, 2015.

Where is Agnes Sides located?

Agnes Sides practices at 560 Northern Blvd, Great Neck, NY 11021. The listed phone number is (516) 487-6200.

What is Agnes Sides's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Agnes Sides enrolled in Medicare?

Yes. Agnes Sides 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.

When was this NPI record last updated?

The NPPES record for Agnes Sides was last updated on August 11, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.