MICHAEL JOHN SYLVESTER MD
NPI 1245767383
Otolaryngology - Otolaryngic Allergy in Fayetteville, GA

Active since May 19, 2017PECOS EnrolledAccepts Medicare Assignment
92.26/100
CMS Quality Rating
1240 HIGHWAY 54 W STE 710, FAYETTEVILLE, GA 30214(770) 991-2800 Get Directions Write a Review

NPPES record last updated: August 19, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 19, 2024, Jul 26, 2023, Feb 21, 2023 and 1 more (4 updates tracked since 2017).

About Michael John Sylvester Md NPPES

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

MICHAEL JOHN SYLVESTER MD (NPI 1245767383) is an individual otolaryngic allergy provider in Fayetteville, Georgia, licensed in Georgia (95856) and active in the NPI registry since May 2017. He is enrolled in Medicare PECOS, is affiliated with Piedmont Henry Hospital, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1245767383
Entity TypeIndividualMale
Primary Taxonomy207YX0602X
Provider Legal NameMICHAEL JOHN SYLVESTERCredential: MD
Location Address1240 HIGHWAY 54 W STE 710Fayetteville, GA 30214-4565
Mailing Address1240 Highway 54 W Ste 710Fayetteville, GA 30214-4565 · (770) 991-2800
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateMay 19, 2017
Last NPPES UpdateAugust 19, 20244 updates tracked since enumeration
NPPES CertifiedAugust 12, 2024
NPI 1245767383 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyOtolaryngology · Otolaryngic AllergyAllopathic & Osteopathic Physicians
Taxonomy Code207YX0602X
License Licensed in GA · 95856
Definition
An otolaryngologist who specializes in the diagnosis and treatment of otolaryngic allergies and other allergic diseases.
Also ListedOtolaryngologyTaxonomy 207Y00000X · License 4301502978 (MI)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 4301112579 (MI)
1240 HIGHWAY 54 W STE 710, Fayetteville, GA 30214

Accepted 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

Michael John Sylvester Md 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 ID7113294117
PECOS Enrollment IDI20231009000316
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 9

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 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.
87 services68 patients
Diagnostic exam of nasal passages using an endoscope 31231
A diagnostic exam of nasal passages using an endoscope is a non-invasive procedure. A small, flexible tube with a light and camera at the end, called an endoscope, is inserted into the nose. This allows the doctor to view the nasal passages and sinuses, helping to identify any issues.
46 services40 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
46 services46 patients
Diagnostic exam of voice box using a flexible endoscope 31575
This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.
28 services26 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.
28 services24 patients
Comprehensive hearing and speech recognition test 92557
A comprehensive hearing and speech recognition test assesses your ability to hear and understand spoken words. It includes hearing tests to check for issues with sound perception and speech tests to evaluate your word recognition. It's a crucial step in identifying any hearing or speech problems.
26 services25 patients

Hospital Affiliations CMS Care Compare

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

Piedmont Henry Hospital

Acute Care Hospitals · Stockbridge, GA
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110191
Location1133 Eagle's Landing ParkwayStockbridge, GA 30281 · Henry 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.

92.26/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality73.83
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 8

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

Audiologist
1240 HIGHWAY 54 W STE 710
FAYETTEVILLE, GA 30214
Physician Assistant
1240 HIGHWAY 54 W STE 710
FAYETTEVILLE, GA 30214
Physician Assistant
1240 HIGHWAY 54 W STE 710
FAYETTEVILLE, GA 30214
Specialist
1240 HIGHWAY 54 W STE 710
FAYETTEVILLE, GA 30214
Audiologist
1240 HIGHWAY 54 W STE 710
FAYETTEVILLE, GA 30214
Audiologist
1240 HIGHWAY 54 W STE 710
FAYETTEVILLE, GA 30214
Physician Assistant
1240 HIGHWAY 54 W STE 710
FAYETTEVILLE, GA 30214
Physician Assistant
1240 HIGHWAY 54 W STE 710
FAYETTEVILLE, GA 30214

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 Sylvester's NPI number?

The NPI number for Michael Sylvester is 1245767383. It was assigned to this individual provider in the NPPES registry on May 19, 2017.

Where is Michael Sylvester located?

Michael Sylvester practices at 1240 Highway 54 W Ste 710, Fayetteville, GA 30214. The listed phone number is (770) 991-2800.

What is Michael Sylvester's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Otolaryngic Allergy, with taxonomy code 207YX0602X.

Is Michael Sylvester enrolled in Medicare?

Yes. Michael Sylvester 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 Michael Sylvester accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Michael Sylvester 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 Sylvester affiliated with any hospitals?

According to CMS data, Michael Sylvester is affiliated with Piedmont Henry Hospital.

When was this NPI record last updated?

The NPPES record for Michael Sylvester was last updated on August 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.