MARCUS LEE DAVID SICKELTON PA
NPI 1245843143
Physician Assistant in Santa Barbara, CA

Active since August 28, 2020PECOS EnrolledAccepts Medicare Assignment
94.62/100
CMS Quality Rating
400 W PUEBLO ST, SANTA BARBARA, CA 93105(805) 682-7111 Get Directions Write a Review

NPPES record last updated: June 6, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 6, 2023, May 11, 2022, Nov 12, 2020 and 1 more (4 updates tracked since 2020).

About Marcus Lee David Sickelton Pa NPPES

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

MARCUS LEE DAVID SICKELTON PA (NPI 1245843143) is an individual physician assistant in Santa Barbara, California, licensed in California (PA1028) and active in the NPI registry since August 2020. He is enrolled in Medicare PECOS, maintains a secondary practice location in Roseburg, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1245843143
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMARCUS LEE DAVID SICKELTONCredential: PA
Location Address400 W PUEBLO STSanta Barbara, CA 93105-4353
Mailing Address18565 W Baseline Rd Apt 508Beaverton, OR 97006-2941 · (805) 423-1064
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateAugust 28, 2020
Last NPPES UpdateJune 6, 20234 updates tracked since enumeration
NPPES CertifiedJune 6, 2023
NPI 1245843143 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses Licensed in CA · PA1028 Licensed in OR · PA201952
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.
400 W PUEBLO ST, Santa Barbara, CA 93105

Secondary Practice Location 1

Location 12700 NW Stewart PkwyRoseburg, OR 97471-1214 · Phone (541) 673-0611

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

Marcus Lee David Sickelton 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 ID1456763853
PECOS Enrollment IDI20220719001901
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 16

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.
269 services245 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.
157 services157 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
89 services87 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
82 services73 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
68 services34 patients
Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen 87635
This is a lab test that detects the presence of COVID-19 in your body. It uses a technique to amplify the virus's genetic material, either DNA or RNA, making it easier to identify. A positive result indicates an active infection.
53 services53 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93105 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
$94.71 typical visit price
range $62.01 – $184.40
Typical copayment $23.67 (range $15.50 – $46.10)
Most-billed visit code 99203
Established Patient
$76.76 typical visit price
range $20.60 – $151.20
Typical copayment $19.19 (range $5.15 – $37.80)
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.

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.

94.62/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.67
Improvement Activities40
Cost97.14

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.

Pediatrics (Pediatric Infectious Diseases)
400 W PUEBLO ST
SANTA BARBARA, CA 93105
Student in an Organized Health Care Education/Training Program
400 W PUEBLO ST
SANTA BARBARA, CA 93105
Student in an Organized Health Care Education/Training Program
400 W PUEBLO ST
SANTA BARBARA, CA 93105
Radiology (Diagnostic Radiology)
400 W PUEBLO ST
SANTA BARBARA, CA 93105
Emergency Medicine
400 W PUEBLO ST
SANTA BARBARA, CA 93105
Student in an Organized Health Care Education/Training Program
400 W PUEBLO ST
SANTA BARBARA, CA 93105
Student in an Organized Health Care Education/Training Program
400 W PUEBLO ST
SANTA BARBARA, CA 93105
Pathology (Anatomic Pathology & Clinical Pathology)
400 W PUEBLO ST
SANTA BARBARA, CA 93105

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 Marcus Sickelton's NPI number?

The NPI number for Marcus Sickelton is 1245843143. It was assigned to this individual provider in the NPPES registry on August 28, 2020.

Where is Marcus Sickelton located?

Marcus Sickelton practices at 400 W Pueblo St, Santa Barbara, CA 93105. The listed phone number is (805) 682-7111.

What is Marcus Sickelton's specialty?

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

Is Marcus Sickelton enrolled in Medicare?

Yes. Marcus Sickelton 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 Marcus Sickelton was last updated on June 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.