MEGAN CHARLENE SISK D.O.
NPI 1306132279
Internal Medicine - Pulmonary Disease in Great Falls, MT

Active since June 20, 2011PECOS EnrolledAccepts Medicare Assignment
32.83/100
CMS Quality Rating
3000 15TH AVE S, GREAT FALLS, MT 59405(406) 454-2171 Get Directions Write a Review

NPPES record last updated: February 2, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Megan Charlene Sisk D.o. NPPES

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

MEGAN CHARLENE SISK D.O. (NPI 1306132279) is an individual pulmonary disease provider in Great Falls, Montana, licensed in Colorado (DR.0059689) and active in the NPI registry since June 2011. She is enrolled in Medicare PECOS, is affiliated with Benefis Hospitals Inc, and is a graduate of Kansas City University Of Med & Biosciences, College Of Osteo Med (2011).

NPPES Registry Identity

NPI1306132279
Entity TypeIndividualFemale
Primary Taxonomy207RP1001X
Provider Legal NameMEGAN CHARLENE SISKCredential: D.O.
Location Address3000 15TH AVE SGreat Falls, MT 59405-5240
Mailing Address3000 15th Ave SGreat Falls, MT 59405-5240 · (406) 454-2171
Sole ProprietorNo
Medical School CMSKansas City University Of Med & Biosciences, College Of Osteo MedGraduated 2011
Enumeration DateJune 20, 2011
Last NPPES UpdateFebruary 2, 2024
NPPES CertifiedFebruary 2, 2024
NPI 1306132279 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License Licensed in CO · DR.0059689
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
3000 15TH AVE S, Great Falls, MT 59405

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

Megan Charlene Sisk D.o. 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 ID9537300819
PECOS Enrollment IDI20231207001271
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 14

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 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.
150 services105 patients
Test to determine lung volumes using sensors 94726
This test, called spirometry, measures lung capacity using sensors. You breathe into a mouthpiece attached to a device that records the amount and rate of air you inhale and exhale. It helps diagnose and monitor lung conditions.
134 services130 patients
Test to examine how well the lungs exchange gases 94729
This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.
132 services130 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
113 services113 patients
Test to measure expiratory airflow and volume changes before and after medication administration 94060
This procedure measures how air flows in and out of your lungs. It's done before and after medication to see if the treatment improves your breathing. It's a simple, non-invasive test that involves breathing into a device called a spirometer.
100 services100 patients
Test to measure the level of nitric oxide gas 95012
A test to measure the level of nitric oxide gas helps assess inflammation in the lungs, often linked with asthma. You'll breathe into a device, and it'll provide a reading of nitric oxide levels. This helps monitor and manage respiratory conditions.
100 services93 patients

Hospital Affiliations CMS Care Compare 5

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

Benefis Hospitals Inc

Acute Care Hospitals · Great Falls, MT
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number270012
Location1101 26th St SGreat Falls, MT 59405 · Cascade County
Emergency services Birthing friendly

St James Healthcare

Acute Care Hospitals · Butte, MT
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number270017
Location400 S Clark StButte, MT 59701 · Silver Bow County
Emergency services Birthing friendly

Great Falls Clinic Hospital

Acute Care Hospitals · Great Falls, MT
5/5 CMS rating
OwnershipProprietary
CMS Certification Number270086
Location3010 15th Avenue SouthGreat Falls, MT 59405 · Cascade County
Emergency services

Central Montana Medical Center

Critical Access Hospitals · Lewistown, MT
OwnershipVoluntary non-profit - Private
CMS Certification Number271345
Location408 Wendell AveLewistown, MT 59457 · Fergus County
Emergency services

Northern Montana Hospital

Critical Access Hospitals · Havre, MT
OwnershipVoluntary non-profit - Private
CMS Certification Number271348
Location30 13th StHavre, MT 59501 · Hill County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 59405 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
$130.52 typical visit price
range $56.81 – $172.26
Typical copayment $32.63 (range $14.20 – $43.06)
Most-billed visit code 99204
Established Patient
$100.16 typical visit price
range $18.24 – $140.32
Typical copayment $25.04 (range $4.56 – $35.08)
Most-billed visit code 99214
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.

32.83/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality31.46
Promoting Interoperability0
Improvement Activities20
Cost52.97

Referred Medical Equipment & Supplies CMS DME claims 28

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
8 suppliers31 claims31 services$37.93 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
10 suppliers50 claims50 services$87.88 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
10 suppliers54 claims137 services$34.44 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
6 suppliers24 claims115 services$20.19 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
3 suppliers11 claims64 services$14.19 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
7 suppliers37 claims37 services$59.08 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Pharmacist
3000 15TH AVE S
GREAT FALLS, MT 59405
Optometrist
3000 15TH AVE S
GREAT FALLS, MT 59405
Nurse Practitioner (Acute Care)
3000 15TH AVE S
GREAT FALLS, MT 59405
Surgery
3000 15TH AVE S
GREAT FALLS, MT 59405
Thoracic Surgery (Cardiothoracic Vascular Surgery)
3000 15TH AVE S
GREAT FALLS, MT 59405
Podiatrist (Foot & Ankle Surgery)
3000 15TH AVE S
GREAT FALLS, MT 59405
Anesthesiology (Pain Medicine)
3000 15TH AVE S
GREAT FALLS, MT 59405
Physician Assistant (Surgical)
3000 15TH AVE S
GREAT FALLS, MT 59405

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 Megan Sisk's NPI number?

The NPI number for Megan Sisk is 1306132279. It was assigned to this individual provider in the NPPES registry on June 20, 2011.

Where is Megan Sisk located?

Megan Sisk practices at 3000 15th Ave S, Great Falls, MT 59405. The listed phone number is (406) 454-2171.

What is Megan Sisk's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Megan Sisk enrolled in Medicare?

Yes. Megan Sisk 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 Megan Sisk accept?

Health plans from Blue Cross and Blue Shield of Montana, Mountain Health CO-OP and Providence Health Plan list Megan Sisk 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 Megan Sisk affiliated with any hospitals?

According to CMS data, Megan Sisk is affiliated with Benefis Hospitals Inc, St James Healthcare, Great Falls Clinic Hospital, Central Montana Medical Center and Northern Montana Hospital.

When was this NPI record last updated?

The NPPES record for Megan Sisk was last updated on February 2, 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.