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DR. JOHN MICHAEL SISTO D.D.S.
NPI 1336365642
Dentist - Oral and Maxillofacial Surgery in Park Ridge, IL

Active since April 17, 2007PECOS Enrolled
111 S. WASHINGTON, STE 101, PARK RIDGE, IL 60068(847) 696-4848(847) 696-1609 Get Directions Write a Review

NPPES record last updated: May 21, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. John Michael Sisto D.d.s. NPPES

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

DR. JOHN MICHAEL SISTO D.D.S. (NPI 1336365642) is an individual oral and maxillofacial surgery provider in Park Ridge, Illinois, licensed in Illinois (019016656) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1336365642
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. JOHN MICHAEL SISTOCredential: D.D.S.
Location Address111 S. WASHINGTON, STE 101Park Ridge, IL 60068
Mailing Address350 S Northwest Hwy, Ste 118Park Ridge, IL 60068-4216 · (847) 696-4848 · Fax (847) 696-1609
Phone(847) 696-4848
Fax(847) 696-1609
Sole ProprietorYes
Enumeration DateApril 17, 2007
Last NPPES UpdateMay 21, 2009
✔ NPI 1336365642 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in IL · 019016656
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
111 S. WASHINGTON, Park Ridge, IL 60068
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Other Identifiers 1

Medicare PIN915390IL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. John Michael Sisto D.d.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60068 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
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
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.

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 John Sisto's NPI number?

The NPI number for John Sisto is 1336365642. It was assigned to this individual provider in the NPPES registry on April 17, 2007.

Where is John Sisto located?

John Sisto practices at 111 S. Washington Ste 101, Park Ridge, IL 60068. The listed phone number is (847) 696-4848.

What is John Sisto's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is John Sisto enrolled in Medicare?

Yes. John Sisto is registered in the Medicare PECOS enrollment system.

What insurance does John Sisto accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list John Sisto 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.

When was this NPI record last updated?

The NPPES record for John Sisto was last updated on May 21, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.