KENNETH SIBILA M.D.
NPI 1386615185
Family Medicine in Towson, MD

Q: What is Kenneth Sibila's NPI number?

The NPI number for Kenneth Sibila is 1386615185. It was assigned to this individual provider in the NPPES registry on January 30, 2006.

Q: What is Kenneth Sibila's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: Is Kenneth Sibila enrolled in Medicare?

No. Kenneth Sibila has opted out of Medicare through August 20, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Kenneth Sibila was last updated on July 17, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since January 30, 2006Opted out of Medicare · through Aug 20, 2027

89.25/100

CMS Quality Rating

7801 YORK RD, SUITE 102, TOWSON, MD 21204(410) 769-4920(410) 296-4205 Get Directions Write a Review

NPPES record last updated: July 17, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Kenneth Sibila M.d. NPPES

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

KENNETH SIBILA M.D. (NPI 1386615185) is an individual family medicine provider in Towson, Maryland, licensed in Maryland (D50216) and active in the NPI registry since January 2006. He has opted out of Medicare through August 20, 2027 and remains eligible to order and refer, is affiliated with University Of Md St Joseph Medical Center, and is a graduate of University Of Maryland School Of Medicine (1994).

NPPES Registry Identity

NPI1386615185

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameKENNETH SIBILACredential: M.D.

Location Address7801 YORK RD, SUITE 102Towson, MD 21204-7446

Mailing Address7801 York Rd, Suite 102Towson, MD 21204-7446 · (410) 769-4920 · Fax (410) 296-4205

Phone(410) 769-4920

Fax(410) 296-4205

Sole ProprietorNo

Medical School CMSUniversity Of Maryland School Of MedicineGraduated 1994

Enumeration DateJanuary 30, 2006

Last NPPES UpdateJuly 17, 2007

✔ NPI 1386615185 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in MD · D50216

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

7801 YORK RD, Towson, MD 21204

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Other Identifiers 2

Medicare UPING48050

Other895L296EMedicare Provider Number

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Kenneth Sibila M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from August 20, 2025 through August 20, 2027.

Opt-Out Effective DateAugust 20, 2025

Opt-Out In Effect ThroughAugust 20, 2027Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Areas of Expertise CMS Part B claims 13

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.

490 services223 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

129 services120 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.

115 services100 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

106 services106 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

86 services61 patients

Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677

The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.

67 services67 patients

Administration of pneumococcal vaccine G0009

The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.

67 services67 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

35 services34 patients

Influenza vaccine, inactivated 90653

The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.

31 services31 patients

Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit G0438

An annual wellness visit is a yearly appointment with your doctor to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's an opportunity to discuss your health status and goals and get a plan tailored for you.

22 services22 patients

Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report G0403

An Electrocardiogram (ECG) with 12 leads is a non-invasive test that measures the electrical activity of your heart. It's performed during your initial physical examination to screen for heart conditions. The results are interpreted and compiled into a report for further evaluation.

17 services17 patients

Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment G0402

An Initial Preventive Physical Examination, also known as a "Welcome to Medicare" visit, is a one-time, face-to-face visit during your first 12 months of Medicare enrollment. It includes a review of your health, as well as education and counseling about preventive services and further screenings.

15 services15 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

14 services12 patients

Hospital Affiliations CMS Care Compare

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

University Of MD St Joseph Medical Center

Acute Care Hospitals · Towson, MD

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number210063

Location7601 Osler DriveTowson, MD 21204 · Baltimore County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21204 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

$94.08 typical visit price

range $60.73 – $183.44

Typical copayment $23.52 (range $15.18 – $45.86)

Most-billed visit code 99203

Established Patient

$106.59 typical visit price

range $19.60 – $149.17

Typical copayment $26.64 (range $4.90 – $37.29)

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.

89.25/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

86.87

Promoting Interoperability

100

Improvement Activities

Cost

77.3

Referred Medical Equipment & Supplies CMS DME claims

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

Portable oxygen contents, gaseous, 1 month's supply = 1 unit E0443

DME-Oxygen and Supplies · category DC000N

1 supplier12 claims12 services$39.42 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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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.

PAULINE LOHR

Hearing Instrument Specialist

7801 YORK RD, STE 139
TOWSON, MD 21204

Baltimore County (410) 321-7960

TOWSON MEDICAL ASSOCIATES, LLC

Family Medicine

7801 YORK RD, SUITE 102
TOWSON, MD 21204

Baltimore County (410) 769-4920

JENNIFER LEVINE LCPC

Counselor (Professional)

7801 YORK RD, SUITE 215
TOWSON, MD 21204

Baltimore County (410) 878-1529

DEMEATRIA DAVIS

Physical Therapy Assistant

7801 YORK RD
TOWSON, MD 21204

Baltimore County (410) 960-1601

MARCIA GEKOWSKI M.D.

Internal Medicine

7801 YORK RD, SUITE 300
TOWSON, MD 21204

Baltimore County (410) 337-0720

PAMELA Y LIN M.D.

Family Medicine

7801 YORK RD, SUITE 102
TOWSON, MD 21204

Baltimore County (410) 769-4920

MARY ANNE FACCIOLO MD

Obstetrics & Gynecology

7801 YORK RD, STE 133
TOWSON, MD 21204

Baltimore County (410) 339-7447

REBECCA R DONNELLY LIC.AC.

Acupuncturist

7801 YORK RD, SUITE 215
TOWSON, MD 21204

Baltimore County (410) 337-7772

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 Kenneth Sibila's NPI number?

The NPI number for Kenneth Sibila is 1386615185. It was assigned to this individual provider in the NPPES registry on January 30, 2006.

Where is Kenneth Sibila located?

Kenneth Sibila practices at 7801 York Rd Suite 102, Towson, MD 21204. The listed phone number is (410) 769-4920.

What is Kenneth Sibila's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Kenneth Sibila enrolled in Medicare?

No. Kenneth Sibila has opted out of Medicare through August 20, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Is Kenneth Sibila affiliated with any hospitals?

According to CMS data, Kenneth Sibila is affiliated with University Of MD St Joseph Medical Center.

When was this NPI record last updated?

The NPPES record for Kenneth Sibila was last updated on July 17, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.