DR. PAUL ANDREW SYKES M.D., PH.D.
NPI 1447467246
Psychiatry & Neurology - Neurology in Longmont, CO

Active since May 17, 2007PECOS EnrolledAccepts Medicare Assignment
97.58/100
CMS Quality Rating
1925 MOUNTAIN VIEW AVE, LONGMONT, CO 80501(720) 718-8070(720) 494-3107 Get Directions Write a Review

NPPES record last updated: July 26, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 26, 2018, Apr 26, 2018 (2 updates tracked since 2018).

About Dr. Paul Andrew Sykes M.d., Ph.d. NPPES

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

DR. PAUL ANDREW SYKES M.D., PH.D. (NPI 1447467246) is an individual neurology provider in Longmont, Colorado, licensed in Colorado (DR.0060200) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS and is a graduate of University Of Virginia School Of Medicine (2005).

NPPES Registry Identity

NPI1447467246
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameDR. PAUL ANDREW SYKESCredential: M.D., PH.D.
Location Address1925 MOUNTAIN VIEW AVELongmont, CO 80501
Mailing Address1925 Mountain View AveLongmont, CO 80501-3128 · (720) 718-8070 · Fax (720) 494-3107
Fax(720) 494-3107
Sole ProprietorNo
Medical School CMSUniversity Of Virginia School Of MedicineGraduated 2005
Enumeration DateMay 17, 2007
Last NPPES UpdateJuly 26, 20182 updates tracked since enumeration
NPI 1447467246 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
Licenses Licensed in CO · DR.0060200 Licensed in AL · MD.27870 Licensed in AL · 27870
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
1925 MOUNTAIN VIEW AVE, Longmont, CO 80501

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

Dr. Paul Andrew Sykes M.d., Ph.d. 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 ID7214029347
PECOS Enrollment IDI20180814000030
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 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.
673 services432 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.
111 services111 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.
110 services101 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
74 services64 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
28 services28 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.
26 services24 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80501 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
$132.55 typical visit price
range $58.06 – $174.82
Typical copayment $33.13 (range $14.51 – $43.70)
Most-billed visit code 99204
Established Patient
$102.03 typical visit price
range $18.88 – $142.79
Typical copayment $25.50 (range $4.72 – $35.69)
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.

97.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.53
Promoting Interoperability100
Improvement Activities40

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.

Physician Assistant
1925 MOUNTAIN VIEW AVE
LONGMONT, CO 80501
Family Medicine
1925 MOUNTAIN VIEW AVE
LONGMONT, CO 80501
Family Medicine
1925 MOUNTAIN VIEW AVE
LONGMONT, CO 80501
Psychiatry & Neurology (Neurology)
1925 MOUNTAIN VIEW AVE
LONGMONT, CO 80501
Family Medicine
1925 MOUNTAIN VIEW AVE
LONGMONT, CO 80501
Family Medicine
1925 MOUNTAIN VIEW AVE
LONGMONT, CO 80501
Otolaryngology
1925 MOUNTAIN VIEW AVE
LONGMONT, CO 80501
Family Medicine
1925 MOUNTAIN VIEW AVE
LONGMONT, CO 80501

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 Paul Sykes's NPI number?

The NPI number for Paul Sykes is 1447467246. It was assigned to this individual provider in the NPPES registry on May 17, 2007.

Where is Paul Sykes located?

Paul Sykes practices at 1925 Mountain View Ave, Longmont, CO 80501. The listed phone number is (720) 718-8070.

What is Paul Sykes's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Paul Sykes enrolled in Medicare?

Yes. Paul Sykes 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 Paul Sykes accept?

Health plans from Medica and UnitedHealthcare list Paul Sykes 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 Paul Sykes was last updated on July 26, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.