1. Home
  2. Directory
  3. Pennsylvania
  4. Allentown
  5. Internal Medicine
  6. NPI Profile

DR. MICHAEL JACOB SITHER D.O.
NPI 1528479284
Internal Medicine in Allentown, PA

Active since May 15, 2014PECOS EnrolledAccepts Medicare Assignment
85.49/100
CMS Quality Rating
1200 S CEDAR CREST BLVD, ALLENTOWN, PA 18103(610) 402-1675 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018, Jul 17, 2017 (3 updates tracked since 2017).

About Dr. Michael Jacob Sither D.o. NPPES

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

DR. MICHAEL JACOB SITHER D.O. (NPI 1528479284) is an individual internal medicine provider in Allentown, Pennsylvania, licensed in Pennsylvania (OT015951) and active in the NPI registry since May 2014. He is enrolled in Medicare PECOS, is affiliated with Christ Hospital, and maintains a secondary practice location in York.

NPPES Registry Identity

NPI1528479284
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. MICHAEL JACOB SITHERCredential: D.O.
Location Address1200 S CEDAR CREST BLVDAllentown, PA 18103-6202
Mailing Address1200 S Cedar Crest BlvdAllentown, PA 18103-6202 · (610) 402-1675
Phone(610) 402-1675
Sole ProprietorYes
Medical School CMSUniversity Of Kentucky College Of MedicineGraduated 2010
Enumeration DateMay 15, 2014
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
✔ NPI 1528479284 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in PA · OT015951
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1200 S CEDAR CREST BLVD, Allentown, PA 18103
Open in Google Maps ↗

Secondary Practice Location 1

Location 11001 S George St Fl 4York, PA 17403-3676 · Phone (717) 851-4005 · Fax (717) 812-2495

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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. Michael Jacob Sither 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 ID4183840630
PECOS Enrollment IDI20190904002704
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 4

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
309 services111 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
174 services64 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
128 services106 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
87 services73 patients

Hospital Affiliations CMS Care Compare

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

Christ Hospital

Acute Care Hospitals · Cincinnati, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360163
Location2139 Auburn AvenueCincinnati, OH 45219 · Hamilton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18103 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

85.49/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality91.06
Promoting Interoperability100
Improvement Activities40
Cost60.59

Referred Medical Equipment & Supplies CMS DME claims 2

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier27 claims27 services$13.77 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier30 claims30 services$62.64 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.

MUHAMMAD MAJEED MD
Hospitalist
1200 S CEDAR CREST BLVD
ALLENTOWN, PA 18103
Lehigh County (610) 402-5369
AARSHITHA SRINIVAS KATTA DO
Hospitalist
1200 S CEDAR CREST BLVD
ALLENTOWN, PA 18103
Lehigh County (610) 402-5369
CARLY A. SHAFFER DO
Internal Medicine
1200 S CEDAR CREST BLVD
ALLENTOWN, PA 18103
Lehigh County (484) 862-3156
NORMA D. WILSON CRNA
Nurse Anesthetist, Certified Registered
1200 S CEDAR CREST BLVD
ALLENTOWN, PA 18103
Lehigh County (610) 402-9099
ASHLEY VOJTEK DO
Student in an Organized Health Care Education/Training Program
1200 S CEDAR CREST BLVD
ALLENTOWN, PA 18103
Lehigh County (484) 862-3200
DR. DOUGLAS MCHALE DO
Pediatrics
1200 S CEDAR CREST BLVD
ALLENTOWN, PA 18103
Lehigh County (610) 402-7712
ANNE ALICIA TOKOS MD
Emergency Medicine
1200 S CEDAR CREST BLVD
ALLENTOWN, PA 18103
Lehigh County (610) 402-8000
CHRISTINE XUE
Radiology (Diagnostic Radiology)
1200 S CEDAR CREST BLVD
ALLENTOWN, PA 18103
Lehigh County (484) 274-3702

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 Michael Sither's NPI number?

The NPI number for Michael Sither is 1528479284. It was assigned to this individual provider in the NPPES registry on May 15, 2014.

Where is Michael Sither located?

Michael Sither practices at 1200 S Cedar Crest Blvd, Allentown, PA 18103. The listed phone number is (610) 402-1675.

What is Michael Sither's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Michael Sither enrolled in Medicare?

Yes. Michael Sither 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 Michael Sither accept?

Health plans from CareSource list Michael Sither 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 Michael Sither affiliated with any hospitals?

According to CMS data, Michael Sither is affiliated with Christ Hospital.

When was this NPI record last updated?

The NPPES record for Michael Sither was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.