DR. KELLEN SIKORA M.D.
NPI 1568754174
Obstetrics & Gynecology in Norwich, CT

Active since May 15, 2011PECOS EnrolledAccepts Medicare Assignment
58.2/100
CMS Quality Rating

NPPES record last updated: October 30, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 30, 2023, Oct 14, 2016 (2 updates tracked since 2016).

About Dr. Kellen Sikora M.d. NPPES

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

DR. KELLEN SIKORA M.D. (NPI 1568754174) is an individual obstetrics & gynecology provider in Norwich, Connecticut, licensed in Connecticut (53928) and active in the NPI registry since May 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1568754174
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameDR. KELLEN SIKORACredential: M.D.
Location Address17 CASE STNorwich, CT 06360-2208
Mailing Address17 Case StNorwich, CT 06360-2208
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateMay 15, 2011
Last NPPES UpdateOctober 30, 20232 updates tracked since enumeration
NPPES CertifiedOctober 30, 2023
✔ NPI 1568754174 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in CT · 53928
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
17 CASE ST, Norwich, CT 06360

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Kellen Sikora M.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 ID1153640875
PECOS Enrollment IDI20150501000071
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.

Medicare Billing Reassignments

4

Medicare enrollment records show Kellen Sikora reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Obstetrics & Gynecology
17 CASE ST
Norwich, CT 06360
  • Reassigned Medicare billing, Connecticut enrollment
  • 23 clinicians in this Medicare group
Federally Qualified Health Center (FQHC)
47 TOWN STREET
Norwich, CT 06360
  • Reassigned Medicare billing, Connecticut enrollment
  • 166 clinicians in this Medicare group
Family Medicine
320 POMFRET STREET
Putnam, CT 06260
  • Reassigned Medicare billing, Connecticut enrollment
  • 163 clinicians in this Medicare group
General Acute Care Hospital
112 MANSFIELD AVE
Willimantic, CT 06226
  • Reassigned Medicare billing, Connecticut enrollment
  • 302 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

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 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.
13 services11 patients
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.
12 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06360 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
$138.84 typical visit price
range $60.82 – $183.10
Typical copayment $34.71 (range $15.20 – $45.77)
Most-billed visit code 99204
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
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.

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.

58.2/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities0
Cost44.02

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
17 CASE ST
NORWICH, CT 06360
Obstetrics & Gynecology
17 CASE ST
NORWICH, CT 06360
Specialist
17 CASE ST
NORWICH, CT 06360
Obstetrics & Gynecology
17 CASE ST
NORWICH, CT 06360
Advanced Practice Midwife
17 CASE ST
NORWICH, CT 06360
Advanced Practice Midwife
17 CASE ST
NORWICH, CT 06360
Advanced Practice Midwife
17 CASE ST
NORWICH, CT 06360
Advanced Practice Midwife
17 CASE ST
NORWICH, CT 06360

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 Kellen Sikora's NPI number?

The NPI number for Kellen Sikora is 1568754174. It was assigned to this individual provider in the NPPES registry on May 15, 2011.

Where is Kellen Sikora located?

Kellen Sikora practices at 17 Case St, Norwich, CT 06360. The listed phone number is (860) 886-2461.

What is Kellen Sikora's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Kellen Sikora enrolled in Medicare?

Yes. Kellen Sikora 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.

Which organizations bill Medicare for Kellen Sikora's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kellen Sikora reassigns Medicare benefits to 4 organizations: Ob-Gyn Services, P.C. (Norwich, CT), United Community And Family Services, Inc. (Norwich, CT), Day Kimball Medical Group Inc (Putnam, CT) and Windham Community Memorial Hospital, Inc. (Willimantic, CT). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kellen Sikora's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kellen Sikora accept?

Health plans from Anthem Blue Cross and Blue Shield list Kellen Sikora 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 Kellen Sikora was last updated on October 30, 2023. 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.