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JIM SISTASIS M.D.
NPI 1629051115
Family Medicine in Asheboro, NC

Active since November 29, 2005PECOS EnrolledAccepts Medicare Assignment
147 E ACADEMY ST, ASHEBORO, NC 27203(336) 633-1212(336) 633-1218 Get Directions Write a Review

NPPES record last updated: October 7, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jim Sistasis M.d. NPPES

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

JIM SISTASIS M.D. (NPI 1629051115) is an individual family medicine provider in Asheboro, North Carolina, licensed in North Carolina (9901476) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with Randolph Hospital, and is a graduate of Other (1993).

NPPES Registry Identity

NPI1629051115
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJIM SISTASISCredential: M.D.
Location Address147 E ACADEMY STAsheboro, NC 27203-5706
Mailing AddressPo Box 4247Asheboro, NC 27204-4247 · (336) 633-1212 · Fax (336) 633-1218
Phone(336) 633-1212
Fax(336) 633-1218
Sole ProprietorNo
Medical School CMSOtherGraduated 1993
Enumeration DateNovember 29, 2005
Last NPPES UpdateOctober 7, 2011
✔ NPI 1629051115 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NC · 9901476
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.
147 E ACADEMY ST, Asheboro, NC 27203
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Other Identifiers 3

Medicare ID-Type Unspecified2001368A
Medicaid89131HVNC
Medicare UPING82003

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, Blue Cross and Blue Shield of NC, UnitedHealthcare.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

Jim Sistasis 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 ID2163481698
PECOS Enrollment IDI20041012000828
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 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 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.
40 services22 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.
21 services12 patients

Hospital Affiliations CMS Care Compare

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

Randolph Hospital

Acute Care Hospitals · Asheboro, NC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340123
Location364 White Oak StreetAsheboro, NC 27204 · Randolph County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27203 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

Reported Quality Measures

e-Prescribing
98%667 patients4/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
17%212 patients1/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds K0823
DME-Wheelchairs · category DD009N
1 supplier12 claims12 services$106.30 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 2

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

ROWENA MARIA SISTASIS M.D.
Family Medicine
147 E ACADEMY ST
ASHEBORO, NC 27203
Randolph County (336) 633-1212
SISTASIS FAMILY PRACTICE,INC.
Clinic/Center (Primary Care)
147 E ACADEMY ST
ASHEBORO, NC 27203
Randolph County (336) 633-1212

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 Jim Sistasis's NPI number?

The NPI number for Jim Sistasis is 1629051115. It was assigned to this individual provider in the NPPES registry on November 29, 2005.

Where is Jim Sistasis located?

Jim Sistasis practices at 147 E Academy St, Asheboro, NC 27203. The listed phone number is (336) 633-1212.

What is Jim Sistasis's specialty?

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

Is Jim Sistasis enrolled in Medicare?

Yes. Jim Sistasis 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 Jim Sistasis accept?

Health plans from AmeriHealth Caritas Next, Blue Cross and Blue Shield of NC and UnitedHealthcare list Jim Sistasis 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 Jim Sistasis affiliated with any hospitals?

According to CMS data, Jim Sistasis is affiliated with Randolph Hospital.

When was this NPI record last updated?

The NPPES record for Jim Sistasis was last updated on October 7, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.