SYLVIA M CUETO MD
NPI 1629181003
Emergency Medicine in Harrisburg, PA

Active since August 17, 2006PECOS Enrolled
92.3/100
CMS Quality Rating
111 S FRONT ST, HARRISBURG, PA 17101(717) 782-3380 Get Directions Write a Review

NPPES record last updated: January 16, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Sylvia M Cueto Md NPPES

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

SYLVIA M CUETO MD (NPI 1629181003) is an individual emergency medicine provider in Harrisburg, Pennsylvania, licensed in Pennsylvania (MD069031L) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629181003
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameSYLVIA M CUETOCredential: MD
Location Address111 S FRONT STHarrisburg, PA 17101-2010
Mailing Address111 S Front StHarrisburg, PA 17101-2010
Sole ProprietorNo
Enumeration DateAugust 17, 2006
Last NPPES UpdateJanuary 16, 2021
NPPES CertifiedJanuary 16, 2021
✔ NPI 1629181003 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in PA · MD069031L
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
111 S FRONT ST, Harrisburg, PA 17101

Other Identifiers 8

Medicaid0018816700005PA
Medicaid0018816700004PA
Other50010067PA · Capital Bcbs
Other30024881PA · Keystone
Other001363485PA · Highmark Bcbs
Other141212PA · Unison
Other1514932PA · Gateway
Other64769PA · Geisinger

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sylvia M Cueto Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

2

Medicare enrollment records show Sylvia Cueto reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Emergency Medicine
111 S FRONT ST
Harrisburg, PA 17101
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 209 clinicians in this Medicare group
Emergency Medicine
575 N RIVER ST
Wilkes Barre, PA 18764
  • Reassigned Medicare billing, Pennsylvania enrollment
  • Medicare enrollment name: Emergency Care Services Of Pennsylvania PC
  • 329 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

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17101 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
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.

92.3/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.29
Improvement Activities40
Cost100

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.

Emergency Medicine
111 S FRONT ST
HARRISBURG, PA 17101
Family Medicine
111 S FRONT ST
HARRISBURG, PA 17101
Nurse Anesthetist, Certified Registered
111 S FRONT ST
HARRISBURG, PA 17101
Nurse Anesthetist, Certified Registered
111 S FRONT ST
HARRISBURG, PA 17101
Internal Medicine
111 S FRONT ST
HARRISBURG, PA 17101
Dietitian, Registered
111 S FRONT ST
HARRISBURG, PA 17101
Student in an Organized Health Care Education/Training Program
111 S FRONT ST
HARRISBURG, PA 17101
Nurse Practitioner (Family)
111 S FRONT ST
HARRISBURG, PA 17101

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 Sylvia Cueto's NPI number?

The NPI number for Sylvia Cueto is 1629181003. It was assigned to this individual provider in the NPPES registry on August 17, 2006.

Where is Sylvia Cueto located?

Sylvia Cueto practices at 111 S Front St, Harrisburg, PA 17101. The listed phone number is (717) 782-3380.

What is Sylvia Cueto's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Sylvia Cueto enrolled in Medicare?

Yes. Sylvia Cueto is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Sylvia Cueto's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sylvia Cueto reassigns Medicare benefits to 2 organizations: Pinnacle Health Emergency Department Services LLC (Harrisburg, PA) and Emergency Care Services Of Pennsylvania, P.C. (Wilkes Barre, PA). 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 Sylvia Cueto's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Sylvia Cueto was last updated on January 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.