EDWARD SIERRA M.D.
NPI 1639146863
Emergency Medicine in Findlay, OH

Q: What is Edward Sierra's NPI number?

The NPI number for Edward Sierra is 1639146863. It was assigned to this individual provider in the NPPES registry on March 7, 2006.

Q: What is Edward Sierra's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Edward Sierra was last updated on February 3, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since March 07, 2006PECOS EnrolledAccepts Medicare Assignment

89.55/100

CMS Quality Rating

145 W WALLACE ST, FINDLAY, OH 45840(419) 423-5206(419) 423-5420 Get Directions Write a Review

NPPES record last updated: February 3, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Edward Sierra M.d. NPPES

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

EDWARD SIERRA M.D. (NPI 1639146863) is an individual emergency medicine provider in Findlay, Ohio, licensed in Indiana (01070922A) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Central Florida Lake Monroe Hospital, and is a graduate of Medical College Of Ohio (1986).

NPPES Registry Identity

NPI1639146863

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameEDWARD SIERRACredential: M.D.

Location Address145 W WALLACE STFindlay, OH 45840-1239

Mailing Address250 N Shadeland Ave, Suite 130-provider EnrollmentIndianapolis, IN 46219-4959 · (419) 423-5206 · Fax (317) 962-4343

Phone(419) 423-5206

Fax(419) 423-5420

Sole ProprietorNo

Medical School CMSMedical College Of OhioGraduated 1986

Enumeration DateMarch 7, 2006

Last NPPES UpdateFebruary 3, 2017

✔ NPI 1639146863 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

Licenses✔ Licensed in IN · 01070922A✔ Licensed in OH · 35057470

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.

Also ListedFamily MedicineTaxonomy 207Q00000X · License 35057470 (OH)

145 W WALLACE ST, Findlay, OH 45840

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Other Identifiers 8

Medicare PIN7139671

Medicare UPIND97857OH

Medicare PIN0625767OH

Medicaid0717308OH

Medicare PIN4239584OH

Medicare PINSI17380911OH

Medicare PINSI4239583OH

Medicare PINP00699671OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Molina Healthcare, Oscar Health Maintenance Organization of Florida and more.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

Edward Sierra 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 ID3971407016

PECOS Enrollment IDI20120417000389

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.

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.

204 services181 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

137 services124 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

78 services76 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

32 services32 patients

Hospital Affiliations CMS Care Compare 3

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

Central Florida Lake Monroe Hospital

Acute Care Hospitals · Sanford, FL

2/5 CMS rating

OwnershipProprietary

CMS Certification Number100161

Location1401 W Seminole BlvdSanford, FL 32771 · Seminole County

Emergency services

Hca Florida Brandon Hospital

Acute Care Hospitals · Brandon, FL

3/5 CMS rating

OwnershipProprietary

CMS Certification Number100243

Location119 Oakfield DrBrandon, FL 33511 · Hillsborough County

Emergency services Birthing friendly

Union Hospital Clinton

Critical Access Hospitals · Clinton, IN

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number151326

Location801 S Main StClinton, IN 47842 · Vermillion County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45840 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

$84.72 typical visit price

range $54.34 – $166.65

Typical copayment $21.18 (range $13.58 – $41.66)

Most-billed visit code 99203

Established Patient

$96.44 typical visit price

range $17.10 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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.

89.55/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

70.45

Improvement Activities

Cost

100

Other Providers at the Same Location NPPES 18

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

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