KEVIN ROBERT SITKO M.D.
NPI 1700197795
Ophthalmology in Albuquerque, NM

Active since June 24, 2010PECOS EnrolledAccepts Medicare Assignment
96.75/100
CMS Quality Rating
2211 LOMAS BLVD NE, ALBUQUERQUE, NM 87106(505) 272-6120 Get Directions Write a Review

NPPES record last updated: October 23, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kevin Robert Sitko M.d. NPPES

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

KEVIN ROBERT SITKO M.D. (NPI 1700197795) is an individual ophthalmology provider in Albuquerque, New Mexico, licensed in New Mexico (MD2015-0239) and active in the NPI registry since June 2010. He is enrolled in Medicare PECOS, is affiliated with Unm Hospital, and is a graduate of University Of North Carolina At Chapel Hill School Of Medicine (2010).

NPPES Registry Identity

NPI1700197795
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameKEVIN ROBERT SITKOCredential: M.D.
Location Address2211 LOMAS BLVD NEAlbuquerque, NM 87106-2719
Mailing Address800 Bradbury Dr Se Ste 116Albuquerque, NM 87106-4310 · (505) 272-1476
Sole ProprietorNo
Medical School CMSUniversity Of North Carolina At Chapel Hill School Of MedicineGraduated 2010
Enumeration DateJune 24, 2010
Last NPPES UpdateOctober 23, 2024
NPPES CertifiedOctober 23, 2024
NPI 1700197795 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in NM · MD2015-0239
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
2211 LOMAS BLVD NE, Albuquerque, NM 87106

Accepted 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

Kevin Robert Sitko 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 ID1456579812
PECOS Enrollment IDI20150817001867
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 12

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.
137 services114 patients
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.
123 services103 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
104 services83 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.
90 services70 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
59 services45 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
56 services49 patients

Hospital Affiliations CMS Care Compare 2

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

Unm Hospital

Acute Care Hospitals · Albuquerque, NM
2/5 CMS rating
OwnershipGovernment - State
CMS Certification Number320001
Location2211 Lomas Boulevard NEAlbuquerque, NM 87106 · Bernalillo County
Emergency services Birthing friendly

Presbyterian Hospital

Acute Care Hospitals · Albuquerque, NM
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number320021
Location1100 Central Avenue SEAlbuquerque, NM 87106 · Bernalillo County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87106 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
$126.21 typical visit price
range $54.26 – $166.80
Typical copayment $31.55 (range $13.56 – $41.70)
Most-billed visit code 99204
Established Patient
$68.00 typical visit price
range $17.00 – $135.35
Typical copayment $17.00 (range $4.25 – $33.83)
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.

96.75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Promoting Interoperability87
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.

Pathology (Anatomic Pathology & Clinical Pathology)
2211 LOMAS BLVD NE
ALBUQUERQUE, NM 87106
Obstetrics & Gynecology
2211 LOMAS BLVD NE
ALBUQUERQUE, NM 87106
Audiologist
2211 LOMAS BLVD NE
ALBUQUERQUE, NM 87106
Student in an Organized Health Care Education/Training Program
2211 LOMAS BLVD NE
ALBUQUERQUE, NM 87106
Advanced Practice Midwife
2211 LOMAS BLVD NE, 4TH FLOOR AMBULATORY CARE CTR
ALBUQUERQUE, NM 87106
Radiology (Diagnostic Radiology)
2211 LOMAS BLVD NE
ALBUQUERQUE, NM 87106
Pediatrics
2211 LOMAS BLVD NE
ALBUQUERQUE, NM 87106
Pathology (Clinical Pathology/Laboratory Medicine)
2211 LOMAS BLVD NE
ALBUQUERQUE, NM 87106

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 Kevin Sitko's NPI number?

The NPI number for Kevin Sitko is 1700197795. It was assigned to this individual provider in the NPPES registry on June 24, 2010.

Where is Kevin Sitko located?

Kevin Sitko practices at 2211 Lomas Blvd NE, Albuquerque, NM 87106. The listed phone number is (505) 272-6120.

What is Kevin Sitko's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Kevin Sitko enrolled in Medicare?

Yes. Kevin Sitko 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 Kevin Sitko accept?

Health plans from Blue Cross Blue Shield of Arizona, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 2 other insurers list Kevin Sitko 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 Kevin Sitko affiliated with any hospitals?

According to CMS data, Kevin Sitko is affiliated with Unm Hospital and Presbyterian Hospital.

When was this NPI record last updated?

The NPPES record for Kevin Sitko was last updated on October 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.