DR. NICHOLAS SIKALAS M.D.
NPI 1720307002
Surgery - Vascular Surgery in Stony Brook, NY

Active since May 25, 2010PECOS EnrolledAccepts Medicare Assignment
84.47/100
CMS Quality Rating
STONY BROOK UNIVERSITY HOSPITAL, HEALTH SCIENCES TOWER,LEVEL 19, RM090, STONY BROOK, NY 11790(631) 444-1279(631) 444-8824 Get Directions Write a Review

NPPES record last updated: April 1, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Nicholas Sikalas M.d. NPPES

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

DR. NICHOLAS SIKALAS M.D. (NPI 1720307002) is an individual vascular surgery provider in Stony Brook, New York, licensed in New York (270038) and active in the NPI registry since May 2010. He is enrolled in Medicare PECOS, is affiliated with Ns/lij Hs Southside Hospital, and is a graduate of State University Of New York Downstate Medical Center (2008).

NPPES Registry Identity

NPI1720307002
Entity TypeIndividualMale
Primary Taxonomy2086S0129X
Provider Legal NameDR. NICHOLAS SIKALASCredential: M.D.
Location AddressSTONY BROOK UNIVERSITY HOSPITAL, HEALTH SCIENCES TOWER,LEVEL 19, RM090Stony Brook, NY 11790
Mailing AddressPo Box 1554, CpmpStony Brook, NY 11790 · (631) 444-1279 · Fax (631) 444-8824
Fax(631) 444-8824
Sole ProprietorYes
Medical School CMSState University Of New York Downstate Medical CenterGraduated 2008
Enumeration DateMay 25, 2010
Last NPPES UpdateApril 1, 2021
NPPES CertifiedApril 1, 2021
NPI 1720307002 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
License Licensed in NY · 270038
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
STONY BROOK UNIVERSITY HOSPITAL, Stony Brook, NY 11790

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

Dr. Nicholas Sikalas 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 ID5193033074
PECOS Enrollment IDI20150925000825
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 19

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.
208 services144 patients
Ultrasound study of one arm or leg veins with compression and maneuvers 93971
This is a non-invasive procedure using sound waves to visualize veins in an arm or leg. It involves applying gentle pressure and performing certain movements. It helps identify any abnormal blood flow or clots, ensuring vascular health.
69 services49 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
68 services56 patients
Strapping, unna boot 29580
An Unna Boot is a special bandage, soaked in a gel, wrapped around your lower leg and foot. It helps heal leg sores, improve circulation, and reduce swelling. The boot hardens and provides compression, promoting healing and comfort.
67 services12 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.
62 services55 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
62 services60 patients

Hospital Affiliations CMS Care Compare 4

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

Ns/Lij Hs Southside Hospital

Acute Care Hospitals · Bay Shore, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330043
Location301 East Main StreetBay Shore, NY 11706 · Suffolk County
Emergency services Birthing friendly

Ns/Lij Hs Huntington Hospital

Acute Care Hospitals · Huntington, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330045
Location270 Park AvenueHuntington, NY 11743 · Suffolk County
Emergency services Birthing friendly

North Shore University Hospital

Acute Care Hospitals · Manhasset, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330106
Location300 Community DriveManhasset, NY 11030 · Nassau County
Emergency services Birthing friendly

Plainview Hospital

Acute Care Hospitals · Plainview, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330331
Location888 Old Country RoadPlainview, NY 11803 · Nassau County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11790 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
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.

84.47/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality93.33
Promoting Interoperability100
Improvement Activities40
Cost54.91

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Pneumatic compressor, segmental home model without calibrated gradient pressure E0651
DME-Other DME · category DE000N
1 supplier12 claims12 services$753.87 avg. paid by Medicare
Segmental pneumatic appliance for use with pneumatic compressor, full leg E0667
DME-Other DME · category DE000N
1 supplier13 claims26 services$312.50 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.

Student in an Organized Health Care Education/Training Program
STONY BROOK UNIVERSITY HOSPITAL, MEDICAL STAFF OFFICE T14, STONY BROOK, NY 11794-714
STONY BROOK, NY 11790
Nurse Practitioner (Adult Health)
STONY BROOK UNIVERSITY HOSPITAL, HSC T-17-040, NICOLLS RD
STONY BROOK, NY 11790

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 Nicholas Sikalas's NPI number?

The NPI number for Nicholas Sikalas is 1720307002. It was assigned to this individual provider in the NPPES registry on May 25, 2010.

Where is Nicholas Sikalas located?

Nicholas Sikalas practices at Stony Brook University Hospital Health Sciences Tower,level 19, Rm090, Stony Brook, NY 11790. The listed phone number is (631) 444-1279.

What is Nicholas Sikalas's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Is Nicholas Sikalas enrolled in Medicare?

Yes. Nicholas Sikalas 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.

Is Nicholas Sikalas affiliated with any hospitals?

According to CMS data, Nicholas Sikalas is affiliated with Ns/Lij Hs Southside Hospital, Ns/Lij Hs Huntington Hospital, North Shore University Hospital and Plainview Hospital.

When was this NPI record last updated?

The NPPES record for Nicholas Sikalas was last updated on April 1, 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.