DR. JOSEPH ROBERT SIKON M.D.
NPI 1780039917
Emergency Medicine in Nashville, TN

Active since April 25, 2016PECOS Enrolled
97.12/100
CMS Quality Rating
3601 THE VANDERBILT CLINIC, NASHVILLE, TN 37232(615) 936-2000 Get Directions Write a Review

NPPES record last updated: March 24, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 15, 2020, May 7, 2019, Apr 25, 2019 (3 updates tracked since 2019).

About Dr. Joseph Robert Sikon M.d. NPPES

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

DR. JOSEPH ROBERT SIKON M.D. (NPI 1780039917) is an individual emergency medicine provider in Nashville, Tennessee, licensed in Tennessee (59355) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS and maintains a secondary practice location in Nashville.

NPPES Registry Identity

NPI1780039917
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. JOSEPH ROBERT SIKONCredential: M.D.
Location Address3601 THE VANDERBILT CLINICNashville, TN 37232-0001
Mailing Address3841 Green Hills Village Dr Ste 200Nashville, TN 37215-2691 · (615) 936-2000
Sole ProprietorYes
Enumeration DateApril 25, 2016
Last NPPES UpdateMarch 24, 20223 updates tracked since enumeration
NPPES CertifiedMarch 24, 2022
NPI 1780039917 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in TN · 59355
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.

3601 THE VANDERBILT CLINIC, Nashville, TN 37232

Secondary Practice Location 1

Location 11313 21st Ave SNashville, TN 37232-0001 · Phone (615) 936-1160

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 (PECOS)

Dr. Joseph Robert Sikon M.d. 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.

Areas of Expertise CMS Part B claims 3

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.
36 services36 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.
16 services16 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.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37232 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

97.12/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.64
Promoting Interoperability100
Improvement Activities40

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.

Nurse Practitioner (Acute Care)
3601 THE VANDERBILT CLINIC
NASHVILLE, TN 37232
Medical Genetics (Clinical Genetics (M.D.))
3601 THE VANDERBILT CLINIC
NASHVILLE, TN 37232
Internal Medicine (Rheumatology)
3601 THE VANDERBILT CLINIC
NASHVILLE, TN 37232
Ophthalmology
3601 THE VANDERBILT CLINIC
NASHVILLE, TN 37232
Surgery
3601 THE VANDERBILT CLINIC
NASHVILLE, TN 37232
Obstetrics & Gynecology
3601 THE VANDERBILT CLINIC
NASHVILLE, TN 37232
Nurse Anesthetist, Certified Registered
3601 THE VANDERBILT CLINIC
NASHVILLE, TN 37232
Psychiatry & Neurology (Neurology)
3601 THE VANDERBILT CLINIC
NASHVILLE, TN 37232

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 Joseph Sikon's NPI number?

The NPI number for Joseph Sikon is 1780039917. It was assigned to this individual provider in the NPPES registry on April 25, 2016.

Where is Joseph Sikon located?

Joseph Sikon practices at 3601 The Vanderbilt Clinic, Nashville, TN 37232. The listed phone number is (615) 936-2000.

What is Joseph Sikon's specialty?

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

Is Joseph Sikon enrolled in Medicare?

Yes. Joseph Sikon is registered in the Medicare PECOS enrollment system.

What insurance does Joseph Sikon accept?

Health plans from Alliant Health Plans, Inc. and Oscar Insurance Company list Joseph Sikon 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.

When was this NPI record last updated?

The NPPES record for Joseph Sikon was last updated on March 24, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.