CRAIG M SISCO FNP
NPI 1871138701
Nurse Practitioner - Family in Troy, OH

Active since November 14, 2019PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
731 W MARKET ST, TROY, OH 45373(937) 573-4384 Get Directions Write a Review

NPPES record last updated: May 14, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 14, 2025, Dec 9, 2019, Nov 14, 2019 (3 updates tracked since 2019).

About Craig M Sisco Fnp NPPES

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

CRAIG M SISCO FNP (NPI 1871138701) is an individual family provider in Troy, Ohio, licensed in Ohio (APRN.CNP.025995) and active in the NPI registry since November 2019. He is enrolled in Medicare PECOS, is affiliated with Kettering Health Troy, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1871138701
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameCRAIG M SISCOCredential: FNP
Location Address731 W MARKET STTroy, OH 45373-3003
Mailing AddressPo Box 932958Cleveland, OH 44193-0028
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateNovember 14, 2019
Last NPPES UpdateMay 14, 20253 updates tracked since enumeration
NPPES CertifiedMay 14, 2025
NPI 1871138701 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in OH · APRN.CNP.025995
731 W MARKET ST, Troy, OH 45373

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

Craig M Sisco Fnp 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 ID8426482399
PECOS Enrollment IDI20191231001029
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 7

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.
44 services39 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
36 services36 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
25 services25 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
25 services25 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza 87428
This test uses a method called immunoassay to identify severe acute respiratory syndrome coronavirus and influenza. It works by detecting specific proteins (antigens) in a sample, like a nasal swab. It's a powerful tool in diagnosing these viral infections.
19 services19 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
15 services13 patients

Hospital Affiliations CMS Care Compare

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

Kettering Health Troy

Acute Care Hospitals · Troy, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360368
Location600 West Main StreetTroy, OH 45373 · Miami County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45373 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.

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

Other Providers at the Same Location NPPES 12

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

Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
731 W MARKET ST
TROY, OH 45373
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
731 W MARKET ST
TROY, OH 45373
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
731 W MARKET ST
TROY, OH 45373
Pharmacist
731 W MARKET ST
TROY, OH 45373
Nurse Practitioner (Family)
731 W MARKET ST
TROY, OH 45373
Nurse Practitioner (Family)
731 W MARKET ST
TROY, OH 45373
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
731 W MARKET ST
TROY, OH 45373
Nurse Practitioner (Family)
731 W MARKET ST
TROY, OH 45373

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 Craig Sisco's NPI number?

The NPI number for Craig Sisco is 1871138701. It was assigned to this individual provider in the NPPES registry on November 14, 2019.

Where is Craig Sisco located?

Craig Sisco practices at 731 W Market St, Troy, OH 45373. The listed phone number is (937) 573-4384.

What is Craig Sisco's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Craig Sisco enrolled in Medicare?

Yes. Craig Sisco 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 Craig Sisco affiliated with any hospitals?

According to CMS data, Craig Sisco is affiliated with Kettering Health Troy.

When was this NPI record last updated?

The NPPES record for Craig Sisco was last updated on May 14, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.