DR. AGUSTIN SIBONA M.D.
NPI 1891153342
Surgery in Newport Beach, CA

Active since January 29, 2016PECOS EnrolledAccepts Medicare Assignment
85.18/100
CMS Quality Rating
520 SUPERIOR AVE, NEWPORT BEACH, CA 92663(949) 764-8960(949) 764-8961 Get Directions Write a Review

NPPES record last updated: July 28, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Aug 19, 2022, Jul 27, 2022, Jan 29, 2016 (3 updates tracked since 2016).

About Dr. Agustin Sibona M.d. NPPES

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

DR. AGUSTIN SIBONA M.D. (NPI 1891153342) is an individual surgery provider in Newport Beach, California, licensed in California (A152943) and active in the NPI registry since January 2016. He is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1891153342
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. AGUSTIN SIBONACredential: M.D.
Location Address520 SUPERIOR AVENewport Beach, CA 92663-3637
Mailing Address520 Superior Ave Ste 300Newport Beach, CA 92663-3668 · (949) 764-8960 · Fax (949) 764-8961
Fax(949) 764-8961
Sole ProprietorYes
Medical School CMSOtherGraduated 2012
Enumeration DateJanuary 29, 2016
Last NPPES UpdateJuly 28, 20253 updates tracked since enumeration
NPPES CertifiedJuly 28, 2025
NPI 1891153342 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in CA · A152943
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
520 SUPERIOR AVE, Newport Beach, CA 92663

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. Agustin Sibona 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 ID6901288976
PECOS Enrollment IDI20220808001975
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92663 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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.

85.18/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality71.81
Promoting Interoperability82
Improvement Activities40
Cost64.54

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.

Internal Medicine
520 SUPERIOR AVE, STE 205
NEWPORT BEACH, CA 92663
Internal Medicine (Interventional Cardiology)
520 SUPERIOR AVE
NEWPORT BEACH, CA 92663
Internal Medicine (Clinical Cardiac Electrophysiology)
520 SUPERIOR AVE, SUITE 330
NEWPORT BEACH, CA 92663
Internal Medicine (Pulmonary Disease)
520 SUPERIOR AVE, SUITE 285
NEWPORT BEACH, CA 92663
Internal Medicine (Nephrology)
520 SUPERIOR AVE, SUITE 340
NEWPORT BEACH, CA 92663
Physician Assistant (Medical)
520 SUPERIOR AVE, SUITE 270
NEWPORT BEACH, CA 92663
Surgery (Vascular Surgery)
520 SUPERIOR AVE, SUITE 370
NEWPORT BEACH, CA 92663
Audiologist-Hearing Aid Fitter
520 SUPERIOR AVE, STE. 190
NEWPORT BEACH, CA 92663

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 Agustin Sibona's NPI number?

The NPI number for Agustin Sibona is 1891153342. It was assigned to this individual provider in the NPPES registry on January 29, 2016.

Where is Agustin Sibona located?

Agustin Sibona practices at 520 Superior Ave, Newport Beach, CA 92663. The listed phone number is (949) 764-8960.

What is Agustin Sibona's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Agustin Sibona enrolled in Medicare?

Yes. Agustin Sibona 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.

When was this NPI record last updated?

The NPPES record for Agustin Sibona was last updated on July 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.