GARY I SINCLAIR MD
NPI 1891757613
Internal Medicine in Dallas, TX

Q: What is Gary Sinclair's NPI number?

The NPI number for Gary Sinclair is 1891757613. It was assigned to this individual provider in the NPPES registry on April 5, 2006.

Q: What is Gary Sinclair's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Gary Sinclair was last updated on April 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since April 05, 2006PECOS EnrolledAccepts Medicare Assignment

99.13/100

CMS Quality Rating

219 SUNSET AVE STE 116A, DALLAS, TX 75208(972) 807-7370(972) 807-7381 Get Directions Write a Review

NPPES record last updated: April 10, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 10, 2024, Nov 30, 2022, May 2, 2022 and 3 more (6 updates tracked since 2018).

On this page

About Gary I Sinclair Md NPPES

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

GARY I SINCLAIR MD (NPI 1891757613) is an individual internal medicine provider in Dallas, Texas, licensed in Texas (L0936) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1994).

NPPES Registry Identity

NPI1891757613

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameGARY I SINCLAIRCredential: MD

Location Address219 SUNSET AVE STE 116ADallas, TX 75208-4531

Mailing Address219 Sunset Ave Ste 116aDallas, TX 75208-4531 · (972) 807-7370 · Fax (972) 807-7381

Phone(972) 807-7370

Fax(972) 807-7381

Sole ProprietorNo

Medical School CMSOtherGraduated 1994

Enumeration DateApril 5, 2006

Last NPPES UpdateApril 10, 20246 updates tracked since enumeration

NPPES CertifiedApril 10, 2024

✔ NPI 1891757613 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in TX · L0936

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedInternal Medicine · Infectious DiseaseTaxonomy 207RI0200X · License L0936 (TX)

219 SUNSET AVE STE 116A, Dallas, TX 75208

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Other Identifiers 2

Medicaid038836501TX

Medicaid17773ND

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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

Gary I Sinclair Md 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 ID4880875038

PECOS Enrollment IDI20130729000800

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 4

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.

69 services33 patients

Assessment of emotional or behavioral problems 96127

Assessment of emotional or behavioral problems involves a thorough evaluation of your feelings, thoughts, and behaviors. It's a process where professionals study patterns over time to identify potential issues like anxiety, depression, or other mental health conditions.

31 services18 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

17 services17 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.

12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75208 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

$131.01 typical visit price

range $57.18 – $172.86

Typical copayment $32.75 (range $14.29 – $43.21)

Most-billed visit code 99204

Established Patient

$100.80 typical visit price

range $18.48 – $141.20

Typical copayment $25.20 (range $4.62 – $35.30)

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.

99.13/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

74.84

Promoting Interoperability

Improvement Activities

Cost

100

Other Providers at the Same Location NPPES 7

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

EHP TEXAS LLC

Pharmacy (Community/Retail Pharmacy)

219 SUNSET AVE STE 116A
DALLAS, TX 75208

Dallas County (469) 749-7822

AIDS ARMS, INC.

Clinic/Center (Federally Qualified Health Center (FQHC))

219 SUNSET AVE STE 116A
DALLAS, TX 75208

Dallas County (972) 807-7381

AIDS ARMS, INC.

Pharmacy (Community/Retail Pharmacy)

219 SUNSET AVE STE 116A, CONFERENCE 1A
DALLAS, TX 75208

Dallas County (469) 749-7822

MS. RANIA J HOSSAIN RPH, PHARMD., AAHIVP

Pharmacist

219 SUNSET AVE STE 116A
DALLAS, TX 75208

Dallas County (469) 749-7822

MS. JENNIFER KAY-BERENE KLEIN FNP

Nurse Practitioner (Family)

219 SUNSET AVE STE 116A
DALLAS, TX 75208

Dallas County (972) 807-7370

DR. UNNI K PILLAI PHARMD

Pharmacist

219 SUNSET AVE STE 116A
DALLAS, TX 75208

Dallas County (469) 749-7822

AMY M BARRIER FNP

Nurse Practitioner (Family)

219 SUNSET AVE STE 116A
DALLAS, TX 75208

Dallas County (972) 807-7370

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 Gary Sinclair's NPI number?

The NPI number for Gary Sinclair is 1891757613. It was assigned to this individual provider in the NPPES registry on April 5, 2006.

Where is Gary Sinclair located?

Gary Sinclair practices at 219 Sunset Ave Ste 116A, Dallas, TX 75208. The listed phone number is (972) 807-7370.

What is Gary Sinclair's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Gary Sinclair enrolled in Medicare?

Yes. Gary Sinclair 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 Gary Sinclair accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 6 other insurers list Gary Sinclair 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 Gary Sinclair was last updated on April 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.