KATHLEEN ANN SISTO MD - NPI 1922749225 - Pediatrics in Williamson, NY

Q: What is Kathleen Sisto's NPI number?

The NPI number for Kathleen Sisto is 1922749225. It was assigned to this individual provider in the NPPES registry on April 2, 2022.

Q: What is Kathleen Sisto's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Kathleen Sisto was last updated on August 7, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Kathleen Ann Sisto Md NPPES

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

KATHLEEN ANN SISTO MD (NPI 1922749225) is an individual pediatrics provider in Williamson, New York, licensed in New York (335516) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS, maintains a secondary practice location in Buffalo, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1922749225

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameKATHLEEN ANN SISTOCredential: MD

Location Address4425 OLD RIDGE RDWilliamson, NY 14589-9363

Mailing Address100 Kings Hwy SRochester, NY 14617-5504

Phone(315) 483-3280

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateApril 2, 2022

Last NPPES UpdateAugust 7, 20252 updates tracked since enumeration

NPPES CertifiedAugust 7, 2025

✔ NPI 1922749225 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in NY · 335516

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

4425 OLD RIDGE RD, Williamson, NY 14589

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Secondary Practice Location 1

Location 11001 Main St Fl 5Buffalo, NY 14203-1009 · Phone (716) 323-0000 · Fax (716) 323-0290

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kathleen Ann Sisto Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7214431006

PECOS Enrollment IDI20250916001355

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 14589 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

$84.93 typical visit price

range $54.87 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.08 typical visit price

range $17.54 – $136.14

Typical copayment $24.27 (range $4.38 – $34.03)

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.