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JUSTIN B SIKES DMD
NPI 1952595605
Dentist - Oral and Maxillofacial Surgery in Shiprock, NM

Active since September 05, 2007PECOS Enrolled
55.65/100
CMS Quality Rating
US HWY 491 NORTH, SHIPROCK, NM 87420(505) 368-6393(505) 368-6360 Get Directions Write a Review

NPPES record last updated: August 10, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 10, 2021, Apr 17, 2019 (2 updates tracked since 2019).

About Justin B Sikes Dmd NPPES

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

JUSTIN B SIKES DMD (NPI 1952595605) is an individual oral and maxillofacial surgery provider in Shiprock, New Mexico, licensed in New Mexico (DD4423) and active in the NPI registry since September 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1952595605
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameJUSTIN B SIKESCredential: DMD
Location AddressUS HWY 491 NORTHShiprock, NM 87420
Mailing AddressPo Box 160Shiprock, NM 87420-0160 · (505) 368-6393 · Fax (505) 368-6360
Phone(505) 368-6393
Fax(505) 368-6360
Sole ProprietorNo
Enumeration DateSeptember 5, 2007
Last NPPES UpdateAugust 10, 20212 updates tracked since enumeration
NPPES CertifiedJuly 16, 2021
✔ NPI 1952595605 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in NM · DD4423
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Also ListedDentistTaxonomy 122300000X · License DD4423 (NM)
US HWY 491 NORTH, Shiprock, NM 87420
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Justin B Sikes Dmd 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.

Medicare Billing Reassignment

Medicare enrollment records show Justin Sikes reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Dhhs, Phs, Naihs, Shiprock Hospital
16 mi
General Acute Care Hospital
US HIGHWAY 491 NORTH
Shiprock, NM 87420
  • Reassigned Medicare billing, Texas enrollment
  • 572 clinicians in this Medicare group
NPI 1780639971 (505) 368-6401

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87420 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
$84.79 typical visit price
range $54.26 – $166.80
Typical copayment $21.19 (range $13.56 – $41.70)
Most-billed visit code 99203
Established Patient
$68.00 typical visit price
range $17.00 – $135.35
Typical copayment $17.00 (range $4.25 – $33.83)
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.

55.65/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality67.51
Promoting Interoperability0
Improvement Activities40
Cost51.32

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.

ZELDA GAIL GARCIA LCSW
Social Worker (Clinical)
US HWY 491 NORTH
SHIPROCK, NM 87420
San Juan County (505) 368-6001
DR. MATTHEW S SPIVA DPM
Podiatrist
US HWY 491 NORTH
SHIPROCK, NM 87420
San Juan County (505) 368-6001
CYNTHIA L. DUNDER RN
Registered Nurse
US HWY 491 NORTH
SHIPROCK, NM 87420
San Juan County (505) 368-6401
JULIE ANN WALKER PHARMD, BCPS
Pharmacist
US HWY 491 NORTH, NORTHERN NAVAJO MEDICAL CENTER PHARMACY DEPARTMENT
SHIPROCK, NM 87420
San Juan County (505) 386-7266
MS. DONIELLE DAWN BIGMAN FNP-BC
Nurse Practitioner (Family)
US HWY 491 NORTH
SHIPROCK, NM 87420
San Juan County (505) 368-6001
AIMEE E MCMULLIN MD
Family Medicine
US HWY 491 NORTH
SHIPROCK, NM 87420
San Juan County (505) 368-6001
FLOYD P BOND MD
Obstetrics & Gynecology
US HWY 491 NORTH
SHIPROCK, NM 87420
San Juan County (505) 368-6401
SANDRA BEIRNE MD
Pediatrics
US HWY 491 NORTH
SHIPROCK, NM 87420
San Juan County (505) 368-7060

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 Justin Sikes's NPI number?

The NPI number for Justin Sikes is 1952595605. It was assigned to this individual provider in the NPPES registry on September 5, 2007.

Where is Justin Sikes located?

Justin Sikes practices at Us Hwy 491 North, Shiprock, NM 87420. The listed phone number is (505) 368-6393.

What is Justin Sikes's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Justin Sikes enrolled in Medicare?

Yes. Justin Sikes is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Justin Sikes's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Justin Sikes reassigns Medicare benefits to Dhhs, Phs, Naihs, Shiprock Hospital (Shiprock, NM). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Justin Sikes's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Justin Sikes was last updated on August 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.