DR. SYLVESTER EJIOFOR ONYISHI M.D.
NPI 1952697559
Urology in Sebring, FL

Active since June 22, 2011PECOS EnrolledAccepts Medicare Assignment
94.93/100
CMS Quality Rating
4325 SUN N LAKE BLVD STE 105, SEBRING, FL 33872(863) 382-2248(863) 382-1242 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018, Jul 26, 2017 (3 updates tracked since 2017).

About Dr. Sylvester Ejiofor Onyishi M.d. NPPES

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

DR. SYLVESTER EJIOFOR ONYISHI M.D. (NPI 1952697559) is an individual urology provider in Sebring, Florida, licensed in Florida (ME133238) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS, is affiliated with Hca Florida Highlands Hospital, and maintains a secondary practice location in Tucson.

NPPES Registry Identity

NPI1952697559
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameDR. SYLVESTER EJIOFOR ONYISHICredential: M.D.
Location Address4325 SUN N LAKE BLVD STE 105Sebring, FL 33872-2171
Mailing Address4325 Sun N Lake Blvd Ste 105Sebring, FL 33872-2171 · (863) 382-2248 · Fax (863) 382-1242
Fax(863) 382-1242
Sole ProprietorNo
Medical School CMSUniversity Of Tennessee, Hsc, College Of MedicineGraduated 2011
Enumeration DateJune 22, 2011
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
NPI 1952697559 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License Licensed in FL · ME133238
Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

4325 SUN N LAKE BLVD STE 105, Sebring, FL 33872

Secondary Practice Location 1

Location 11501 N Campbell Ave, POB 245077Tucson, AZ 85724-5077 · Phone (520) 626-6895 · Fax (520) 626-4933

Accepted 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

Dr. Sylvester Ejiofor Onyishi 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 ID8224301536
PECOS Enrollment IDI20170908001067
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 17

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.
526 services283 patients
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.
241 services174 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
82 services82 patients
Diagnostic exam of bladder and urethra using an endoscope 52000
This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.
75 services61 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
69 services40 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
61 services56 patients

Hospital Affiliations CMS Care Compare 3

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

Hca Florida Highlands Hospital

Acute Care Hospitals · Sebring, FL
1/5 CMS rating
OwnershipProprietary
CMS Certification Number100049
Location3600 S Highlands AveSebring, FL 33870 · Highlands County
Emergency services

Adventhealth Sebring

Acute Care Hospitals · Sebring, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100109
Location4200 Sun N Lake BlvdSebring, FL 33872 · Highlands County
Emergency services Birthing friendly

Adventhealth Wauchula

Critical Access Hospitals · Wauchula, FL
OwnershipVoluntary non-profit - Private
CMS Certification Number101300
Location735 S 5th AveWauchula, FL 33873 · Hardee County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33872 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

94.93/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality77.03
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
4 suppliers28 claims8,814 services$1.75 avg. paid by Medicare
Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each A4352
DME-Orthotic Devices · category DF008N
3 suppliers25 claims4,080 services$5.19 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 17

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

Student in an Organized Health Care Education/Training Program
4325 SUN N LAKE BLVD STE 105
SEBRING, FL 33872
Student in an Organized Health Care Education/Training Program
4325 SUN N LAKE BLVD STE 105
SEBRING, FL 33872
Student in an Organized Health Care Education/Training Program
4325 SUN N LAKE BLVD STE 105
SEBRING, FL 33872
Student in an Organized Health Care Education/Training Program
4325 SUN N LAKE BLVD STE 105
SEBRING, FL 33872
Internal Medicine
4325 SUN N LAKE BLVD STE 105
SEBRING, FL 33872
Student in an Organized Health Care Education/Training Program
4325 SUN N LAKE BLVD STE 105
SEBRING, FL 33872
Internal Medicine
4325 SUN N LAKE BLVD STE 105
SEBRING, FL 33872
Student in an Organized Health Care Education/Training Program
4325 SUN N LAKE BLVD STE 105
SEBRING, FL 33872

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 Sylvester Onyishi's NPI number?

The NPI number for Sylvester Onyishi is 1952697559. It was assigned to this individual provider in the NPPES registry on June 22, 2011.

Where is Sylvester Onyishi located?

Sylvester Onyishi practices at 4325 Sun N Lake Blvd Ste 105, Sebring, FL 33872. The listed phone number is (863) 382-2248.

What is Sylvester Onyishi's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Sylvester Onyishi enrolled in Medicare?

Yes. Sylvester Onyishi 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 Sylvester Onyishi accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Health First Commercial Plans, Inc., UnitedHealthcare and Wellpoint list Sylvester Onyishi 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.

Is Sylvester Onyishi affiliated with any hospitals?

According to CMS data, Sylvester Onyishi is affiliated with Hca Florida Highlands Hospital, Adventhealth Sebring and Adventhealth Wauchula.

When was this NPI record last updated?

The NPPES record for Sylvester Onyishi was last updated on July 21, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.