JAMES CARNELL SIBBETT D.O.
NPI 1962849992
Emergency Medicine in Madison Heights, MI

Active since May 31, 2013PECOS EnrolledAccepts Medicare Assignment
27351 DEQUINDRE RD, MADISON HEIGHTS, MI 48071(248) 967-7795(248) 967-7794 Get Directions Write a Review

NPPES record last updated: December 7, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About James Carnell Sibbett D.o. NPPES

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

JAMES CARNELL SIBBETT D.O. (NPI 1962849992) is an individual emergency medicine provider in Madison Heights, Michigan, licensed in Michigan (5101020293) and active in the NPI registry since May 2013. He is enrolled in Medicare PECOS, is affiliated with Advocate Good Samaritan Hospital, and is a graduate of Michigan State University College Of Osteopathic Medicine (2013).

NPPES Registry Identity

NPI1962849992
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameJAMES CARNELL SIBBETTCredential: D.O.
Location Address27351 DEQUINDRE RDMadison Heights, MI 48071-3487
Mailing Address27351 Dequindre RdMadison Heights, MI 48071-3487 · (248) 967-7795 · Fax (248) 967-7794
Fax(248) 967-7794
Sole ProprietorYes
Medical School CMSMichigan State University College Of Osteopathic MedicineGraduated 2013
Enumeration DateMay 31, 2013
Last NPPES UpdateDecember 7, 2021
NPPES CertifiedDecember 7, 2021
NPI 1962849992 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in MI · 5101020293
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
27351 DEQUINDRE RD, Madison Heights, MI 48071

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

James Carnell Sibbett D.o. 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 ID7315244845
PECOS Enrollment IDI20180809000809
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 13

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.
302 services290 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.
86 services86 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
68 services65 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza 87428
This test uses a method called immunoassay to identify severe acute respiratory syndrome coronavirus and influenza. It works by detecting specific proteins (antigens) in a sample, like a nasal swab. It's a powerful tool in diagnosing these viral infections.
57 services56 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
28 services28 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
26 services26 patients

Hospital Affiliations CMS Care Compare 2

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

Advocate Good Samaritan Hospital

Acute Care Hospitals · Downers Grove, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140288
Location3815 Highland AvenueDowners Grove, IL 60515 · Du Page County
Emergency services Birthing friendly

Sarah D Culbertson Memorial Hospital

Critical Access Hospitals · Rushville, IL
OwnershipGovernment - Hospital District or Authority
CMS Certification Number141333
Location238 South Congress StreetRushville, IL 62681 · Schuyler County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48071 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
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.

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.

Nurse Practitioner (Acute Care)
27351 DEQUINDRE RD
MADISON HEIGHTS, MI 48071
Physical Therapist
27351 DEQUINDRE RD
MADISON HEIGHTS, MI 48071
Psychiatry & Neurology (Psychiatry)
27351 DEQUINDRE RD
MADISON HEIGHTS, MI 48071
Dental Assistant
27351 DEQUINDRE RD
MADISON HEIGHTS, MI 48071
Podiatrist (Foot & Ankle Surgery)
27351 DEQUINDRE RD
MADISON HEIGHTS, MI 48071
Emergency Medicine
27351 DEQUINDRE RD
MADISON HEIGHTS, MI 48071
General Practice
27351 DEQUINDRE RD
MADISON HTS, MI 48071
Pharmacist
27351 DEQUINDRE RD
MADISON HEIGHTS, MI 48071

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 James Sibbett's NPI number?

The NPI number for James Sibbett is 1962849992. It was assigned to this individual provider in the NPPES registry on May 31, 2013.

Where is James Sibbett located?

James Sibbett practices at 27351 Dequindre Rd, Madison Heights, MI 48071. The listed phone number is (248) 967-7795.

What is James Sibbett's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is James Sibbett enrolled in Medicare?

Yes. James Sibbett 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.

Is James Sibbett affiliated with any hospitals?

According to CMS data, James Sibbett is affiliated with Advocate Good Samaritan Hospital and Sarah D Culbertson Memorial Hospital.

When was this NPI record last updated?

The NPPES record for James Sibbett was last updated on December 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.