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

Q: 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.

Q: What is James Sibbett's specialty?

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

Q: 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.

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: November 01, 2026.

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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

Phone(248) 967-7795

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

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Medicare Participation & PECOS CMS

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

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.

Medicare Billing Reassignments

Medicare enrollment records show James Sibbett reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Aurora Emergency Physicians, LLC

271 mi

Emergency Medicine

2000 OGDEN AVE
Aurora, IL 60504

Reassigned Medicare billing, Illinois enrollment
116 clinicians in this Medicare group

NPI 1508389628 (630) 978-6200

Advocate Health And Hospitals Corporation

275 mi

Multi-Specialty

2285 SEQUOIA DR
Aurora, IL 60506

Reassigned Medicare billing, Illinois enrollment
383 clinicians in this Medicare group

NPI 1003542184 (630) 859-6700

Genesis Medical Center, Aledo

406 mi

Critical Access

409 NW 9TH AVE
Aledo, IL 61231

Reassigned Medicare billing, Illinois enrollment
40 clinicians in this Medicare group

NPI 1225380967 (309) 582-9100

Schuyler County Hospital District

422 mi

Critical Access

238 S CONGRESS ST
Rushville, IL 62681

Reassigned Medicare billing, Illinois enrollment
72 clinicians in this Medicare group

NPI 1013969112 (217) 322-4321

Valley Emergency Care Management Inc

Reassigned Medicare billing, Illinois enrollment
55 clinicians in this Medicare group

No phone listed

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

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

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.

24 services24 patients

Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) 87880

A detection test by immunoassay for Group A Strep is a quick procedure to identify a bacterial infection in your throat. It involves taking a throat swab and applying it to a test strip, which changes color if Strep bacteria are present.

21 services21 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

20 services20 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

17 services17 patients

Removal of impacted ear wax by washing 69209

Impacted ear wax removal by washing, also known as ear irrigation, involves using a pressurized flow of water to break up and dislodge the ear wax. This safe procedure helps restore normal hearing and relieve discomfort caused by the blockage.

15 services15 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

13 services13 patients

Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus 87426

An immunoassay test for severe acute respiratory syndrome coronavirus is a diagnostic tool. It uses your body's immune response to detect the presence of the virus. It involves taking a sample, usually from your nose or throat, which is then analyzed in a lab for signs of the virus.

12 services12 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.

DR. LISA MARIE WARGO DNP

Nurse Practitioner (Acute Care)

27351 DEQUINDRE RD
MADISON HEIGHTS, MI 48071

Oakland County (248) 967-7000

LAURIE DAVENPORT PT

Physical Therapist

27351 DEQUINDRE RD
MADISON HEIGHTS, MI 48071

Oakland County (248) 967-7312

SANTOSH K RASTOGI MD

Psychiatry & Neurology (Psychiatry)

27351 DEQUINDRE RD
MADISON HEIGHTS, MI 48071

Oakland County (248) 967-7480

MRS. JEVONA N MANIEX EFDA, EFODA, MBA

Dental Assistant

27351 DEQUINDRE RD
MADISON HEIGHTS, MI 48071

Oakland County (586) 753-1323

SHAYNAH GOLDFINE D.P.M.

Podiatrist (Foot & Ankle Surgery)

27351 DEQUINDRE RD
MADISON HEIGHTS, MI 48071

Oakland County (248) 967-7607

ALEXANDER ORMAN DO

Emergency Medicine

27351 DEQUINDRE RD
MADISON HEIGHTS, MI 48071

Oakland County (248) 967-7425

YELENA FAYNZILBERT DO

General Practice

27351 DEQUINDRE RD
MADISON HTS, MI 48071

Oakland County (248) 967-7795

MRS. LINDA BUBENKO

Pharmacist

27351 DEQUINDRE RD
MADISON HEIGHTS, MI 48071

Oakland County (248) 967-7041

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.

Which organizations bill Medicare for James Sibbett's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Sibbett reassigns Medicare benefits to 5 organizations: Aurora Emergency Physicians, LLC (Aurora, IL), Advocate Health And Hospitals Corporation (Aurora, IL), Genesis Medical Center, Aledo (Aledo, IL), Schuyler County Hospital District (Rushville, IL) and Valley Emergency Care Management Inc (IL). Each 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 James Sibbett's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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.