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KIMBERLY A. SIKULE M.D.
NPI 1972943629
Family Medicine - Sports Medicine in Williston, VT

Active since June 26, 2013PECOS EnrolledAccepts Medicare Assignment
426 INDUSTRIAL AVE, SUITE 130, WILLISTON, VT 05495(802) 878-1175(802) 652-5355 Get Directions Write a Review

NPPES record last updated: February 23, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 21, 2022, Jul 6, 2017 (2 updates tracked since 2017).

About Kimberly A. Sikule M.d. NPPES

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

KIMBERLY A. SIKULE M.D. (NPI 1972943629) is an individual sports medicine provider in Williston, Vermont, licensed in Vermont (042.0013769) and active in the NPI registry since June 2013. She is enrolled in Medicare PECOS, is affiliated with Univ. Of Vermont - Fletcher Allen Health Care, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1972943629
Entity TypeIndividualFemale
Primary Taxonomy207QS0010X
Provider Legal NameKIMBERLY A. SIKULECredential: M.D.
Location Address426 INDUSTRIAL AVE, SUITE 130Williston, VT 05495
Mailing Address426 Industrial Ave, Suite 130Williston, VT 05495 · (802) 878-1175 · Fax (802) 652-5355
Phone(802) 878-1175
Fax(802) 652-5355
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateJune 26, 2013
Last NPPES UpdateFebruary 23, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 23, 2026
✔ NPI 1972943629 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QS0010X
License✔ Licensed in VT · 042.0013769
Definition
A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.
Also ListedFamily MedicineTaxonomy 207Q00000X · License 255984 (MA)
426 INDUSTRIAL AVE, Williston, VT 05495
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

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

Kimberly A. Sikule 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 ID8729201397
PECOS Enrollment IDI20170830000532
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

2

Medicare enrollment records show Kimberly Sikule reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Evergreen Family Health Partners
Same address
Family Medicine
426 INDUSTRIAL AVE STE 130
Williston, VT 05495
  • Reassigned Medicare billing, Vermont enrollment
  • 22 clinicians in this Medicare group
NPI 1588790562 (802) 878-1008
University Of Vermont Medical Center Inc
3.6 mi
Internal Medicine
111 COLCHESTER AVE
Burlington, VT 05401
  • Reassigned Medicare billing, Vermont enrollment
  • 1,643 clinicians in this Medicare group
NPI 1659309615 (802) 847-0000

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 6

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.
109 services83 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.
87 services70 patients
Aspiration and/or injection of fluid large joint using ultrasound guidance 20611
This procedure involves using ultrasound technology to accurately locate a large joint, usually the knee or shoulder. A needle is then inserted to either extract fluid (aspiration) or inject medication. The ultrasound helps ensure precision and safety.
58 services44 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
40 services30 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.
24 services24 patients
Injection into tendon or ligament 20550
An injection into a tendon or ligament involves placing medication directly into these areas to help reduce inflammation and pain. It's often used for conditions like arthritis or tendonitis. The procedure is quick and usually involves a local anesthetic.
14 services12 patients

Hospital Affiliations CMS Care Compare 3

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

Univ. Of Vermont - Fletcher Allen Health Care

Acute Care Hospitals · Burlington, VT
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number470003
Location111 Colchester AveBurlington, VT 05401 · Chittenden County
Emergency services Birthing friendly

Northwestern Medical Center Inc

Acute Care Hospitals · Saint Albans, VT
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number470024
Location133 Fairfield StreetSaint Albans, VT 05478 · Franklin County
Emergency services Birthing friendly

Copley Hospital

Critical Access Hospitals · Morrisville, VT
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number471305
Location528 Washington HighwayMorrisville, VT 05661 · Lamoille County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 05495 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
$85.89 typical visit price
range $55.80 – $168.48
Typical copayment $21.47 (range $13.95 – $42.12)
Most-billed visit code 99203
Established Patient
$98.40 typical visit price
range $18.08 – $137.84
Typical copayment $24.60 (range $4.52 – $34.46)
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.

Referred Medical Equipment & Supplies CMS DME claims

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
6 suppliers23 claims74 services$5.37 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 15

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

CODY JAMES PARKER ATC
Specialist/Technologist (Athletic Trainer)
426 INDUSTRIAL AVE, SUITE 190
WILLISTON, VT 05495
Chittenden County (802) 860-4360
MR. SCOTT A PALUSKA MD
Family Medicine (Sports Medicine)
426 INDUSTRIAL AVE, SUITE 130
WILLISTON, VT 05495
Chittenden County (802) 878-1175
MS. EMILY HIGGINS ATC
Specialist/Technologist (Athletic Trainer)
426 INDUSTRIAL AVE
WILLISTON, VT 05495
Chittenden County (802) 860-4360
SARAH E MAZUR DPT
Physical Therapist
426 INDUSTRIAL AVE, SUITE 190
WILLISTON, VT 05495
Chittenden County (802) 860-4360
JOEL A DESAUTELS MPT ATC
Physical Therapist
426 INDUSTRIAL AVE, SUITE 190
WILLISTON, VT 05495
Chittenden County (802) 860-4360
MRS. DEBORAH DEE HARRIS P.T.
Physical Therapist
426 INDUSTRIAL AVE, SUITE 190
WILLISTON, VT 05495
Chittenden County (802) 860-4360
MAGHAN CHARLAND ATC
Specialist/Technologist (Athletic Trainer)
426 INDUSTRIAL AVE, SUITE 190
WILLISTON, VT 05495
Chittenden County (802) 860-4360
PT 360 INC
Physical Therapist
426 INDUSTRIAL AVE, SUITE 190
WILLISTON, VT 05495
Chittenden County (802) 860-4360

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 Kimberly Sikule's NPI number?

The NPI number for Kimberly Sikule is 1972943629. It was assigned to this individual provider in the NPPES registry on June 26, 2013.

Where is Kimberly Sikule located?

Kimberly Sikule practices at 426 Industrial Ave Suite 130, Williston, VT 05495. The listed phone number is (802) 878-1175.

What is Kimberly Sikule's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Is Kimberly Sikule enrolled in Medicare?

Yes. Kimberly Sikule 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 Kimberly Sikule's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Sikule reassigns Medicare benefits to 2 organizations: Evergreen Family Health Partners (Williston, VT) and University Of Vermont Medical Center Inc (Burlington, VT). 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 Kimberly Sikule's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kimberly Sikule accept?

Health plans from Anthem Blue Cross and Blue Shield list Kimberly Sikule 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 Kimberly Sikule affiliated with any hospitals?

According to CMS data, Kimberly Sikule is affiliated with Univ. Of Vermont - Fletcher Allen Health Care, Northwestern Medical Center Inc and Copley Hospital.

When was this NPI record last updated?

The NPPES record for Kimberly Sikule was last updated on February 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.