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Deactivated NPI 1700813284 Deactivated / Inactive NPI Male Practitioner

Michael S. Sisson , NP

Emergency Medicine • Fairfield, CA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Michael Sisson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 28, 2006
NPI Deactivation Date November 17, 2021
Total Practice Duration ~15 Years of Practice (2006 – 2021)

Professional Overview & Biography Verified Profile Summary

Michael Sisson, NP was a registered Emergency Medicine practicing in Fairfield, CA. Throughout an active medical career spanning 15 years, Michael Sisson provided care at the practice location at NORTHBAY MEDICAL CENTER until profile deactivation on 2021-11-17.

Historical Medicare Part B clinical services included emergency department visit for life threatening or functioning severity, routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only, emergency department visit with moderate level of medical decision making. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

Northbay Medical Center
1200 B Gale Wilson Blvd

Fairfield, CA 94533

Telephone 7074293600
Associated Practice Facility / Clinic
🏢 Bay Area In Patient Group Facility NPI 1972512911

Specialty Benchmarks & Practice Insights

Comparative analytics for Emergency Medicine in Fairfield, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 14.2 Yrs
State Avg: 22.9 Yrs
Regional Practice Density
25 Specialists

Practicing in Fairfield, CA (7995 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
66.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2020)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity
92 92 $464.70 $154.94
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only
87 82 $23.70 $7.88
99284 Emergency department visit with moderate level of medical decision making
69 68 $320.60 $106.53
99283 Emergency department visit with low level of medical decision making
41 37 $175.65 $58.42

Medical Specialties & State Licenses

Emergency Medicine Primary Specialty

NUCC Taxonomy Code: 207P00000X

State License CA 4930

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

14 Associated Practitioners
Dr. Julie Hersk , MD

Emergency Medicine

NPI 1023114030

Doctor of Medicine (M.D.)

Dr. Wendell Perry , DO

Emergency Medicine

NPI 1073617064

Doctor of Osteopathic Medicine (D.O.)

Dr. Mark Popil , MD

Emergency Medicine

NPI 1104853191

Doctor of Medicine (M.D.)

Dr. James Horodyski , MD

Internal Medicine

NPI 1184710063

Doctor of Medicine (M.D.)

Dr. Kyle Holmes , MD

Emergency Medicine

NPI 1386671832

Doctor of Medicine (M.D.)

Dr. Toshi Hiraoka , MD

Emergency Medicine

NPI 1467489427

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated November 17, 2021

Record deactivated on November 17, 2021

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at NORTHBAY MEDICAL CENTER, 1200 B GALE WILSON BLVD, FAIRFIELD, CA 94533 (Tel: 7074293600)

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Updated Business Mailing Address July 08, 2007

Registered at 13505 SITKUM LN, MYRTLE POINT, OR 974589687

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Provider Name / Credentials Updated July 08, 2007

Recorded as MICHAEL SISSON, N.P.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Emergency Medicine (License #4930 in CA)

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Initial NPI Registration & Enumeration June 28, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1700813284
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 28, 2006
Last Update: July 08, 2007
Deactivation Date: November 17, 2021

Mailing Address

13505 Sitkum Ln

Myrtle Point, OR 974589687

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.