Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1962482042 Individual Practitioner Male Practitioner

Jack Guillermo Sibal , PA-C

Physician Assistant • Central Point, OR

Professional Overview & Biography Verified Profile Summary

Jack Sibal, PA-C is a registered healthcare professional specializing in Physician Assistant in Central Point, OR. Practice services are available at 4940 HAMRICK RD under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, destruction of up to 14 skin growths. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4940 Hamrick Rd

Central Point, OR 975023072

Telephone 5416903600
Fax 5416643735
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Central Point, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 8.2 Yrs
State Avg: 10.5 Yrs
Regional Practice Density
8 Specialists

Practicing in Central Point, OR (2106 Statewide)

Telehealth Adoption Rate
25.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
69.0% 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 (2022)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
55 31 $238.90 $80.92
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
24 24 $294.13 $97.15
17110 Destruction of up to 14 skin growths
17 13 $306.40 $88.37
11102 Tangential biopsy of single skin lesion
13 12 $277.33 $80.28

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License OR PA184052

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant - Medical

NUCC Taxonomy Code: 363AM0700X

State License CA 14456

Definition to come...

Secondary Practice Locations

1001 S. Seaside Ave; Bldg 23, Isc San Pedro

San Pedro, CA 90731

Phone: 3107327500

Practice Associates & Co-Workers

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

9 Associated Practitioners
Anne Higby , MSW

Social Worker - Clinical

NPI 1003192816

Master of Social Work

NPI 1073510483

Doctor of Medicine (M.D.)

Karen Neilson , NP

Nurse Practitioner - Family

NPI 1265794960

Nurse Practitioner

Elizabeth Rugg , PA, NP

Physician Assistant

NPI 1417927922

Physician Assistant, Nurse Practitioner

NPI 1437568169

Doctor of Dental Medicine

David Arwood

Counselor - Mental Health

NPI 1457728982

Career & Practice History Timeline

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

19 Historical Events
NPI Profile Active March 17, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location March 17, 2018

Registered at 4940 HAMRICK RD, CENTRAL POINT, OR 975023072 (Tel: 5416903600)

📍
Updated Business Mailing Address March 17, 2018

Registered at 3617 S PACIFIC HWY, MEDFORD, OR 975018957 (Tel: 5415356239)

👤
Provider Name / Credentials Updated March 17, 2018

Recorded as JACK SIBAL, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 17, 2018

Physician Assistant (License #14456 in CA)

NPI Profile Active January 24, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location January 24, 2018

Registered at 4940 HAMRICK RD, CENTRAL POINT, OR 975023072 (Tel: 5416903600)

📍
Updated Business Mailing Address January 24, 2018

Registered at 3617 S PACIFIC HWY, MEDFORD, OR 975018957 (Tel: 5415356239)

👤
Provider Name / Credentials Updated January 24, 2018

Recorded as JACK SIBAL, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 24, 2018

Physician Assistant (License #14456 in CA)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 24, 2018

Physician Assistant (License #PA184052 in OR)

📍
Updated Business Mailing Address November 02, 2017

Registered at 3617 S PACIFIC HWY, MEDFORD, OR 975018957 (Tel: 5415356239)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 02, 2017

Physician Assistant (License #PA184052 in OR)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 1001 S. SEASIDE AVE; BLDG 23, ISC SAN PEDRO, SAN PEDRO, CA 90731 (Tel: 3107327500)

📍
Updated Business Mailing Address July 08, 2007

Registered at 6122 MARVIN ST, NORTH LAS VEGAS, NV 890310646 (Tel: 7026498570)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as JACK SIBAL, PA-C

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

Registered Nurse (License #495577 in CA)

🟢
Initial NPI Registration & Enumeration January 17, 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: 1962482042
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 17, 2006
Last Update: March 17, 2018
Sole Proprietor: No

Mailing Address

3617 S Pacific Hwy

Medford, OR 975018957

Phone: 5415356239

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.