Active NPI 1003279662 Individual Practitioner Male Practitioner

Jake Sides

Surgery • Bristol, TN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Jake Sides is a certified Surgery practicing in Bristol, TN. With approximately 10 years of clinical experience since completing medical education in 2016, Jake Sides delivers high-quality medical care to the local community at 1 MEDICAL PARK BLVD STE 250W.

Jake Sides is affiliated with Wps Providers Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, subsequent hospital care with moderate levelof medical decision making, if using time, at least, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1 Medical Park Blvd Ste 250w

Bristol, TN 376207431

Telephone 4238446620

Fax 4238446626

Associated Practice Facility / Clinic

🏢 Bristol Surgical Associates Pc Facility NPI 1811066947

Medicare Profile & Education

Medical School

Other

Graduation Year

2016

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Bristol, TN

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

10 Yrs -14.3 yrs vs City Avg

City Avg: 24.3 Yrs

State Avg: 26.3 Yrs

Regional Practice Density

13 Specialists

Practicing in Bristol, TN (682 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

51.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Sides (10 Years) 10 Yrs

Bristol Specialty Average (24.3 Years) 24.3 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	100	65	$155.33	$85.83
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	64	43	$167.00	$72.64
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	48	48	$194.33	$107.49
99231 Follow-up hospital inpatient care per day, typically 15 minutes	34	30	$98.85	$46.00
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	31	30	$313.61	$165.23
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	22	22	$291.50	$155.62
99221 Initial hospital inpatient care per day, typically 30 minutes	20	20	$193.00	$78.37
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	20	20	$298.00	$120.11
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	14	$120.64	$53.89

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	114	62	$83.00	$46.14
99213 Established patient office or other outpatient visit, typically 15 minutes	78	57	$98.00	$83.60
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	61	59	$288.00	$160.09
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	58	58	$141.00	$101.85
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	41	33	$75.00	$51.91
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	30	30	$178.00	$157.00
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	27	26	$199.00	$118.12
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	18	18	$145.00	$15.84
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	18	13	$119.00	$74.05
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	17	17	$1899.00	$300.15
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	17	17	$138.00	$119.74
45378 Diagnostic exam of large bowel using a flexible endoscope	14	12	$930.00	$163.30
45380 Biopsy of large bowel using an endoscope	13	13	$1077.00	$179.35
47562 Removal of gallbladder using an endoscope	12	12	$3262.00	$577.18

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	122	65	$119.00	$66.78
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	94	87	$288.00	$185.34
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	36	32	$75.00	$33.09
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	31	24	$75.00	$52.32
99213 Established patient office or other outpatient visit, typically 15 minutes	22	17	$98.00	$84.60
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$178.00	$155.52
47562 Removal of gallbladder using an endoscope	13	13	$3262.00	$583.17
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	12	11	$138.00	$119.33

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	41	29	$75.00	$33.55
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	35	17	$119.00	$67.96
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	12	12	$288.00	$189.29

Medical Specialties & State Licenses

CMS Verified: 2024-07-03

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License TN 63286

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Surgery

NUCC Taxonomy Code: 208600000X

State License VA 0101275797

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Hospital & Practice Group Affiliations

Wps Providers Inc

594 Radio Hill Rd, Marion, VA 243544224

Phone: 4238442260

Wps Providers Inc

1 Medical Park Blvd, Bristol, TN 376207431

Phone: 4238446620

Wps Providers Inc

1 Medical Park Blvd, Bristol, TN 376207430

Phone: 4238445583

Wps Providers Inc

1 Medical Park Blvd, Bristol, TN 376207430

Phone: 4238441121

Wps Providers Inc

1 Medical Park Blvd, Bristol, TN 376207468

Phone: 4238445500

Wps Providers Inc

24530 Falcon Place Blvd, Abingdon, VA 242117665

Phone: 2766190075

Secondary Practice Locations

594 Radio Hill Rd

Marion, VA 243544224

Phone: 4238446620

Practice Associates & Co-Workers

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

17 Associated Practitioners

Kelly Cox , NP

Nurse Practitioner - Family

NPI 1023650934

Nurse Practitioner

Dr. Sidney Collins , MD

Surgery

NPI 1083624365

Doctor of Medicine (M.D.)

Dr. Robert Blanton , MD

Surgery

NPI 1104921212

Doctor of Medicine (M.D.)

Dr. Glenn Birkitt , MD

Specialist

NPI 1366559684

Doctor of Medicine (M.D.)

Hannah Miller , PA-C

Physician Assistant

NPI 1407711310

Physician Assistant (Certified)

Dr. Michael Rowell , MD

Surgery

NPI 1477658656

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

12 Historical Events

📍

Updated Practice Location July 03, 2024

Registered at 1 MEDICAL PARK BLVD STE 250W, BRISTOL, TN 376207431 (Tel: 4238446620)

📍

Updated Business Mailing Address July 03, 2024

Registered at 1021 W OAKLAND AVE STE 310, JOHNSON CITY, TN 376042192 (Tel: 4233026565)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 03, 2024

Surgery (License #0101275797 in VA)

📍

Updated Practice Location September 27, 2021

Registered at 1 MEDICAL PARK BLVD, 250 WEST, BRISTOL, TN 376203762 (Tel: 4238446620)

📍

Updated Business Mailing Address September 27, 2021

Registered at 1 MEDICAL PARK BLVD, 250 WEST, BRISTOL, TN 376202200 (Tel: 4238446620)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 27, 2021

Surgery (License #63286 in TN)

✅

NPI Profile Active March 31, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location March 31, 2016

Registered at 4755 OGLETOWN STANTON RD, (302) 733-4503, NEWARK, DE 197182200 (Tel: 3027334503)

📍

Updated Business Mailing Address March 31, 2016

Registered at 4755 OGLETOWN STANTON RD, NEWARK, DE 197182200

👤

Provider Name / Credentials Updated March 31, 2016

Recorded as JAKE SIDES

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 31, 2016

Student in an Organized Health Care Education/Training Program

🟢

Initial NPI Registration & Enumeration March 31, 2016

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: 1003279662

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: March 31, 2016

Last Update: July 03, 2024

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

1021 W Oakland Ave Ste 310

Johnson City, TN 376042192

Phone: 4233026565

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.