Active NPI 1861485617 Individual Practitioner Male Practitioner

Dr. Larry Allen Sisson , MD

Surgery • Newport, VT

Professional Overview & Biography Verified Profile Summary

Dr. Larry Sisson, MD is a registered healthcare professional specializing in Surgery in Newport, VT. Practice services are available at 41 MEDICAL VILLAGE DR under active NPI credentials.

Frequently performed procedures and clinical services include moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first, biopsy of large bowel using an endoscope, biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

41 Medical Village Dr

Newport, VT 058559835

Telephone 8023343500

Fax 8023343502

Associated Practice Facility / Clinic

🏢 North Country Hospital & Health Center Inc Facility NPI 1972634889

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Newport, VT

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 15.5 Yrs

State Avg: 25.6 Yrs

Regional Practice Density

4 Specialists

Practicing in Newport, VT (83 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

63.3% 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 (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	19	19	$31.00	$11.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	62	62	$31.00	$11.91
45380 Biopsy of large bowel using an endoscope	22	22	$977.00	$172.05
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	20	20	$732.00	$86.39
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	19	19	$901.00	$172.24
99213 Established patient office or other outpatient visit, typically 15 minutes	17	13	$125.00	$89.11
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	13	13	$1222.00	$243.60
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	12	12	$173.00	$126.04

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	68	65	$125.00	$89.50
51798 Ultrasound measurement of bladder capacity after voiding	41	39	$79.00	$10.46
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	38	36	$173.00	$126.57
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	29	29	$172.00	$110.19
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	21	21	$31.00	$12.10
81002 Urinalysis, manual test	12	12	$26.00	$3.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	16	15	$125.00	$91.36
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	11	11	$31.00	$12.29
99221 Initial hospital inpatient care per day, typically 30 minutes	11	11	$226.00	$98.54

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	99	97	$31.00	$12.38
99213 Established patient office or other outpatient visit, typically 15 minutes	81	73	$125.00	$75.48
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	48	39	$72.00	$45.83
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	30	30	$901.00	$182.13
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	26	26	$732.00	$94.90
45380 Biopsy of large bowel using an endoscope	24	24	$977.00	$180.67
99202 New patient office or other outpatient visit, typically 20 minutes	18	18	$124.00	$76.32
99221 Initial hospital inpatient care per day, typically 30 minutes	12	12	$222.25	$101.75
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	11	11	$901.00	$179.19
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	11	11	$1222.00	$224.06

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	178	146	$125.00	$74.46
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	106	102	$31.00	$12.21
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	97	70	$72.00	$45.35
99231 Follow-up hospital inpatient care per day, typically 15 minutes	70	33	$119.00	$39.04
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	68	66	$732.00	$97.25
45380 Biopsy of large bowel using an endoscope	41	40	$977.00	$135.46
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	40	40	$1222.00	$252.75
99202 New patient office or other outpatient visit, typically 20 minutes	35	35	$124.00	$76.53
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	32	32	$901.00	$187.51
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	27	27	$172.00	$108.25
93922 Ultrasound study of arm and leg arteries	26	24	$217.00	$88.06
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	24	22	$173.00	$106.49
45378 Diagnostic exam of large bowel using a flexible endoscope	21	21	$901.00	$176.86
99221 Initial hospital inpatient care per day, typically 30 minutes	18	18	$226.00	$100.09
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	18	18	$901.00	$187.72
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	18	18	$316.00	$135.83
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$251.00	$163.89
43248 Insertion of guide wire with dilation of esophagus using a flexible endoscope	12	11	$787.00	$169.47
17110 Destruction of up to 14 skin growths	12	11	$173.00	$112.27

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	201	161	$125.00	$72.52
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	135	92	$72.00	$43.50
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	78	75	$732.00	$99.09
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	63	59	$173.00	$107.05
45380 Biopsy of large bowel using an endoscope	60	60	$977.00	$170.26
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	60	60	$172.00	$106.83
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	48	48	$901.00	$185.75
99202 New patient office or other outpatient visit, typically 20 minutes	46	46	$122.52	$74.71
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	40	40	$1222.00	$252.60
99231 Follow-up hospital inpatient care per day, typically 15 minutes	40	28	$119.00	$37.79
93922 Ultrasound study of arm and leg arteries	38	33	$217.00	$89.58
97597 Removal of tissue from wound, 20.0 sq cm or less	29	18	$96.00	$84.70
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	29	29	$901.00	$179.02
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	25	23	$316.00	$130.34
17110 Destruction of up to 14 skin growths	23	18	$173.00	$112.83
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	17	14	$266.00	$123.00
45378 Diagnostic exam of large bowel using a flexible endoscope	17	17	$901.00	$164.83
64721 Release and/or relocation of hand nerve	16	15	$1721.00	$423.14
99221 Initial hospital inpatient care per day, typically 30 minutes	12	12	$226.00	$99.34
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$251.00	$162.72

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	212	163	$125.00	$72.30
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	206	131	$72.00	$43.25
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	81	81	$172.00	$105.51
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	72	71	$732.00	$106.60
99231 Follow-up hospital inpatient care per day, typically 15 minutes	66	30	$119.00	$38.56
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	65	60	$173.00	$106.34
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	53	53	$901.00	$183.76
93922 Ultrasound study of arm and leg arteries	42	36	$217.00	$89.10
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	41	41	$901.00	$185.96
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	40	40	$1222.00	$257.19
99202 New patient office or other outpatient visit, typically 20 minutes	33	33	$116.00	$74.09
45378 Diagnostic exam of large bowel using a flexible endoscope	31	31	$901.00	$177.83
45380 Biopsy of large bowel using an endoscope	31	30	$977.00	$203.02
17110 Destruction of up to 14 skin growths	27	24	$173.00	$100.40
64721 Release and/or relocation of hand nerve	26	24	$1721.00	$421.39
97597 Removal of tissue from wound, 20.0 sq cm or less	23	11	$96.00	$75.56
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$251.00	$161.62
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	18	18	$316.00	$134.37
47562 Removal of gallbladder using an endoscope	12	12	$2660.00	$594.62

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License VT 0420007770

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 NH 8024

Surgery

NUCC Taxonomy Code: 208600000X

State License WI 25436020

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

0009260 (VT)

Commercial Insurance / Payer ID Mvp

350793 (VT)

Commercial Insurance / Payer ID Champus/champva

030329674 (VT)

Commercial Insurance / Payer ID Blue Cross/blue Shield

2754 (VT)

Commercial Insurance / Payer ID Cigna

80941 (VT)

Practice Associates & Co-Workers

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

5 Associated Practitioners

Dr. Mark Meredith , MD

Surgery

NPI 1144213984

Doctor of Medicine (M.D.)

Dr. Tamsin Durand , MD

Surgery

NPI 1376742627

Doctor of Medicine (M.D.)

Dr. Matthew Kelley , MD

Surgery

NPI 1417376476

Doctor of Medicine (M.D.)

Dr. Rizwan Haq , MD

Psychiatry & Neurology - Neurology

NPI 1831171438

Doctor of Medicine (M.D.)

Dr. Russell Sarver , MD

Urology

NPI 1881613552

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active June 17, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location June 17, 2011

Registered at 41 MEDICAL VILLAGE DR, NEWPORT, VT 058559835 (Tel: 8023343500)

📍

Updated Business Mailing Address June 17, 2011

Registered at 41 MEDICAL VILLAGE DR, NEWPORT, VT 058559835 (Tel: 8023343500)

👤

Provider Name / Credentials Updated June 17, 2011

Recorded as LARRY SISSON, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 17, 2011

Surgery (License #0420007770 in VT)

🟢

Initial NPI Registration & Enumeration August 26, 2005

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: 1861485617

Entity Type:

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

Enumeration Date: August 26, 2005

Last Update: June 17, 2011

Sole Proprietor: No

Update or Correct Profile

Mailing Address

41 Medical Village Dr

Newport, VT 058559835

Phone: 8023343500

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.