MIKE B SIROKY M.D.
NPI 1134191208
Urology in Boston, MA


Quality Rating: 96.62 out of 100 score

NPI Status: Active since February 03, 2006

Contact Information

725 ALBANY ST
SUITE 3B
BOSTON, MA
ZIP 02118
Phone: (617) 638-8485
Fax: (617) 638-8487

Get Directions Reviews

  • Individual
  • Male
  • Urology
  • Accepts Insurance
  • PECOS Enrolled

About MIKE SIROKY

This page provides the complete NPI Profile along with additional information for Mike Siroky, a provider established in Boston, Massachusetts with a medical specialization in Urology. The healthcare provider is registered in the NPI registry with number 1134191208 assigned on February 2006. The practitioner's primary taxonomy code is 208800000X with license number 33777 (MA). The provider is registered as an individual and his NPI record was last updated 13 years ago.

NPI
1134191208
Provider Name
MIKE B SIROKY M.D.
Gender
Male
Entity Type
Individual
Location Address
725 ALBANY ST SUITE 3B BOSTON, MA 02118
Location Phone
(617) 638-8485
Location Fax
(617) 638-8487
Mailing Address
850 HARRISON AVE YACC BN-C7 BOSTON, MA 02118
Mailing Phone
(617) 414-5405
Mailing Fax
(617) 638-8487
Is Sole Proprietor?
No
Enumeration Date
02-03-2006
Last Update Date
03-19-2012
Code Navigator

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Urology

Taxonomy Code
208800000X
Type
Allopathic & Osteopathic Physicians
License No.
33777
License State
MA
Taxonomy Description
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Sanford Individual Simplicity $1,750 - PPO
  • Sanford Individual Simplicity $3,500 - PPO
  • Sanford Individual Simplicity $4,750 - PPO
  • Sanford Individual Simplicity $6,000 - PPO
  • Sanford Individual Simplicity $7,100 HSA Qualified - PPO
  • Sanford Individual Simplicity $9,200 - PPO
  • Sanford Individual Simplicity Standardized $1,500 - PPO
  • Sanford Individual Simplicity Standardized $5,000 - PPO
  • Sanford Individual Simplicity Standardized $7,500 - PPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
B33409MEDICARE ID-TYPE UNSPECIFIED (04)MA 
A35572MEDICARE UPIN (02)MA 
2042053MEDICAID (05)MA 

Medicare Participation & PECOS Enrollment Status

Mike Siroky is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Established patient office or other outpatient visit, 10-19 minutes

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

This service was performed 70 times for 55 patients

Established patient office or other outpatient visit, 20-29 minutes

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.

This service was performed 13 times for 13 patients

Urinalysis, manual test

A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.

This service was performed 31 times for 31 patients

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 02118 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

  • Average New Patient Price $144.11
  • Minimum New Patient Price $63.72
  • Maximum New Patient Price $189.86
  • Average New Patient Copayment $36.02
  • Minimum New Patient Copayment $15.93
  • Maximum New Patient Copayment $47.46

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $78.84
  • Minimum Established Patient Price $21.07
  • Maximum Established Patient Price $155.29
  • Average Established Patient Copayment $19.71
  • Minimum Established Patient Copayment $5.26
  • Maximum Established Patient Copayment $38.82

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Overall MIPS Quality Performance

The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 96.62, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.

The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.

  • Final Score: 96.62 out of 100

    The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.

  • Quality Score: 73.24

    The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.

    There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.

  • Promoting Interoperability Score: 100

    The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.

    The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data.

  • Improvement Activities Score: 40

    The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The improvement activities measure category compromises 15% providers final MPIS scores.

    The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores.

  • Cost Score: N/A

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

  • Cost Score: N/A

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

Reviews for MIKE B SIROKY M.D.

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1134191208
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
216429220
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 6 + 4 + 2 + 9 + 2 + 2 + 0 + 24 = 52
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 52 = 88

The NPI number 1134191208 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1003892803 JEFFREY MARK DRAZEN M.D.
Individual
Internal Medicine (Pulmonary Disease)725 ALBANY ST SHAPIRO 9, SUITE B
BOSTON, MA 02118
(617) 638-7480
1982666038 ALAN MANDELL M.D.
Individual
Psychiatry & Neurology (Neurology)725 ALBANY ST SHAPIRO 7TH FLOOR, SUITE 7B
BOSTON, MA 02118
(617) 638-8456
1013973171DR. KAREN FREUND M.D.
Individual
Internal Medicine725 ALBANY ST SHAPIRO 5, SUITE A
BOSTON, MA 02118
(617) 638-7428
1831147834DR. ANTHONY A SCHEPSIS M.D.
Individual
Orthopaedic Surgery (Sports Medicine)725 ALBANY ST SUITE 4B
BOSTON, MA 02118
(617) 638-5633
1639195571DR. PETER C GRAYSON MD
Individual
Internal Medicine (Rheumatology)725 ALBANY ST SHAPIRO 7, SUITE B
BOSTON, MA 02118
(617) 638-7460
1841492253 ELIZABETH STEVENSON M.D.
Individual
Internal Medicine725 ALBANY ST SHAPIRO 9B
BOSTON, MA 02118
(617) 638-7480
1922272061DR. KARSTEN LUNZE M.D., M.P.H.
Individual
Student in an Organized Health Care Education/Training Program725 ALBANY ST SHAPIRO 5, SUITE 5
BOSTON, MA 02118
(617) 414-5951
1346409398DR. MORGAN ALYSSA BRESNICK M.D.
Individual
Surgery725 ALBANY ST 3RD FLOOR, SUITE A
BOSTON, MA 02118
(617) 414-4861
1588828370 DIVYA BALAKRISHNA REDDY MD MPH
Individual
Internal Medicine (Pulmonary Disease)725 ALBANY ST SHAPIRO 9B
BOSTON, MA 02118
(617) 638-7480
1073749230DR. EDWARD EVAN HURWITZ M.D.
Individual
Internal Medicine725 ALBANY ST SHAPIRO 5 SUITE B
BOSTON, MA 02118
(617) 414-5951
1134355829 JOHN ROBERT SLOAN M.D.
Individual
Internal Medicine725 ALBANY ST SHAPIRO 5, SUITE B
BOSTON, MA 02118
(617) 414-5951
1225269160DR. ORVAR GUNNARSSON M.D.
Individual
Internal Medicine725 ALBANY ST SHAPIRO 5, SUITE B
BOSTON, MA 02118
(617) 414-5951
1295046373DR. YOONA REGINA KIM M.D.
Individual
Internal Medicine725 ALBANY ST SHAPIRO 5, SUITE B
BOSTON, MA 02118
(617) 414-5951
1720370554 ANJALI ANNE VERGHESE
Individual
Student in an Organized Health Care Education/Training Program725 ALBANY ST SHAPIRO 5, SUITE B
BOSTON, MA 02118
(617) 414-5951
1841255486DR. PHYLLIS L. CARR M.D.
Individual
Internal Medicine725 ALBANY ST SHAPIRO 5, SUITE A
BOSTON, MA 02118
(617) 638-7428
1780713370MS. JAYNE ELIZABETH DORFMAN PA-C
Individual
Physician Assistant725 ALBANY ST SHAPIRO 5 & 6
BOSTON, MA 02118
(617) 414-5957
1982875902 FABIENNE PAUL-BLANC N.P.
Individual
Nurse Practitioner (Family)725 ALBANY ST SHAPIRO LOWER LEVEL
BOSTON, MA 02118
(617) 638-6287
1225203912DR. CARRIE GOBAR SIRACUSE M.D.
Individual
Internal Medicine725 ALBANY ST SHAPIRO 9B
BOSTON, MA 02118
(617) 638-7480
1437470283DR. H MATTHEW COHN M.D.
Individual
Internal Medicine725 ALBANY ST SHAPIRO 5, SUITE B
BOSTON, MA 02118
(617) 414-5951
1558681288DR. ALEXANDER N PHAM PHARMD.
Individual
Pharmacist725 ALBANY ST
BOSTON, MA 02118
(617) 638-8000

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1134191208, enumerated in the NPI registry as an "individual" on February 03, 2006

The provider is located at 725 Albany St Suite 3b Boston, Ma 02118 and the phone number is (617) 638-8485

The provider's speciality is Urology with taxonomy code 208800000X

The provider might be accepting Accepts: Sanford Health Plan, Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

The provider has an overall high rating in the following quality measures: uses technology to exchange and make use of healthcare information.

Medicare beneficiaries should expect a typical cost of $144.11 with an average copayment of $36.02 for new patient appointments. Established patients should expect a typical charge of $78.84 and an average copayment of 19.71. Please review your insurance plan or contact the provider directly to determine your specific costs.

The most common procedures or services performed by this practitioner are: Established patient office or other outpatient visit, 10-19 minutes, Established patient office or other outpatient visit, 20-29 minutes and Urinalysis, manual test.

This NPI record was last updated on February 03, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.