BROOKE H SIKORA PA-C
NPI 1316226509
Physician Assistant - Medical in New London, CT


Quality Rating: 75 out of 100 score

NPI Status: Active since August 05, 2011

Contact Information

365 MONTAUK AVE
NEW LONDON, CT
ZIP 06320
Phone: (860) 442-0711

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  • Individual
  • Female
  • Years of Experience 15
  • Physician Assistant
  • Medical
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About BROOKE SIKORA

This page provides the complete NPI Profile along with additional information for Brooke Sikora, a primary care provider established in New London, Connecticut with a medical specialization in Physician Assistant, focusing in medical and more than 15 years of experience. She graduated from University Of Florida College Of Medicine in 2011. The healthcare provider is registered in the NPI registry with number 1316226509 assigned on August 2011. The practitioner's primary taxonomy code is 363AM0700X with license number 2597 (CT). The provider is registered as an individual and her NPI record was last updated 5 years ago.

NPI
1316226509
Provider Name
BROOKE H SIKORA PA-C
Other Name
BROOKE F HENDERSON PA-C
Other Name Type
Former Name (1)
Gender
Female
Entity Type
Individual
Location Address
365 MONTAUK AVE NEW LONDON, CT 06320
Location Phone
(860) 442-0711
Mailing Address
24 ASH DR GALES FERRY, CT 06335
Mailing Phone
(860) 608-8270
Medical School Name
UNIVERSITY OF FLORIDA COLLEGE OF MEDICINE
Graduation Year
2011
Is Sole Proprietor?
No
Enumeration Date
08-05-2011
Last Update Date
11-02-2020
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A primary care provider (PCP) like Brooke Sikora sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc

Location Map

Secondary Locations

  • 114 Woodland St
    Hartford, CT 06105
    (860) 714-4202

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

Physician Assistant Medical

Taxonomy Code
363AM0700X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
2597
License State
CT

Medicare Participation & PECOS Enrollment Status

Brooke Sikora is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Brooke Sikora 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

  • PECOS PAC ID: 6406026079

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20110909002513

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • 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

Provider Referred Orders for Durable Medical Equipment, Devices & Supplies

The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.

Durable Medical Equipment

  • DME-Oxygen and Supplies (DC000N)

    Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing (HCPCS:E0431)

    2 DME suppliers used 21 Medicare Claims 21 Services Paid

  • DME-Oxygen and Supplies (DC002N)

    Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate (HCPCS:E1390)

    2 DME suppliers used 21 Medicare Claims 21 Services Paid

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.

Follow-up hospital inpatient care per day, typically 15 minutes

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

This service was performed 31 times for 15 patients

Follow-up hospital inpatient care per day, typically 25 minutes

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

This service was performed 534 times for 232 patients

Follow-up hospital inpatient care per day, typically 35 minutes

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

This service was performed 76 times for 64 patients

Follow-up observation care per day, typically 25 minutes

Follow-up observation care is a daily service where your health progress is monitored for about 25 minutes. It's a routine check to ensure your treatment is effective and to adjust if necessary. It's a crucial part of your healthcare journey.

This service was performed 20 times for 16 patients

Hospital discharge day management, more than 30 minutes

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

This service was performed 119 times for 117 patients

Hospital observation care on day of discharge

Hospital observation care on the day of discharge involves monitoring your health status to ensure stability before you leave. This includes assessing vital signs, response to treatment, and readiness for home care or rehabilitation.

This service was performed 17 times for 17 patients

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 75, 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: 75 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: N/A

    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: N/A

    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: N/A

    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.

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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.
1316226509
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2326421250
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 2 + 6 + 4 + 2 + 1 + 2 + 5 + 0 + 24 = 51
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 51 = 99

The NPI number 1316226509 is valid because the calculated check digit 9 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
1568460186DR. STEVEN LU M.D.
Individual
Internal Medicine365 MONTAUK AVE RM 4.512
NEW LONDON, CT 06320
(860) 442-0711
1316932791MR. WILLIAM EDWIN SHEA PA-C
Individual
Physician Assistant365 MONTAUK AVE LAWRENCE AND MEMORIAL HOSPITAL
NEW LONDON, CT 06320
(860) 441-0711
1255317467DR. NICHOLAS R. SALERNO M.D.
Individual
Radiology (Diagnostic Radiology)365 MONTAUK AVE
NEW LONDON, CT 06320
(860) 444-5151
1063483808 CURT WILSON GRAMLICH MD
Individual
Anesthesiology365 MONTAUK AVE
NEW LONDON, CT 06320
(860) 442-0711
1548235088 KATHERINE FRANCES MCGOWAN HESSE MD
Individual
Emergency Medicine365 MONTAUK AVE
NEW LONDON, CT 06320
(860) 442-0711
1588639082 CHRISTOPHER JALBERT M.D.
Individual
Internal Medicine365 MONTAUK AVE ROOM 4.512
NEW LONDON, CT 06320
(860) 442-0711
1629043997 TARA HOOD NP
Individual
Nurse Practitioner365 MONTAUK AVE ROOM 4.512
NEW LONDON, CT 06320
(860) 442-0711
1033164975 ERIC BALCH M.D.
Individual
Anesthesiology365 MONTAUK AVE ANESTHESIA DEPARTMENT
NEW LONDON, CT 06320
(860) 442-0711
1366497182 SUDHIR KADIAN M.D.
Individual
Anesthesiology365 MONTAUK AVE ANESTHESIA DEPARTMENT
NEW LONDON, CT 06320
(860) 442-0711
1679520134 THOMAS MIETT M.D.
Individual
Anesthesiology365 MONTAUK AVE ANESTHESIA DEPARTMENT
NEW LONDON, CT 06320
(860) 442-0711
1851332308DR. ALEXANDER GAUNT SLATER MD
Individual
Anesthesiology365 MONTAUK AVE
NEW LONDON, CT 06320
(203) 757-7000
1992746325DR. JOSEPH W PETERS M.D.
Individual
Physical Medicine & Rehabilitation365 MONTAUK AVE
NEW LONDON, CT 06320
(860) 444-4739
1548203508DR. DENNIS S GORDAN M.D.
Individual
Specialist365 MONTAUK AVE
NEW LONDON, CT 06320
(860) 444-4739
1932136629 BRENDA KOBLICK MD
Individual
Radiology (Diagnostic Radiology)365 MONTAUK AVE
NEW LONDON, CT 06320
(860) 444-5193
1841227535 TODD BLUE MD
Individual
Radiology (Diagnostic Radiology)365 MONTAUK AVE
NEW LONDON, CT 06320
(860) 444-5193
1649207333 LEONARD COPERTINO MD
Individual
Radiology (Diagnostic Radiology)365 MONTAUK AVE
NEW LONDON, CT 06320
(860) 444-5193
1770513301 ROBERT CROSS MD
Individual
Radiology (Diagnostic Radiology)365 MONTAUK AVE
NEW LONDON, CT 06320
(860) 444-5193
1902821903DR. JOSEPH A COX M.D.
Individual
Pathology (Anatomic Pathology & Clinical Pathology)365 MONTAUK AVE
NEW LONDON, CT 06320
(860) 444-5100
1649288390MR. ROLANDO THOMAS MARTINEZ MSW, LCSW, LADC
Individual
Social Worker (Clinical)365 MONTAUK AVE
NEW LONDON, CT 06320
(860) 444-5141
1831108380DR. ALAN L BIER M.D.
Individual
Internal Medicine (Pulmonary Disease)365 MONTAUK AVE
NEW LONDON, CT 06320
(860) 442-0711

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1316226509, enumerated in the NPI registry as an "individual" on August 05, 2011

The provider is located at 365 Montauk Ave New London, Ct 06320 and the phone number is (860) 442-0711

The provider's speciality is Physician Assistant with taxonomy code 363AM0700X with a focus in Medical

The provider has more than 15 years of experience. She graduated from University Of Florida College Of Medicine in 2011.

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 most common procedures or services performed by this practitioner are: Follow-up hospital inpatient care per day, typically 15 minutes, Follow-up hospital inpatient care per day, typically 25 minutes, Follow-up hospital inpatient care per day, typically 35 minutes, Follow-up observation care per day, typically 25 minutes, Hospital discharge day management, more than 30 minutes and Hospital observation care on day of discharge.

This NPI record was last updated on August 05, 2011. 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].
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