Nicholas Sytsma, MD - Medicare Emergency Medicine in Clackamas, OR

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Nicholas Sytsma, MD is a medicare enrolled "Emergency Medicine" physician in Clackamas, Oregon. His current practice location is 10180 Se Sunnyside Rd, Clackamas, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 813-2000.

Nicholas Sytsma is licensed to practice in Oregon (license number MD214959) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1255969085.

Contact Information

Nicholas Sytsma, MD
10180 Se Sunnyside Rd,
Clackamas, OR 97015-8970
(503) 813-2000
Not Available

Map and Direction




Physician's Profile

Full NameNicholas Sytsma
GenderMale
SpecialityEmergency Medicine
Location10180 Se Sunnyside Rd, Clackamas, Oregon
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1255969085
  • Provider Enumeration Date: 03/28/2020
  • Last Update Date: 05/30/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 2264890425
  • Enrollment ID: I20230620002071

Medical Identifiers

Medical identifiers for Nicholas Sytsma such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1255969085NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 125.075815 (Illinois)Secondary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary
207P00000XEmergency Medicine MD214959 (Oregon)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Nicholas Sytsma allows following entities to bill medicare on his behalf.
Entity NameIllinois Emergency Medicine Specialists Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003150962
PECOS PAC ID: 6103071808
Enrollment ID: O20130304000132

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Nicholas Sytsma is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Nicholas Sytsma, MD
1040 W Adams St Unit 234,
Chicago, IL 60607-3081

Ph: (262) 993-6521		Nicholas Sytsma, MD
10180 Se Sunnyside Rd,
Clackamas, OR 97015-8970

Ph: (503) 813-2000

Reviews and Comments


Emergency Medicine Doctors in Clackamas, OR

Megan Lea Kelly,
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 10180 Se Sunnyside Rd, Kaiser Sunnyside Medical Center, Clackamas, OR 97015
Phone: 503-652-2880    
Dr. Nicholas Markham Leonard, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 10180 Se Sunnyside Rd, Clackamas, OR 97015
Phone: 503-652-2880    
Dr. Alexander Marsh, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 10180 Se Sunnyside Rd, Kaiser Permanente, Clackamas, OR 97015
Phone: 503-571-8488    
James Edward Wood, M.D.
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 10180 Se Sunnyside Rd, Clackamas, OR 97015
Phone: 503-652-2880    
Pamela Marie Johnson, M.D.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 10180 Se Sunnyside Rd, Clackamas, OR 97015
Phone: 503-652-2880    
John Mullen,
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 10180 Se Sunnyside Rd, Clackamas, OR 97015
Phone: 503-652-2880    
Cameron D Klug, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 10180 Se Sunnyside Rd, Clackamas, OR 97015
Phone: 503-571-2000    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.