Dr. John Eric Sisson , MD
Internal Medicine โข Grand Rapids, MI
275 Michigan St Ne
Grand Rapids, MI 495032531
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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NPI assigned on June 21, 2017; this date does not establish years in practice.
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Published CMS data list 152 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- 99214 โ Established patient outpatient office visit: 95 service units.
- G0439 โ Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit: 30 service units.
- 99204 โ New patient outpatient office visit: 15 service units.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPTยฎ only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See all 4 records in the table ยท Guide: How to read Medicare Part B data
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Published CMS data list 2,237 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Atorvastatin Calcium โ 256 prescription fills, including refills.
- Amlodipine Besylate โ 109 prescription fills, including refills.
- Levothyroxine Sodium โ 99 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 68 records in the table ยท Guide: How to read Medicare Part D prescriber data
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Fewer Medicare Part B services than 70% of clinicians listed under Internal Medicine in Grand Rapids, MI (2024, 215 clinicians with data). Median for this group: 307. Middle half: 149 to 453.
Fewer Medicare Part B services than 80% of clinicians listed under Internal Medicine in Michigan (2024, 3,244 clinicians with data). Median for this group: 502. Middle half: 235 to 939.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 42 in 2020 to 152 in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2020โ2024.
Practice Location & Contact Primary Location
275 Michigan St Ne
Grand Rapids, MI 495032531
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
CMS Doctors and Clinicians lists 1 group name: Spectrum Health Hospitals. See the list
Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File
Wayne State University School Of Medicine
2017
What Public CMS Data Show
Internal Medicine: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
126 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider, 2024.
Medicare-allowed amount
About $14,966 in 2024
The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024.
Paid by Medicare
About $10,477 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024.
30-day fills
5,503 standardized 30-day fills in 2024
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$215,247 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024.
Industry payments (Open Payments)
No Open Payments records are listed for this clinician for 2019โ2025.
Years since graduation
9 years (graduated 2017)
CMS Doctors and Clinicians data list 2017 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished school.
What this does not show: Years since graduation
It is not the number of years in practice, and more years does not mean better care.
Source: CMS Doctors and Clinicians National Downloadable File.
NPI first issued
2017
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Accepts Medicare assignment
CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, โDoes your provider accept Medicare as full payment?โ
Telehealth (some services)
Recent Medicare claims show this clinician provided some services by telehealth, such as a video or phone visit.
You may be able to have some visits without going to the office. Ask which visits can be done by telehealth.
What this does not show: Telehealth (some services)
It does not mean all services are offered by telehealth, or that telehealth is covered by your plan.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Dr. Sisson has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Dr. Sisson as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Grand Rapids and Michigan
Billing and prescribing volume is not a quality rating.
Medicare Part B services
Fewer Medicare Part B services than 70% of clinicians listed under Internal Medicine in Grand Rapids, MI (2024, 215 clinicians with data). Median for this group: 307. Middle half: 149 to 453.
Fewer Medicare Part B services than 80% of clinicians listed under Internal Medicine in Michigan (2024, 3,244 clinicians with data). Median for this group: 502. Middle half: 235 to 939.
Medicare-allowed amount
A lower Medicare-allowed amount than 75% of clinicians listed under Internal Medicine in Grand Rapids, MI (2024, 215 clinicians with data). Median for this group: $29,727. Middle half: $15,121 to $43,380.
A lower Medicare-allowed amount than 80% of clinicians listed under Internal Medicine in Michigan (2024, 3,244 clinicians with data). Median for this group: $45,163. Middle half: $22,487 to $79,883.
Paid by Medicare
A lower Medicare payment amount than 75% of clinicians listed under Internal Medicine in Grand Rapids, MI (2024, 215 clinicians with data). Median for this group: $23,751. Middle half: $10,888 to $34,544.
A lower Medicare payment amount than 80% of clinicians listed under Internal Medicine in Michigan (2024, 3,244 clinicians with data). Median for this group: $34,631. Middle half: $16,935 to $61,333.
Medicare Part D prescriptions
More Part D prescriptions than 75% of clinicians listed under Internal Medicine in Grand Rapids, MI (2024, 237 clinicians with data). Median for this group: 118. Middle half: 38 to 2,179.
More Part D prescriptions than 60% of clinicians listed under Internal Medicine in Michigan (2024, 3,463 clinicians with data). Median for this group: 801. Middle half: 94 to 5,032.
Part D drug cost
A higher Part D drug cost than 70% of clinicians listed under Internal Medicine in Grand Rapids, MI (2024, 237 clinicians with data). Median for this group: $9,949. Middle half: $481 to $246,892.
A higher Part D drug cost than 60% of clinicians listed under Internal Medicine in Michigan (2024, 3,463 clinicians with data). Median for this group: $66,958. Middle half: $1,946 to $462,816.
451 active clinicians are listed under Internal Medicine with a practice address in Grand Rapids, MI (5,741 in Michigan).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Grand Rapids
10.4% of these 451 clinicians have the CMS telehealth indicator.
54.8% of these 451 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services increased 262% from 42 in 2020 to 152 in 2024.
- 2020: 42
- 2021: 198
- 2022: 161
- 2023: 173
- 2024: 152
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Medicare-allowed amount
Medicare-allowed amount increased 409% from $2,943 in 2020 to $14,966 in 2024.
- 2020: $2,943
- 2021: $19,257
- 2022: $13,394
- 2023: $15,177
- 2024: $14,966
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Paid by Medicare
Paid by Medicare increased 350% from $2,329 in 2020 to $10,477 in 2024.
- 2020: $2,329
- 2021: $14,628
- 2022: $8,862
- 2023: $10,274
- 2024: $10,477
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Medicare Part D prescriptions
Medicare Part D prescriptions increased 4465% from 49 in 2020 to 2,237 in 2024.
- 2020: 49
- 2021: 816
- 2022: 1,027
- 2023: 1,799
- 2024: 2,237
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30-day fills
30-day fills increased 6563% from 83 in 2020 to 5,503 in 2024.
- 2020: 83
- 2021: 1,540
- 2022: 2,301
- 2023: 4,085
- 2024: 5,503
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Part D drug cost
Part D drug cost went from $347 in 2020 to $215,247 in 2024.
- 2020: $347
- 2021: $57,213
- 2022: $69,984
- 2023: $139,920
- 2024: $215,247
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo ยท Report an error.
Performed Procedures & Service Volume
CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2019โ2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ by Provider and Service data, 2020โ2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
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99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
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95 | 75 | $179.00 | $90.00 |
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G0439
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
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30 | 30 | $253.00 | $123.90 |
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99204
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
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15 | 15 | $294.00 | $129.06 |
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99213
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
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12 | 11 | $117.00 | $63.61 |
Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Atorvastatin Calcium | Atorvastatin Calcium | 256 | 22,162 | $4,687.35 | 75 |
| Amlodipine Besylate | Amlodipine Besylate | 109 | 9,750 | $1,024.33 | 37 |
| Levothyroxine Sodium | Levothyroxine Sodium | 99 | 8,806 | $1,891.33 | 32 |
| Lisinopril | Lisinopril | 94 | 8,075 | $931.48 | 27 |
| Losartan Potassium | Losartan Potassium | 86 | 7,740 | $1,714.55 | 31 |
| Omeprazole | Omeprazole | 77 | 6,740 | $1,560.89 | 27 |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 68 | 6,046 | $1,924.97 | 27 |
| Metformin Hcl Er | Metformin Hcl | 55 | 4,207 | $987.34 | 16 |
| Gabapentin | Gabapentin | 54 | 3,394 | $1,052.14 | 18 |
| Tamsulosin Hcl | Tamsulosin Hcl | 53 | 4,050 | $976.65 | 16 |
| Metformin Hcl | Metformin Hcl | 51 | 4,470 | $929.07 | 18 |
| Pantoprazole Sodium | Pantoprazole Sodium | 43 | 3,780 | $1,101.08 | 17 |
| Hydrochlorothiazide | Hydrochlorothiazide | 42 | 3,720 | $249.88 | 19 |
| Metoprolol Succinate | Metoprolol Succinate | 42 | 3,579 | $807.04 | 14 |
| Alprazolam | Alprazolam | 41 | 1,009 | $132.73 | โ |
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 39 | 1,040 | $663.39 | 12 |
| Meloxicam | Meloxicam | 38 | 2,230 | $302.95 | 12 |
| Atenolol | Atenolol | 37 | 3,330 | $393.45 | โ |
| Allopurinol | Allopurinol | 33 | 2,910 | $616.11 | โ |
| Duloxetine Hcl | Duloxetine Hcl | 31 | 2,460 | $892.53 | โ |
| Bupropion Xl | Bupropion Hcl | 30 | 1,543 | $733.81 | โ |
| Zolpidem Tartrate | Zolpidem Tartrate | 29 | 1,110 | $55.54 | โ |
| Trazodone Hcl | Trazodone Hcl | 29 | 1,770 | $244.61 | โ |
| Mounjaro | Tirzepatide | 29 | 980 | $34,127.87 | โ |
| Olmesartan Medoxomil | Olmesartan Medoxomil | 27 | 2,250 | $922.31 | โ |
(top 25 shown)
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2025-01-13NUCC Taxonomy Code: 207R00000X
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - INTERNAL MEDICINE
I20200728001705
MI
1052680808
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Medicare Group Practice Enrollments
Source: CMS Doctors and Clinicians National Downloadable File
Spectrum Health Hospitals
275 Michigan St Ne, Grand Rapids, MI 495032531
Phone: 6163913777
Spectrum Health Hospitals
100 Michigan St Northeast, Grand Rapids, MI 495032560
Phone: 6163911774
Spectrum Health Hospitals
100 Michigan Ave Ne, Grand Rapids, MI 495032560
Phone: 6163911774
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Internal Medicine
Doctor of Medicine (M.D.)
Internal Medicine
Doctor of Medicine (M.D.)
Internal Medicine
Bachelor of Medicine, Bachelor of Surgery (M.B.B.S.)
Internal Medicine
Doctor of Osteopathic Medicine (D.O.)
Internal Medicine
Doctor of Medicine (M.D.)
Hospitalist
Doctor of Medicine (M.D.)
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 275 MICHIGAN ST NE, GRAND RAPIDS, MI 495032531 (Tel: 6163913777)
Registered at 100 MICHIGAN ST NE # MC845, GRAND RAPIDS, MI 495032560
NPI status registered as active in NPPES database
Registered at 25 MICHIGAN ST NE STE 2100, GRAND RAPIDS, MI 495032526 (Tel: (616) 391-3777)
Registered at 25 MICHIGAN ST NE STE 2100, GRAND RAPIDS, MI 495032526 (Tel: 6163913777)
Recorded as JOHN SISSON, MD
Internal Medicine (license number reported to NPPES: MI 4301112397)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Internal Medicine Providers in Grand Rapids
- Dr. Ryan Crane, MD
- Dr. Gary Stebelton, MD
- Dr. Marian Oleszkowicz, MD
- Dr. Mercy Dixon, MD
- Dr. Muhammad Ali Akbar, MD
- Dr. Margaret Love, MD
Mailing Address
100 Michigan St Ne # Mc845
Grand Rapids, MI 495032560