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Jake Sides

Surgery โ€ข Bristol, TN

Active NPI 1003279662 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

1 Medical Park Blvd Ste 250w
Bristol, TN 376207431

Call 4238446620 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1 Medical Park Blvd Ste 250w

Bristol, TN 376207431

Telephone 4238446620
Fax 4238446626
Organization at the Same NPPES Address or Phone
Bristol Surgical Associates Pc Facility NPI 1811066947

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Marion, VA. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

CMS Doctors and Clinicians lists 1 group name: Wps Providers Inc. 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

Graduation Year

2016

Medicare patients

237 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider, 2024.

Medicare-allowed amount

About $33,225 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.

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 $26,183 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

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

137 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

$4,286 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

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.

Open Payments general payments, program year 2025

All general payments: $122.22 across 5 records.

By nature of payment

  • Food and Beverage: $122.22 across 5 records.

Reporting-company totals (3 largest of 5)

  • Medtronic, Inc.: $35.58 across 1 record.
  • Elucent Medical: $31.09 across 1 record.
  • HOLOGIC INC: $25.05 across 1 record.

A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.

See the full table

Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).

Guide: How to read an Open Payments record

Years since graduation

10 years (graduated 2016)

CMS Doctors and Clinicians data list 2016 as the year this clinician finished professional 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

2016

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.

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, โ€œDoes your provider accept Medicare as full payment?โ€

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Jake Sides 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.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Jake Sides 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.

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.

Guide: What ordering and referring status means

Compared with the same specialty in Bristol and Tennessee

Billing and prescribing volume is not a quality rating.

Medicare Part B services

More Medicare Part B services than 75% of clinicians listed under Surgery in Tennessee (2024, 357 clinicians with data). Median for this group: 200. Middle half: 97 to 353.

Too few clinicians listed under Surgery in Bristol have Medicare Part B data for 2024 to compare.

Medicare-allowed amount

Close to the middle for clinicians listed under Surgery in Tennessee (2024, 357 clinicians with data). Median for this group: $27,307. Middle half: $10,569 to $45,912.

Too few clinicians listed under Surgery in Bristol have Medicare Part B data for 2024 to compare.

Paid by Medicare

Close to the middle for clinicians listed under Surgery in Tennessee (2024, 357 clinicians with data). Median for this group: $20,139. Middle half: $8,076 to $35,557.

Too few clinicians listed under Surgery in Bristol have Medicare Part B data for 2024 to compare.

Medicare Part D prescriptions

More Part D prescriptions than 65% of clinicians listed under Surgery in Tennessee (2024, 326 clinicians with data). Median for this group: 86. Middle half: 38 to 147.

Too few clinicians listed under Surgery in Bristol have Medicare Part D data for 2024 to compare.

Part D drug cost

A higher Part D drug cost than 75% of clinicians listed under Surgery in Tennessee (2024, 326 clinicians with data). Median for this group: $563. Middle half: $181 to $2,980.

Too few clinicians listed under Surgery in Bristol have Medicare Part D data for 2024 to compare.

13 active clinicians are listed under Surgery with a practice address in Bristol, TN (632 in Tennessee).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Bristol

0% of these 13 clinicians have the CMS telehealth indicator.

69.2% of these 13 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo ยท Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments ยท Program Year 2025
Disclosure Year:

Program year 2025 (payments made January 1 โ€“ December 31, 2025): fewer than 11 records totaling $122.22.

Manufacturer Payment Nature Product Type Amount ($)
Medtronic, Inc.
Food and Beverage
In-kind items and services
TRANSORB General $35.58
Elucent Medical
Food and Beverage
Cash or cash equivalent
โ€” General $31.09
HOLOGIC INC
Food and Beverage
In-kind items and services
Magtrace General $25.05
W. L. Gore & Associates, Inc.
Food and Beverage
In-kind items and services
GORE ENFORM Preperitoneal Biomaterial General $17.01
Clinical Technology, Inc
Food and Beverage
Cash or cash equivalent
Vascular Product General $13.49

Source: CMS Open Payments, program year 2025, released June 30, 2026.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B ยท Data Year 2024
Reporting Year:

CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2020โ€“2023 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, 2021โ€“2024; 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
99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
100 65 $155.33 $85.83
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
64 43 $167.00 $72.64
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
48 48 $194.33 $107.49
99231 Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes
34 30 $98.85 $46.00
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes
31 30 $313.61 $165.23
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
22 22 $291.50 $155.62
99221 Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes
20 20 $193.00 $78.37
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes
20 20 $298.00 $120.11
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
14 14 $120.64 $53.89

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.

CMS Part D ยท Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Sod Sulf-Potass Sulf-Mag Sulf Sodium, Potassium,mag Sulfates 65 258 $3,936.28 59
Oxycodone Hcl Oxycodone Hcl 36 84 $76.25 33
Sucralfate Sucralfate 17 510 $187.59 โ€”
Ondansetron Odt Ondansetron 14 74 $86.07 11

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: 2024-07-03
Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

License # reported to NPPES TN 63286

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

License # reported to NPPES VA 0101275797

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.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Tennessee Department of Health License Verification.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - GENERAL SURGERY

Medicare Enrollment ID

I20230113000969

Enrollment State Jurisdiction

VA

PECOS Control ID

9436441870

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

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

Wps Providers Inc

594 Radio Hill Rd, Marion, VA 243544224

Phone: 4238442260

Wps Providers Inc

1 Medical Park Blvd, Bristol, TN 376207431

Phone: 4238446620

Wps Providers Inc

1 Medical Park Blvd, Bristol, TN 376207430

Phone: 4238445583

Wps Providers Inc

1 Medical Park Blvd, Bristol, TN 376207430

Phone: 4238441121

Wps Providers Inc

1 Medical Park Blvd, Bristol, TN 376207468

Phone: 4238445500

Wps Providers Inc

24530 Falcon Place Blvd, Abingdon, VA 242117665

Phone: 2766190075

Secondary Practice Locations

594 Radio Hill Rd

Marion, VA 243544224

Phone: 4238446620

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

13 listed
NPI 1104921212

Doctor of Medicine (M.D.)

NPI 1083624365

Doctor of Medicine (M.D.)

Kelly Cox , NP

Nurse Practitioner - Family

NPI 1023650934

Nurse Practitioner

Dr. Alana Cozier , MD

Psychiatry & Neurology - Neurology

NPI 1821387721

Doctor of Medicine (M.D.)

NPI 1720268667

Doctor of Medicine (M.D.)

NPI 1801991062

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

12 Historical Events
๐Ÿ“
Updated Practice Location July 03, 2024

Registered at 1 MEDICAL PARK BLVD STE 250W, BRISTOL, TN 376207431 (Tel: 4238446620)

๐Ÿ“
Updated Business Mailing Address July 03, 2024

Registered at 1021 W OAKLAND AVE STE 310, JOHNSON CITY, TN 376042192 (Tel: 4233026565)

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 03, 2024

Surgery (license number reported to NPPES: VA 0101275797)

๐Ÿ“
Updated Practice Location September 27, 2021

Registered at 1 MEDICAL PARK BLVD, 250 WEST, BRISTOL, TN 376203762 (Tel: 4238446620)

๐Ÿ“
Updated Business Mailing Address September 27, 2021

Registered at 1 MEDICAL PARK BLVD, 250 WEST, BRISTOL, TN 376202200 (Tel: 4238446620)

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 27, 2021

Surgery (license number reported to NPPES: TN 63286)

โœ…
NPI Profile Active March 31, 2016

NPI status registered as active in NPPES database

๐Ÿ“
Practice Location (Initial Record) March 31, 2016

Registered at 4755 OGLETOWN STANTON RD, (302) 733-4503, NEWARK, DE 197182200 (Tel: 3027334503)

๐Ÿ“
Business Mailing Address (Initial Record) March 31, 2016

Registered at 4755 OGLETOWN STANTON RD, NEWARK, DE 197182200

๐Ÿ‘ค
Provider Name / Credentials (Initial Record) March 31, 2016

Recorded as JAKE SIDES

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 31, 2016

Student in an Organized Health Care Education/Training Program

๐ŸŸข
Initial NPI Registration & Enumeration March 31, 2016

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1003279662
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 31, 2016
Last Update: July 03, 2024
Sole Proprietor: Yes

Other Surgery Specialists in Bristol

All Surgery Specialists in Bristol

More public profiles in Tennessee

Directory navigation, in NPI number order.

Mailing Address

1021 W Oakland Ave Ste 310

Johnson City, TN 376042192

Phone: 4233026565

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.