DR. JUSTIN TYLER SYBESMA (M.D.) – Orthopaedic Surgery Physician, NPI 1376732016

DR. JUSTIN TYLER SYBESMA (M.D.) is a healthcare provider. based in Saint joseph, Michigan. specializing in ORTHOPEDIC SURGERY. They hold the professional credentials M.D.. They hold a License No. 4301083923 (MI). The NPI Number for DR. JUSTIN TYLER SYBESMA (M.D.) is 1376732016

Main info

Male
Sole Proprietor
22 Years Of Experience
Accepts Medicare Assignment
Name
DR. JUSTIN TYLER SYBESMA (M.D.)
NPI
1376732016
Phone
(269) 428-3500
Address
183 PEACE BLVD
Enumeration Date
18 October 2007
Last Update Date
28 August 2012

Doctor Profile

Medical School Name
LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
2694283500
Graduation Year
2004 (22 years ago)
PAC ID
4082808936
Group Practice PAC ID
5890688444
Professional Enrollment ID
I20101104000502
Address ID
MI490859146SA183XXBLVD300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

1,082 ORTHOPEDIC SURGERY in MI

Provider Addresses for DR. JUSTIN TYLER SYBESMA (M.D.)

  • 183 PEACE BLVD

    SAINT JOSEPH, MI 490859146

    Phone: (269) 428-3500

    Fax: (269) 429-6429

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 14 Open Payments records for all available years, with a total value of $900.

Total Amount is formed as General ($900) + Research ($0) + Ownership ($0) = $900.

Last reported payment date: 2024-10-18 • Largest payer in this snapshot: DePuy Synthes Sales Inc. ($514).

Total Amount

$900

General + Research + Ownership

Payments

14

Total payment records

General Amount

$900

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-18

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-11-04

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20101104000502IOrthopedic SurgeryMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg1,526149$0
20610Aspiration and/or injection of fluid from large joint289142$0
99213Established patient office or other outpatient visit, 20-29 minutes217153$0
99214Established patient office or other outpatient visit, 30-39 minutes211117$0
73564X-ray of knee, 4 or more views14492$0
View full utilization report →

Insurance plans in this area (ZIP 49085)

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Provider's Procedures

DR. JUSTIN TYLER SYBESMA (M.D.) performs procedures in ORTHOPEDIC SURGERY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
ORTHOPEDIC SURGERYMI73562X-ray of knee, 3 views7040

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5890688444View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeIN
Nurse PractitionerMI
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI
-CA
-MI
-MI
Orthopedic SurgeryMI
Orthopedic SurgeryMI
Physical Therapist In Private PracticeIL

Reviews

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Frequently asked questions

Is there an official ID for DR. JUSTIN TYLER SYBESMA (M.D.) in U.S. healthcare records?
The official identifier for DR. JUSTIN TYLER SYBESMA (M.D.) is NPI 1376732016.
Is DR. JUSTIN TYLER SYBESMA (M.D.) still an active registrant?
DR. JUSTIN TYLER SYBESMA (M.D.) carries an active NPI according to the public dataset.
What clinical focus is listed for DR. JUSTIN TYLER SYBESMA (M.D.)?
At a glance, DR. JUSTIN TYLER SYBESMA (M.D.) is tied to Orthopaedic Surgery Physician. Clinical services aligned with this taxonomy classification.
Where in Michigan is DR. JUSTIN TYLER SYBESMA (M.D.) registered?
Use Saint Joseph, Michigan as the headline location for DR. JUSTIN TYLER SYBESMA (M.D.) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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