Misty Sinclair, MD
NPI 1215993803 · Neurology Physician · Pinehurst, NC
Enrolled with Medicare as Practitioner - Neurology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Misty Sinclair, MD is a Neurology Physician provider in Pinehurst, NC (NPI 1215993803).
Provider details
- NPI number
- 1215993803
- Entity type
- Individual
- Primary specialty
- Neurology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 2005-00375 (NC)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
20 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
530 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 242 | $124 |
| Injection of Chemical for Paralysis of Facial and Neck Nerve Muscles on Both Sides of Face64615 | 151 | $141 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 103 | $87 |
| Measurement of Brain Wave Activity (eeg), Awake and Asleep95819 | 21 | $438 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 13 | $165 |
Typical Medicare-allowed amounts for these services range $87–$438 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 59 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Topiramate | 240 | 58 |
| Butalb/Acetaminophen/Caffeinebrand: Butalbital-Acetaminophen-Caffe | 175 | 29 |
| Gabapentin | 154 | 36 |
| Rizatriptan Benzoatebrand: Rizatriptan | 108 | 30 |
| Pregabalin | 108 | 24 |
| Erenumab-Aooebrand: Aimovig Autoinjector | 102 | 15 |
| Tizanidine Hcl |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$1,320 across 74 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-04-24
- Last updated
- 2007-12-03
Frequently asked questions
- What is Misty Sinclair's NPI number?
- Misty Sinclair's National Provider Identifier (NPI) is 1215993803, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Misty Sinclair's specialty?
- Misty Sinclair is listed in the NPPES registry with a primary specialty of Neurology Physician (Allopathic & Osteopathic Physicians).
- Where is Misty Sinclair located?
- Misty Sinclair's practice location on file with NPPES is 1 Page Rd, Pinehurst, NC 28374-8745.
- What is Misty Sinclair's phone number?
- The practice phone number listed in the NPPES registry for Misty Sinclair is (910) 295-6868.
- Does Misty Sinclair accept Medicare?
- Misty Sinclair is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Misty Sinclair's NPI active?
- Yes — Misty Sinclair's NPI (1215993803) is active in the NPPES registry as of the last update on 2007-12-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.