DR. JOAN S SISTO M.D.
NPI 1033214077
Dermatology in York, ME

Active since September 14, 2006PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
10 MARKET PLACE DR # 3, YORK, ME 03909(207) 305-1959 Get Directions Write a Review

NPPES record last updated: October 11, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 11, 2024, Jul 3, 2024 (2 updates tracked since 2024).

About Dr. Joan S Sisto M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JOAN S SISTO M.D. (NPI 1033214077) is an individual dermatology provider in York, Maine, licensed in New Hampshire (10730) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS, is affiliated with York Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1033214077
Entity TypeIndividualFemale
Primary Taxonomy207N00000X
Provider Legal NameDR. JOAN S SISTOCredential: M.D.
Location Address10 MARKET PLACE DR # 3York, ME 03909-1680
Mailing Address111 New Hampshire Ave Ste 2Portsmouth, NH 03801-2864
Sole ProprietorNo
Medical School CMSAlbert Einstein College Of Medicine Of Yeshiva UniversityGraduated 1995
Enumeration DateSeptember 14, 2006
Last NPPES UpdateOctober 11, 20242 updates tracked since enumeration
NPPES CertifiedOctober 11, 2024
NPI 1033214077 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
Licenses Licensed in NH · 10730 Licensed in ME · MD15155
Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

10 MARKET PLACE DR # 3, York, ME 03909

Secondary Practice Locations 2

Location 1215 Commerce Way Ste 100Portsmouth, NH 03801-3244 · Phone (603) 441-1075
Location 223 Portsmouth AveStratham, NH 03885-2520 · Phone (603) 942-2171

Other Identifiers 5

Other2454120Aetna
OtherH09161Harvard
Other039185ME · Anthem Maine
Other01Y002300NH01NH · Anthem New Hampshire
OtherP00321023NH · Railroad Medicare

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Joan S Sisto M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3375532815
PECOS Enrollment IDI20040510000748, I20060301000542
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 26

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
4,632 services852 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
1,632 services1,366 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
1,516 services1,132 patients
Biopsy of related skin growth, first growth 11102
A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.
1,022 services828 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
448 services413 patients
Biopsy of related skin growth, each additional growth 11103
A biopsy of related skin growth is a procedure where a small piece of skin growth is removed for testing. If additional growths are identified, they may also be biopsied. This helps in diagnosing skin conditions and planning appropriate treatment.
371 services244 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

York Hospital

Acute Care Hospitals · York, ME
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number200020
Location15 Hospital DriveYork, ME 03909 · York County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 03909 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$86.72 typical visit price
range $56.28 – $169.96
Typical copayment $21.68 (range $14.07 – $42.49)
Most-billed visit code 99203
Established Patient
$70.13 typical visit price
range $18.22 – $138.92
Typical copayment $17.53 (range $4.55 – $34.73)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Joan Sisto's NPI number?

The NPI number for Joan Sisto is 1033214077. It was assigned to this individual provider in the NPPES registry on September 14, 2006.

Where is Joan Sisto located?

Joan Sisto practices at 10 Market Place Dr # 3, York, ME 03909. The listed phone number is (207) 305-1959.

What is Joan Sisto's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Joan Sisto enrolled in Medicare?

Yes. Joan Sisto is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Joan Sisto accept?

Health plans from Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care and WellSense Health Plan list Joan Sisto as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Joan Sisto affiliated with any hospitals?

According to CMS data, Joan Sisto is affiliated with York Hospital.

When was this NPI record last updated?

The NPPES record for Joan Sisto was last updated on October 11, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.