DR. PHILIP SINATO JR.
NPI 1053518621
Psychiatry & Neurology - Psychiatry in Charleston, SC

Active since June 28, 2007PECOS EnrolledAccepts Medicare Assignment
171 ASHLEY AVE, CHARLESTON, SC 29425(843) 792-1414 Get Directions Write a Review

NPPES record last updated: June 5, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 5, 2026, Oct 14, 2020 (2 updates tracked since 2020).

About Dr. Philip Sinato Jr. NPPES

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

DR. PHILIP SINATO JR. (NPI 1053518621) is an individual psychiatry provider in Charleston, South Carolina, licensed in South Carolina (MMD.34007 MD) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS, maintains a secondary practice location in Rogers City, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1053518621
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameDR. PHILIP SINATO JR.
Location Address171 ASHLEY AVECharleston, SC 29425-8908
Mailing AddressPo Box 751461Charlotte, NC 28275-1461 · (843) 792-6200
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateJune 28, 2007
Last NPPES UpdateJune 5, 20262 updates tracked since enumeration
NPPES CertifiedJune 5, 2026
✔ NPI 1053518621 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Licenses✔ Licensed in SC · MMD.34007 MD✔ Licensed in MI · 4301101960
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
171 ASHLEY AVE, Charleston, SC 29425

Secondary Practice Location 1

Location 1205 S Bradley HwyRogers City, MI 49779-2137 · Phone (989) 734-2052

Other Identifiers 1

Medicaid327877SC

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Philip Sinato Jr. 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 ID9436318821
PECOS Enrollment IDI20120303000035
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Philip Sinato reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mental Health (Including Community Mental Health Center)
403 STONEY LANDING RD
Moncks Corner, SC 29461
  • Reassigned Medicare billing, South Carolina enrollment
  • Also billed through NPI 1245279595 (South Carolina)
  • 79 clinicians in this Medicare group
Federally Qualified Health Center (FQHC)
10500 COUNTY ROAD 489
Atlanta, MI 49709
  • Reassigned Medicare billing, Michigan enrollment
  • 57 clinicians in this Medicare group
Psychiatry
14674 W MOUNTAIN VIEW BLVD STE 100
Surprise, AZ 85374
  • Reassigned Medicare billing, Michigan enrollment
  • 6 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29425 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
$163.84 typical visit price
range $53.57 – $163.84
Typical copayment $40.96 (range $13.39 – $40.96)
Most-billed visit code 99205
Established Patient
$67.12 typical visit price
range $16.96 – $133.52
Typical copayment $16.78 (range $4.24 – $33.38)
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.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Allergy & Immunology
171 ASHLEY AVE
CHARLESTON, SC 29425
Nurse Anesthetist, Certified Registered
171 ASHLEY AVE
CHARLESTON, SC 29425
Pathology (Anatomic Pathology)
171 ASHLEY AVE
CHARLESTON, SC 29425
Ophthalmology
171 ASHLEY AVE
CHARLESTON, SC 29425
Social Worker
171 ASHLEY AVE
CHARLESTON, SC 29425
Radiology (Pediatric Radiology)
171 ASHLEY AVE
CHARLESTON, SC 29425
Nurse Practitioner
171 ASHLEY AVE
CHARLESTON, SC 29425
Ophthalmology
171 ASHLEY AVE
CHARLESTON, SC 29425

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 Philip Sinato's NPI number?

The NPI number for Philip Sinato is 1053518621. It was assigned to this individual provider in the NPPES registry on June 28, 2007.

Where is Philip Sinato located?

Philip Sinato practices at 171 Ashley Ave, Charleston, SC 29425. The listed phone number is (843) 792-1414.

What is Philip Sinato's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Philip Sinato enrolled in Medicare?

Yes. Philip Sinato 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.

Which organizations bill Medicare for Philip Sinato's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Philip Sinato reassigns Medicare benefits to 3 organizations: South Carolina Dept Of Mental Health Accounting Office (Moncks Corner, SC), Thunder Bay Community Health Service, Inc (Atlanta, MI) and Oxford Integrated Health Solutions PLLC (Surprise, AZ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Philip Sinato's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Philip Sinato accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, BlueCross BlueShield of South Carolina, First Choice Next and Priority Health list Philip Sinato 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.

When was this NPI record last updated?

The NPPES record for Philip Sinato was last updated on June 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.