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DR. SHEILA MARIANO M.D.
NPI 1104896919
Internal Medicine in Jonesboro, LA

Active since January 24, 2006PECOS EnrolledAccepts Medicare Assignment
121 WATTS ST, JONESBORO, LA 71251(318) 395-3051(318) 395-3052 Get Directions Write a Review

NPPES record last updated: April 22, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Sheila Mariano M.d. NPPES

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

DR. SHEILA MARIANO M.D. (NPI 1104896919) is an individual internal medicine provider in Jonesboro, Louisiana, licensed in Louisiana (13651R) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS, is affiliated with Northern Louisiana Medical Center, and is a graduate of Other (1990).

NPPES Registry Identity

NPI1104896919
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. SHEILA MARIANOCredential: M.D.
Location Address121 WATTS STJonesboro, LA 71251-2062
Mailing Address121 Watts StJonesboro, LA 71251-2062 · (318) 395-3051
Phone(318) 395-3051
Fax(318) 395-3052
Sole ProprietorNo
Medical School CMSOtherGraduated 1990
Enumeration DateJanuary 24, 2006
Last NPPES UpdateApril 22, 2021
NPPES CertifiedApril 22, 2021
✔ NPI 1104896919 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in LA · 13651R
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
121 WATTS ST, Jonesboro, LA 71251
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, HMO Louisiana, UnitedHealthcare.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. Sheila Mariano 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 ID7416037049
PECOS Enrollment IDI20100211000319
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.

Hospital Affiliations CMS Care Compare 5

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

Northern Louisiana Medical Center

Acute Care Hospitals · Ruston, LA
4/5 CMS rating
OwnershipProprietary
CMS Certification Number190086
Location401 East Vaughn AvenueRuston, LA 71270 · Lincoln County
Emergency services Birthing friendly

Winn Parish Medical Center

Acute Care Hospitals · Winnfield, LA
OwnershipProprietary
CMS Certification Number190090
Location301 W Boundary AveWinnfield, LA 71483 · Winn County
Emergency services

St Francis Medical Center

Acute Care Hospitals · Monroe, LA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190125
Location309 Jackson StreetMonroe, LA 71201 · Ouachita County
Emergency services Birthing friendly

Glenwood Regional Medical Center

Acute Care Hospitals · West Monroe, LA
1/5 CMS rating
OwnershipProprietary
CMS Certification Number190160
Location503 Mcmillan RoadWest Monroe, LA 71291 · Ouachita County
Emergency services

Jackson Parish Hospital

Critical Access Hospitals · Jonesboro, LA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number191317
Location165 Beech Springs RoadJonesboro, LA 71251 · Jackson County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 71251 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
$124.60 typical visit price
range $53.43 – $164.73
Typical copayment $31.15 (range $13.35 – $41.18)
Most-billed visit code 99204
Established Patient
$95.09 typical visit price
range $16.64 – $133.62
Typical copayment $23.77 (range $4.16 – $33.40)
Most-billed visit code 99214
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.

Reported Quality Measures

Adult Sinusitis: Antibiotic Prescribed for Acute Viral Sinusitis (Overuse)
Percentage of patients, aged 18 years and older, with a diagnosis of acute viral sinusitis who were prescribed an antibiotic within 10 days after onset of symptoms
Lower rates are better for this measure.
97%58 patients1/55-star benchmark: 100%
Adult Sinusitis: Computerized Tomography (CT) for Acute Sinusitis (Overuse)
Percentage of patients aged 18 years and older with a diagnosis of acute sinusitis who had a computerized tomography (CT) scan of the paranasal sinuses ordered at the time of diagnosis or received within 28 days after date of diagnosis
Lower rates are better for this measure.
0%53 patients
Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
47%214 patients3/55-star benchmark: 92%
Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
11%242 patients1/55-star benchmark: 100%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
36%327 patients2/55-star benchmark: 85%
Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
4%120 patients1/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
98%4,702 patients4/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
83%667 patients4/55-star benchmark: 88%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%317 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
95%576 patients4/55-star benchmark: 97%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
26%231 patients2/55-star benchmark: 90%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
19%572 patients1/55-star benchmark: 97%
Preventive Care and Screening: Influenza Immunization
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
24%580 patients2/55-star benchmark: 88%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 98% · 436 patients
Patients tobacco: 18% · 62 patients
85%436 patients4/55-star benchmark: 98%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
100%576 patients5/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
6%576 patients1/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
18%576 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 6

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
8 suppliers28 claims73 services$6.47 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
2 suppliers14 claims14 services$45.74 avg. paid by Medicare
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613
DME-Drugs Administered Through DME · category DG006N
2 suppliers13 claims2,625 services$0.03 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier19 claims19 services$29.88 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier25 claims25 services$184.45 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
2 suppliers13 claims13 services$25.97 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 6

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

MRS. DIONNE R NOLAN D.P.M.
Podiatrist
121 WATTS ST
JONESBORO, LA 71251
Jackson Parish (318) 259-4435
MS. TONYA SLUSHER MD
Pediatrics
121 WATTS ST
JONESBORO, LA 71251
Jackson Parish (318) 395-1159
CANDICE S LEACH FNP-C
Nurse Practitioner (Family)
121 WATTS ST
JONESBORO, LA 71251
Jackson Parish (318) 259-5080
JOHN LEON OVERBY MD
Family Medicine
121 WATTS ST, SUITE F
JONESBORO, LA 71251
Jackson Parish (318) 395-3051
JACKSON PARISH HOSPITAL
Clinic/Center (Rural Health)
121 WATTS ST, SUITE A, B, E & F
JONESBORO, LA 71251
Jackson Parish (318) 259-0006
SEAN E HAYS MD
Family Medicine
121 WATTS ST, SUITE F
JONESBORO, LA 71251
Jackson Parish (318) 395-3051

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 Sheila Mariano's NPI number?

The NPI number for Sheila Mariano is 1104896919. It was assigned to this individual provider in the NPPES registry on January 24, 2006.

Where is Sheila Mariano located?

Sheila Mariano practices at 121 Watts St, Jonesboro, LA 71251. The listed phone number is (318) 395-3051.

What is Sheila Mariano's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Sheila Mariano enrolled in Medicare?

Yes. Sheila Mariano 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 Sheila Mariano accept?

Health plans from Blue Cross and Blue Shield of Louisiana, HMO Louisiana and UnitedHealthcare list Sheila Mariano 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 Sheila Mariano affiliated with any hospitals?

According to CMS data, Sheila Mariano is affiliated with Northern Louisiana Medical Center, Winn Parish Medical Center, St Francis Medical Center, Glenwood Regional Medical Center and Jackson Parish Hospital.

When was this NPI record last updated?

The NPPES record for Sheila Mariano was last updated on April 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.