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DR. RONALD ANGELO SISMONDO JR. M.D.
NPI 1124463807
Orthopaedic Surgery in Wheeling, WV

Active since May 07, 2013PECOS EnrolledAccepts Medicare Assignment
94.1/100
CMS Quality Rating
1 MEDICAL PARK STE 101, WHEELING, WV 26003(304) 231-2090 Get Directions Write a Review

NPPES record last updated: August 25, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 25, 2023, May 27, 2021, Aug 23, 2019 and 2 more (5 updates tracked since 2018).

About Dr. Ronald Angelo Sismondo Jr. M.d. NPPES

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

DR. RONALD ANGELO SISMONDO JR. M.D. (NPI 1124463807) is an individual orthopaedic surgery provider in Wheeling, West Virginia, licensed in Arkansas (E-12086) and active in the NPI registry since May 2013. He is enrolled in Medicare PECOS, is affiliated with Reynolds Memorial Hospital, and is a graduate of Northeastern Ohio University College Of Medicine (2013).

NPPES Registry Identity

NPI1124463807
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. RONALD ANGELO SISMONDO JR.Credential: M.D.
Location Address1 MEDICAL PARK STE 101Wheeling, WV 26003-6379
Mailing Address1 Medical Park Ste 101Wheeling, WV 26003-6379 · (304) 231-2090
Phone(304) 231-2090
Sole ProprietorYes
Medical School CMSNortheastern Ohio University College Of MedicineGraduated 2013
Enumeration DateMay 7, 2013
Last NPPES UpdateAugust 25, 20235 updates tracked since enumeration
NPPES CertifiedAugust 25, 2023
✔ NPI 1124463807 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Licenses✔ Licensed in AR · E-12086✔ Licensed in TX · R7113
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1 MEDICAL PARK STE 101, Wheeling, WV 26003
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Other Identifiers 1

Medicaid234609001AR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Highmark Blue Cross Blue Shield West Virginia, Molina Healthcare.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. Ronald Angelo Sismondo Jr. 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 ID9436490588
PECOS Enrollment IDI20230812000050, I20231019002245
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 2

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

Reynolds Memorial Hospital

Acute Care Hospitals · Glen Dale, WV
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510013
Location800 Wheeling AveGlen Dale, WV 26038 · Marshall County
Emergency services Birthing friendly

Wheeling Hospital, Inc

Acute Care Hospitals · Wheeling, WV
1/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number510050
Location1 Medical ParkWheeling, WV 26003 · Ohio County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 26003 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
$83.49 typical visit price
range $53.20 – $164.59
Typical copayment $20.87 (range $13.30 – $41.14)
Most-billed visit code 99203
Established Patient
$66.84 typical visit price
range $16.47 – $133.29
Typical copayment $16.71 (range $4.11 – $33.32)
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.

94.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality78.46
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

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

Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf L3670
DME-Orthotic Devices · category DF000N
1 supplier11 claims11 services$81.52 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Ronald Sismondo's NPI number?

The NPI number for Ronald Sismondo is 1124463807. It was assigned to this individual provider in the NPPES registry on May 7, 2013.

Where is Ronald Sismondo located?

Ronald Sismondo practices at 1 Medical Park Ste 101, Wheeling, WV 26003. The listed phone number is (304) 231-2090.

What is Ronald Sismondo's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Ronald Sismondo enrolled in Medicare?

Yes. Ronald Sismondo 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 Ronald Sismondo accept?

Health plans from CareSource, Highmark Blue Cross Blue Shield West Virginia and Molina Healthcare list Ronald Sismondo 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 Ronald Sismondo affiliated with any hospitals?

According to CMS data, Ronald Sismondo is affiliated with Reynolds Memorial Hospital and Wheeling Hospital, Inc.

When was this NPI record last updated?

The NPPES record for Ronald Sismondo was last updated on August 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.