DR. MARK SETHNA D.O.
NPI 1144251729
Family Medicine in Hicksville, NY

Active since July 05, 2006PECOS EnrolledAccepts Medicare Assignment
60 SPRUCE ST, HICKSVILLE, NY 11801(516) 433-6277 Get Directions Write a Review

NPPES record last updated: March 20, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Mark Sethna D.o. NPPES

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

DR. MARK SETHNA D.O. (NPI 1144251729) is an individual family medicine provider in Hicksville, New York, licensed in New York (239997) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of New York College Of Osteo Medicine Of New York Institute Of Technology (2003).

NPPES Registry Identity

NPI1144251729
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. MARK SETHNACredential: D.O.
Location Address60 SPRUCE STHicksville, NY 11801-3233
Mailing Address60 Spruce StHicksville, NY 11801-3233
Sole ProprietorYes
Medical School CMSNew York College Of Osteo Medicine Of New York Institute Of TechnologyGraduated 2003
Enumeration DateJuly 5, 2006
Last NPPES UpdateMarch 20, 2012
NPI 1144251729 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in NY · 239997
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedNeuromusculoskeletal Medicine & OMMTaxonomy 204D00000X · License 239997 (NY)
Also ListedFamily Medicine · Adult MedicineTaxonomy 207QA0505X · License 239997 (NY)
60 SPRUCE ST, Hicksville, NY 11801

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. Mark Sethna D.o. 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 ID547265001
PECOS Enrollment IDI20141203002271
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11801 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

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.

Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each A4352
DME-Orthotic Devices · category DF008N
1 supplier112 claims176,600 services$6.17 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 Mark Sethna's NPI number?

The NPI number for Mark Sethna is 1144251729. It was assigned to this individual provider in the NPPES registry on July 5, 2006.

Where is Mark Sethna located?

Mark Sethna practices at 60 Spruce St, Hicksville, NY 11801. The listed phone number is (516) 433-6277.

What is Mark Sethna's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Mark Sethna enrolled in Medicare?

Yes. Mark Sethna 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.

When was this NPI record last updated?

The NPPES record for Mark Sethna was last updated on March 20, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.