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MARK C STICKNEY M.D.
NPI 1184633844
Internal Medicine in Rutland, VT

Active since August 05, 2006PECOS EnrolledAccepts Medicare Assignment
90.05/100
CMS Quality Rating
3 COMMONS ST, RUTLAND, VT 05701(802) 773-7155(802) 773-7616 Get Directions Write a Review

NPPES record last updated: November 24, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mark C Stickney M.d. NPPES

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

MARK C STICKNEY M.D. (NPI 1184633844) is an individual internal medicine provider in Rutland, Vermont, licensed in Vermont (042-0007705) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Mary Hitchcock Memorial Hospital, and is a graduate of Albany Medical College Of Union University (1985).

NPPES Registry Identity

NPI1184633844
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameMARK C STICKNEYCredential: M.D.
Location Address3 COMMONS STRutland, VT 05701-4652
Mailing Address3 Commons StRutland, VT 05701-4652 · (802) 773-7155 · Fax (802) 773-7616
Phone(802) 773-7155
Fax(802) 773-7616
Sole ProprietorYes
Medical School CMSAlbany Medical College Of Union UniversityGraduated 1985
Enumeration DateAugust 5, 2006
Last NPPES UpdateNovember 24, 2010
✔ NPI 1184633844 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in VT · 042-0007705
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.

3 COMMONS ST, Rutland, VT 05701
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Other Identifiers 3

Medicare UPINB85822VT
Medicaid0009219VT
Medicare PINVT9219VT

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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

Mark C Stickney 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 ID4284823030
PECOS Enrollment IDI20110110000061
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 10

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.

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.
1,352 services492 patients
Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
217 services144 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.
170 services136 patients
Telephone medical discussion with physician, 5-10 minutes 99441
A telephone medical discussion with a physician is a brief, 5-10 minute call where you can discuss your health concerns. It's a convenient way to receive medical advice without needing to visit a clinic. It's important to prepare questions in advance to make the most of this time.
168 services129 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
110 services86 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
61 services61 patients

Hospital Affiliations CMS Care Compare 5

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

Mary Hitchcock Memorial Hospital

Acute Care Hospitals · Lebanon, NH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number300003
Location1 Medical Center DriveLebanon, NH 03756 · Grafton County
Emergency services Birthing friendly

Alice Peck Day Memorial Hospital

Critical Access Hospitals · Lebanon, NH
OwnershipVoluntary non-profit - Private
CMS Certification Number301305
Location10 Alice Peck Day DriveLebanon, NH 03766 · Grafton County
Emergency services

Rutland Regional Medical Center

Acute Care Hospitals · Rutland, VT
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number470005
Location160 Allen StRutland, VT 05701 · Rutland County
Emergency services Birthing friendly

Gifford Medical Center

Critical Access Hospitals · Randolph, VT
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number471301
Location44 South Main StreetRandolph, VT 05060 · Orange County
Emergency services

Mt Ascutney Hospital

Critical Access Hospitals · Windsor, VT
OwnershipVoluntary non-profit - Private
CMS Certification Number471302
Location289 County RoadWindsor, VT 05089 · Windsor County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 05701 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
$127.71 typical visit price
range $55.80 – $168.48
Typical copayment $31.92 (range $13.95 – $42.12)
Most-billed visit code 99204
Established Patient
$98.40 typical visit price
range $18.08 – $137.84
Typical copayment $24.60 (range $4.52 – $34.46)
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.

90.05/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40
Cost50.17

Referred Medical Equipment & Supplies CMS DME claims 5

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
11 suppliers67 claims148 services$5.56 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
9 suppliers25 claims25 services$1.06 avg. paid by Medicare
Ostomy pouch, closed, with barrier attached, with filter (1 piece), each A4416
DME-Orthotic Devices · category DF010N
1 supplier11 claims330 services$2.41 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers17 claims20 services$19.16 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers23 claims26 services$105.76 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

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

MARK C. STICKNEY, MD, LLC
Internal Medicine
3 COMMONS ST
RUTLAND, VT 05701
Rutland County (802) 773-7155

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 Stickney's NPI number?

The NPI number for Mark Stickney is 1184633844. It was assigned to this individual provider in the NPPES registry on August 5, 2006.

Where is Mark Stickney located?

Mark Stickney practices at 3 Commons St, Rutland, VT 05701. The listed phone number is (802) 773-7155.

What is Mark Stickney's specialty?

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

Is Mark Stickney enrolled in Medicare?

Yes. Mark Stickney 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 Mark Stickney accept?

Health plans from Anthem Blue Cross and Blue Shield list Mark Stickney 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 Mark Stickney affiliated with any hospitals?

According to CMS data, Mark Stickney is affiliated with Mary Hitchcock Memorial Hospital, Alice Peck Day Memorial Hospital, Rutland Regional Medical Center, Gifford Medical Center and Mt Ascutney Hospital.

When was this NPI record last updated?

The NPPES record for Mark Stickney was last updated on November 24, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.