MS. MARIANNE J SANTIONI DO
NPI 1205868668
Internal Medicine - Rheumatology in Old Forge, PA

Active since July 07, 2006PECOS Enrolled
97.18/100
CMS Quality Rating
821 S MAIN ST, SUITE 3, OLD FORGE, PA 18518(570) 457-0562(570) 457-0603 Get Directions Write a Review

NPPES record last updated: September 29, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ms. Marianne J Santioni Do NPPES

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

MS. MARIANNE J SANTIONI DO (NPI 1205868668) is an individual rheumatology provider in Old Forge, Pennsylvania, licensed in Pennsylvania (OS007763L) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205868668
Entity TypeIndividualFemale
Primary Taxonomy207RR0500X
Provider Legal NameMS. MARIANNE J SANTIONICredential: DO
Location Address821 S MAIN ST, SUITE 3Old Forge, PA 18518-1431
Mailing Address821 S Main St, Suite 3Old Forge, PA 18518-1431 · (570) 457-0562 · Fax (570) 457-0603
Fax(570) 457-0603
Sole ProprietorNo
Enumeration DateJuly 7, 2006
Last NPPES UpdateSeptember 29, 2016
NPI 1205868668 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License Licensed in PA · OS007763L
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
821 S MAIN ST, Old Forge, PA 18518

Other Identifiers 3

Medicare UPINF58576PA
Medicare ID-Type Unspecified072359
Medicaid16104990001PA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Ms. Marianne J Santioni Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 9

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.

Injection, golimumab, 1 mg, for intravenous use J1602
Golimumab is a medication given through an IV (a small tube in your vein). It helps to reduce inflammation and pain by blocking a protein in your body that causes inflammation. It's often used to treat conditions like rheumatoid arthritis, psoriatic arthritis, and ankylosing spondylitis.
8,850 services12 patients
Injection, denosumab, 1 mg J0897
Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.
4,140 services49 patients
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.
546 services340 patients
Administration of chemotherapy into vein, 1 hour or less 96413
Chemotherapy is a treatment that uses drugs to destroy cancer cells. When administered into a vein, it's often through an IV. This procedure usually lasts 1 hour or less. You may feel a slight pinch as the needle is inserted, but it's generally painless.
165 services26 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
86 services52 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
60 services44 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18518 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

97.18/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality94.36
Improvement Activities40

Reported Quality Measures

Controlling High Blood Pressure
85%60 patients4/55-star benchmark: 98%
Documentation of Current Medications in the Medical Record
93%2,901 patients3/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
95%721 patients4/55-star benchmark: 100%
Gout: Serum Urate Target
25%69 patients
Hepatitis B Safety Screening
33%33 patients
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
80%1,416 patients3/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 93% · 940 patients
Patients screened: 93% · 940 patients
100%120 patients5/55-star benchmark: 100%
Screening for Osteoporosis for Women Aged 65-85 Years of Age
33%377 patients2/55-star benchmark: 98%
Tuberculosis Screening Prior to First Course of Biologic and/or Immune Response Modifier Therapy
59%29 patients3/55-star benchmark: 100%
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.

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.

Pharmacy (Community/Retail Pharmacy)
821 S MAIN ST, SUITE 1
OLD FORGE, PA 18518
Pharmacy (Community/Retail Pharmacy)
821 S MAIN ST, STE 1
OLD FORGE, PA 18518
Internal Medicine (Rheumatology)
821 S MAIN ST, SUITE 3
OLD FORGE, PA 18518
Physician Assistant (Medical)
821 S MAIN ST, SUITE3
OLD FORGE, PA 18518
Podiatrist (Foot & Ankle Surgery)
821 S MAIN ST
OLD FORGE, PA 18518
Internal Medicine
821 S MAIN ST, SUITE 4
OLD FORGE, PA 18518

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 Marianne Santioni's NPI number?

The NPI number for Marianne Santioni is 1205868668. It was assigned to this individual provider in the NPPES registry on July 7, 2006.

Where is Marianne Santioni located?

Marianne Santioni practices at 821 S Main St Suite 3, Old Forge, PA 18518. The listed phone number is (570) 457-0562.

What is Marianne Santioni's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Marianne Santioni enrolled in Medicare?

Yes. Marianne Santioni is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Marianne Santioni was last updated on September 29, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.