MARK DENNIS V GERONIMO MD
NPI 1215132949
Family Medicine in Pascoag, RI

Q: What is Mark Geronimo's NPI number?

The NPI number for Mark Geronimo is 1215132949. It was assigned to this individual provider in the NPPES registry on June 21, 2007.

Q: What is Mark Geronimo's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Mark Geronimo was last updated on May 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.

Active since June 21, 2007PECOS EnrolledAccepts Medicare Assignment

2090 WALLUM LAKE RD, PASCOAG, RI 02859(401) 567-5400(401) 567-4003 Get Directions Write a Review

NPPES record last updated: May 29, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 29, 2026, Jul 22, 2021, Jul 24, 2018 (3 updates tracked since 2018).

On this page

About Mark Dennis V Geronimo Md NPPES

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

MARK DENNIS V GERONIMO MD (NPI 1215132949) is an individual family medicine provider in Pascoag, Rhode Island, licensed in Rhode Island (MD14813) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS and is a graduate of Other (2000).

NPPES Registry Identity

NPI1215132949

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameMARK DENNIS V GERONIMOCredential: MD

Location Address2090 WALLUM LAKE RDPascoag, RI 02859-1813

Mailing Address2090 Wallum Lake RdPascoag, RI 02859-1813 · (401) 567-5400 · Fax (401) 567-4003

Phone(401) 567-5400

Fax(401) 567-4003

Sole ProprietorNo

Medical School CMSOtherGraduated 2000

Enumeration DateJune 21, 2007

Last NPPES UpdateMay 29, 20263 updates tracked since enumeration

NPPES CertifiedMay 29, 2026

✔ NPI 1215132949 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in RI · MD14813✔ Licensed in MO · 2010024512✔ Licensed in CT · 52895✔ Licensed in IL · 036128606

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 ListedHospitalistTaxonomy 208M00000X · License 036128606 (IL), 52895 (CT)

2090 WALLUM LAKE RD, Pascoag, RI 02859

Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mark Dennis V Geronimo Md 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 ID4082738596

PECOS Enrollment IDI20141114001672

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.

Medicare Billing Reassignments

Medicare enrollment records show Mark Geronimo reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Atwood Medical Associates Ltd

18 mi

Pulmonary Disease

1524 ATWOOD AVENUE, SUITE 220
Johnston, RI 02919

Reassigned Medicare billing, Rhode Island enrollment
29 clinicians in this Medicare group

NPI 1558386227 (401) 272-1900

Eleanor Slater Hospital

22 mi

Long Term Care Hospital

111 HOWARD AVE
Cranston, RI 02920

Reassigned Medicare billing, Rhode Island enrollment
Medicare enrollment name: State Of Rhode Island
16 clinicians in this Medicare group

NPI 1922197789 (401) 462-1405

The William W Backus Hospital

36 mi

General Acute Care Hospital

326 WASHINGTON ST
Norwich, CT 06360

Reassigned Medicare billing, Connecticut enrollment
430 clinicians in this Medicare group

NPI 1467517235 (860) 889-8331

Middlesex Hospital

55 mi

Family

80 S MAIN ST
Middletown, CT 06457

Reassigned Medicare billing, Connecticut enrollment
178 clinicians in this Medicare group

NPI 1972563138 (860) 358-6394

Windham Community Memorial Hospital, Inc.

57 mi

General Acute Care Hospital

112 MANSFIELD AVE
Willimantic, CT 06226

Reassigned Medicare billing, Connecticut enrollment
302 clinicians in this Medicare group

NPI 1023191467 (860) 456-6752

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

289 services285 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

71 services71 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02859 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

$90.48 typical visit price

range $58.57 – $177.03

Typical copayment $22.62 (range $14.64 – $44.25)

Most-billed visit code 99203

Established Patient

$103.10 typical visit price

range $18.92 – $144.38

Typical copayment $25.77 (range $4.73 – $36.09)

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

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…

100%405 patients5/55-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.

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.

Enteral nutrition infusion pump, any type B9002

Other-Enteral and Parenteral · category OB005N

1 supplier11 claims11 services$64.66 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 13

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

PATRICIA MARIA RUSSO-MAGNO MD

Internal Medicine (Critical Care Medicine)