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

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: August 02, 2026.

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

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
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

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 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.

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.

Internal Medicine (Critical Care Medicine)
2090 WALLUM LAKE RD
PASCOAG, RI 02859
Internal Medicine
2090 WALLUM LAKE RD
PASCOAG, RI 02859
Social Worker (Clinical)
2090 WALLUM LAKE RD
PASCOAG, RI 02859
Physical Therapist
2090 WALLUM LAKE RD
PASCOAG, RI 02859
Physician Assistant
2090 WALLUM LAKE RD
PASCOAG, RI 02859
Social Worker (Clinical)
2090 WALLUM LAKE RD
PASCOAG, RI 02859
Occupational Therapist
2090 WALLUM LAKE RD
PASCOAG, RI 02859
Speech-Language Pathologist
2090 WALLUM LAKE RD
PASCOAG, RI 02859

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 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.

Where is Mark Geronimo located?

Mark Geronimo practices at 2090 Wallum Lake Rd, Pascoag, RI 02859. The listed phone number is (401) 567-5400.

What is Mark Geronimo's specialty?

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

Is Mark Geronimo enrolled in Medicare?

Yes. Mark Geronimo 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 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 2 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.