MARCOS ALMONTE SENCION MD
NPI 1225680390
Internal Medicine in Jasper, AL

Q: What is Marcos Almonte Sencion's NPI number?

The NPI number for Marcos Almonte Sencion is 1225680390. It was assigned to this individual provider in the NPPES registry on July 9, 2019.

Q: What is Marcos Almonte Sencion's specialty?

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

Active since July 09, 2019PECOS EnrolledAccepts Medicare Assignment

3400 HIGHWAY 78 E, JASPER, AL 35501(205) 387-4000 Get Directions Write a Review

NPPES record last updated: July 7, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 7, 2022, Jul 9, 2019 (2 updates tracked since 2019).

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About Marcos Almonte Sencion Md NPPES

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

MARCOS ALMONTE SENCION MD (NPI 1225680390) is an individual internal medicine provider in Jasper, Alabama, licensed in Alabama (44678) and active in the NPI registry since July 2019. He is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1225680390

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameMARCOS ALMONTE SENCIONCredential: MD

Location Address3400 HIGHWAY 78 EJasper, AL 35501-8956

Mailing Address3090 Highway 280 EVestavia, AL 35243-2705 · (609) 432-5733

Phone(205) 387-4000

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateJuly 9, 2019

Last NPPES UpdateJuly 7, 20222 updates tracked since enumeration

NPPES CertifiedJuly 7, 2022

✔ NPI 1225680390 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in AL · 44678

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.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

3400 HIGHWAY 78 E, Jasper, AL 35501

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Accepted Insurance

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

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

Marcos Almonte Sencion 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 ID648654806

PECOS Enrollment IDI20220907002292

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 Marcos Almonte Sencion reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Alignmed Partners, PC

29 mi

Geriatric Medicine

420 DEAN DR
Gardendale, AL 35071

Reassigned Medicare billing, Alabama enrollment
12 clinicians in this Medicare group

NPI 1881109452 (205) 631-8709

Genesis Eldercare Physician Services LLC

29 mi

Geriatric Medicine

420 DEAN DR
Gardendale, AL 35071

Reassigned Medicare billing, Alabama enrollment
12 clinicians in this Medicare group

NPI 1598181349 (205) 631-8709

Hospital Physician Services - Southeast Professional Corporation

201 mi

Hospitalist

2151 W SPRING ST
Monroe, GA 30655

Reassigned Medicare billing, Alabama enrollment
428 clinicians in this Medicare group

NPI 1760410385 (770) 267-8461

Alignmed Medical Group, PC

708 mi

Geriatric Medicine

9200 FRANKLIN SQUARE DR
Baltimore, MD 21237

Reassigned Medicare billing, Alabama enrollment
14 clinicians in this Medicare group

NPI 1366289423 (410) 391-2600

First Docs LLC

820 mi

Internal Medicine

1235 WHITEHORSE MERCERVILLE RD STE 306
Hamilton, NJ 08619

Reassigned Medicare billing, Alabama enrollment
12 clinicians in this Medicare group

NPI 1154936227 (609) 585-1122

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 11

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

470 services178 patients

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

260 services53 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

248 services109 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.

202 services49 patients

Hospital discharge day management, 30 minutes or less 99238

Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.

162 services154 patients

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.

124 services118 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

46 services45 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 99307

A follow-up nursing facility visit per day typically lasts about 10 minutes. This service involves a healthcare professional checking on your health status, answering any questions you may have, and monitoring your progress. This routine check ensures your recovery is on track and any concerns are addressed promptly.

27 services14 patients

Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310

A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.

14 services12 patients

Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305

An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.

13 services12 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.

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35501 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

$122.31 typical visit price

range $52.65 – $161.63

Typical copayment $30.57 (range $13.16 – $40.40)

Most-billed visit code 99204

Established Patient

$93.72 typical visit price

range $16.56 – $131.65

Typical copayment $23.43 (range $4.14 – $32.91)

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.

Other Providers at the Same Location NPPES 20

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

BHC-MEDSTAT OF JASPER

General Practice

3400 HIGHWAY 78 E, MEDICAL ARTS TOWER; SUITE 109
JASPER, AL 35501

Walker County (205) 387-1891

SIERRA HOPE CENEK

Physician Assistant (Medical)

3400 HIGHWAY 78 E
JASPER, AL 35501

Walker County (205) 387-4000

MRS. TAMMY ALLEEN ELLIS CCC-A

Audiologist-Hearing Aid Fitter

3400 HIGHWAY 78 E, 205 MEDICAL ARTS TOWER
JASPER, AL 35501

Walker County (205) 221-4630

BHC-WALKER PRIMARY CARE

Internal Medicine

3400 HIGHWAY 78 E, MEDICAL ARTS TOWER; SUITE 321
JASPER, AL 35501

Walker County (205) 715-5943

ERIC ALEXANDER SWINFORD CRNA

Nurse Anesthetist, Certified Registered

3400 HIGHWAY 78 E
JASPER, AL 35501

Walker County (256) 609-7445

JASPER ANESTHESIA CARE, INC

Anesthesiology

3400 HIGHWAY 78 E
JASPER, AL 35501

Walker County (205) 387-4000

GASTROENTEROLOGISTS CONSULTANTS OF JASPER, PC

Internal Medicine (Gastroenterology)

3400 HIGHWAY 78 E, MEDICAL ARTS TOWER SUITE 504
JASPER, AL 35501

Walker County (205) 295-9630

LAWRENCE VERNON BAKER

Surgery

3400 HIGHWAY 78 E, MED ARTS TOWER STE 502
JASPER, AL 35501

Walker County (205) 221-4916

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 Marcos Almonte Sencion's NPI number?

The NPI number for Marcos Almonte Sencion is 1225680390. It was assigned to this individual provider in the NPPES registry on July 9, 2019.

Where is Marcos Almonte Sencion located?

Marcos Almonte Sencion practices at 3400 Highway 78 E, Jasper, AL 35501. The listed phone number is (205) 387-4000.

What is Marcos Almonte Sencion's specialty?

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

Is Marcos Almonte Sencion enrolled in Medicare?

Yes. Marcos Almonte Sencion 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.

Which organizations bill Medicare for Marcos Almonte Sencion's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marcos Almonte Sencion reassigns Medicare benefits to 5 organizations: Alignmed Partners, PC (Gardendale, AL), Genesis Eldercare Physician Services LLC (Gardendale, AL), Hospital Physician Services - Southeast Professional Corporation (Monroe, GA), Alignmed Medical Group, PC (Baltimore, MD) and First Docs LLC (Hamilton, NJ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Marcos Almonte Sencion's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Marcos Almonte Sencion accept?

Health plans from Blue Cross and Blue Shield of Alabama list Marcos Almonte Sencion 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.

When was this NPI record last updated?

The NPPES record for Marcos Almonte Sencion was last updated on July 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.