DR. DENNIS PETER SORRESSO M.D. NPI 1245283357
Internal Medicine - Sleep Medicine in Macclenny, FL
About DR. DENNIS PETER SORRESSO M.D.
Dennis Sorresso is an internist established in Macclenny, Florida and his medical specialization is Internal Medicine with a focus in sleep medicine with more than 31 years of experience. He graduated from Pennsylvania State University College Of Medicine in 1993. The healthcare provider is registered in the NPI registry with number 1245283357 assigned on May 2006. The practitioner's primary taxonomy code is 207RS0012X with license number ME0080561 (FL). The provider is registered as an individual and his NPI record was last updated 13 years ago.
| NPI | 1245283357 |
| Provider Name | DR. DENNIS PETER SORRESSO M.D. |
| Location Address | 159 N 3RD ST MACCLENNY, FL 32063 |
| Location Phone | (904) 465-3183 |
| Mailing Address | 1375 SOUTHSHORE DR ORANGE PARK, FL 32003 |
| Gender | Male |
| NPI Entity Type | Individual |
| Medical School Name | PENNSYLVANIA STATE UNIVERSITY COLLEGE OF MEDICINE |
| Graduation Year | 1993 |
| Is Sole Proprietor? | Yes |
| Enumeration Date | 05-18-2006 |
| Last Update Date | 10-06-2010 |
An internist like Dennis Sorresso is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.Dennis Sorresso is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Dennis Sorresso is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
The typical physician office visit costs for Medicare beneficiaries in this area are: $33.81 for a new patient copayment and $25.94 for an established patient copayment.
Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
| Taxonomy Code | 207RS0012X |
| Classification | Internal Medicine |
| Type | Allopathic & Osteopathic Physicians |
| Specialization | Sleep Medicine |
| License No. | ME0080561 |
| License State | FL |
| Taxonomy Description | An Internist who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders. |
Accepted Insurance
The NPI profile data indicates this provider might be enrolled and accepting health plans from the following insurance companies or healthcare programs:
- Medicaid
- Medicare
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Business Address
159 N 3RD ST
MACCLENNY, FL
ZIP 32063
Phone: (904) 465-3183
Fax: (904) 264-3761
Mailing Address
1375 SOUTHSHORE DR
ORANGE PARK, FL
ZIP 32003
Phone: (904) 465-3183
Fax: (904) 264-3761
Location Map
PECOS Enrollment and Medicare Participation Status
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as Medicare providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in the Medicare program need to enroll in PECOS with their NPI number to avoid denied claims.
| Registered in PECOS? | Yes |
| PECOS PAC ID | 8527969401 |
| PECOS Enrollment ID | I20040922001234 |
| Accepts Medicare Assignment? | Yes "What does it mean "accepts medicare assignment"? When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts. A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer. |
| Eligible order / refer Part B Clinical Laboratory and Imaging | Yes |
| Eligible order or refer Durable Medical Equipment (DMEPOS) | Yes |
| Eligible order r refer Home Health Agency (HHA) | Yes |
| Eligible order r refer Power Mobility Devices | Yes |
Physician Office Visit Costs
The provider accepts as payment the Medicare approved amount. Medicare beneficiaries should not be billed for more than the Medicare deductible and coinsurance amounts. Medicare pricing is usually a reference point for private insurance covered patients. The prices below reflect the costs for new and established patients in the 32063 ZIP code area.
| New Patients Office Visits Costs * | ||
|---|---|---|
| Most Utilized Procedure Code for new patients office visits: 99204 | ||
| Minimum New Patient Pricing | Maximum New Patient Pricing | Typical New Patient Pricing |
| $58.4 | $178.79 | $135.26 |
| Minimum New Patient Copayment | Maximum New Patient Copayment | Typical New Patient Copayment |
| $14.6 | $44.69 | $33.81 |
| Established Patients Office Visits Costs * | ||
|---|---|---|
| Most Utilized Procedure Code for established patients office visits: 99214 | ||
| Minimum Established Patient Pricing | Maximum Established Patient Pricing | Typical Established Patient Pricing |
| $17.74 | $145.28 | $103.76 |
| Minimum Established Patient Copayment | Maximum Established Patient Copayment | Typical Established Patient Copayment |
| $4.43 | $36.32 | $25.94 |
* The physician office visit costs information is obtained by Medicare's statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Secondary Taxonomies
The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.
| No. | Taxonomy Code | Type | Classification | Specialization | License No. | State | Primary |
|---|---|---|---|---|---|---|---|
| 1 | 207RP1001X | Allopathic & Osteopathic Physicians | Internal Medicine | Pulmonary Disease | ME80561 | FL | No |
Taxonomy Description: an internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. | |||||||
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State |
|---|---|---|
| 263187300 | MEDICAID (05) | FL |
| 35557Z | MEDICARE ID-TYPE UNSPECIFIED (04) | |
| 35557Y | MEDICARE PIN (08) | FL |
| H29482 | MEDICARE UPIN (02) | FL |
NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 4 | 5 | 2 | 8 | 3 | 3 | 5 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 8 | 5 | 4 | 8 | 6 | 3 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 8 + 5 + 4 + 8 + 6 + 3 + 1 + 0 + 24 = 63 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 63 = 7 | 7 | ||||||||
The NPI number 1245283357 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1770544777 | MARK HARDIN DO Individual | Family Medicine | 159 N 3RD ST MACCLENNY, FL 32063 (904) 259-7815 |
| 1194787671 | COMP MED INC. Organization | Family Medicine | 159 N 3RD ST MACCLENNY, FL 32063 (904) 259-7185 |
| 1184682049 | DR. AHMED YOUSIF ABDELMAGID M.D. Individual | Emergency Medicine | 159 N 3RD ST MACCLENNY, FL 32063 (904) 259-3151 |
| 1467401380 | CRANE EMERGENCY PHYSICIANS Organization | Emergency Medicine | 159 N 3RD ST MACCLENNY, FL 32063 (904) 259-3151 |
| 1952322125 | DR. PAUL JARCZYK MD Individual | Emergency Medicine | 159 N 3RD ST MACCLENNY, FL 32063 (904) 259-3151 |
| 1003009291 | BAKER COMMUNITY MEDICAL PRACTICE INC Organization | Clinic/Center | 159 N 3RD ST MACCLENNY, FL 32063 (904) 259-3151 |
| 1366628679 | JOHN J COLEMAN DPM Organization | Podiatrist | 159 N 3RD ST MACCLENNY, FL 32063 (904) 259-5277 |
| 1619137874 | BAKER EMERGENCY GROUP LLC Organization | Emergency Medicine | 159 N 3RD ST MACCLENNY, FL 32063 (904) 259-3151 |
| 1346494556 | PETER C. JANSEN MD Organization | Family Medicine | 159 N 3RD ST MACCLENNY, FL 32063 (904) 259-7815 |
| 1174761613 | BAKER COUNTY HOSPITAL AUTHORITY Organization | Skilled Nursing Facility | 159 N 3RD ST MACCLENNY, FL 32063 (904) 259-3151 |
| 1255630554 | WESTLAKE EMERGENCY MEDICAL ASSOCIATES & CONSULTANTS, LLC Organization | Emergency Medicine | 159 N 3RD ST MACCLENNY, FL 32063 (904) 259-3151 |
| 1922026061 | DR. PATRICIA F WHITE DO Individual | Emergency Medicine | 159 N 3RD ST ED FRASER MEMORIAL HOSPITAL MACCLENNY, FL 32063 (904) 259-3151 |
| 1922372788 | KYLE MONROE KNABB DO Individual | Internal Medicine | 159 N 3RD ST MACCLENNY, FL 32063 (904) 259-7815 |
| 1730287152 | DR. PATRICIA A. JONES MD Individual | Family Medicine | 159 N 3RD ST MACCLENNY, FL 32063 (904) 259-7815 |
| 1831594977 | BAKER COUNTY MEDICAL SERVICES INC. Organization | Skilled Nursing Facility | 159 N 3RD ST MACCLENNY, FL 32063 (904) 259-3151 |
| 1023423829 | MARCHETA CREWS ARNP Individual | Nurse Practitioner (Family) | 159 N 3RD ST MACCLENNY, FL 32063 (904) 259-3151 |
| 1902257223 | KERIE-ANN LAWRENCE ARNP Individual | Nurse Practitioner (Women's Health) | 159 N 3RD ST MACCLENNY, FL 32063 (904) 259-3151 |
| 1992753016 | JOSEPH JULIAN LOPEZ MD Individual | Internal Medicine (Gastroenterology) | 159 N 3RD ST MACCLENNY, FL 32063 (904) 259-3151 |
| 1043755069 | LINDA LOUISE HEILMAN ARNP Individual | Nurse Practitioner (Family) | 159 N 3RD ST MACCLENNY, FL 32063 (904) 259-3151 |
| 1457315756 | DR. JOHN JOSEPH COLEMAN DPM Individual | Podiatrist | 159 N 3RD ST MACCLENNY, FL 32063 (904) 259-5277 |
Frequently Asked Questions
What is Dr. Dennis Sorresso M.D. NPI number?
The NPI number assigned to this healthcare provider is 1245283357, enumerated in the NPI registry as an "individual" on May 18, 2006
Where is the provider located?
The provider is located at 159 N 3rd St Macclenny, Fl 32063 and the phone number is (904) 465-3183
What is the provider specialty code?
The provider's speciality is Internal Medicine with taxonomy code 207RS0012X with a focus in Sleep Medicine
How many years of experience does Dr. Dennis Sorresso M.D. have?
The provider has more than 31 years of experience. He graduated from Pennsylvania State University College Of Medicine in 1993.
What insurance does Dr. Dennis Sorresso M.D. accept?
The provider might be accepting Medicaid and Medicare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Is Dr. Dennis Sorresso M.D. registered in PECOS?
Yes, as of September 14, 2023 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a Medicare beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
How much is a visit to Dr. Dennis Sorresso M.D.?
Medicare beneficiaries should expect a typical cost of $135.26 with an average copayment of $33.81 for new patient appointments. Established patients should expect a typical charge of $103.76 and an average copayment of 25.94. Please review your insurance plan or contact the provider directly to determine your specific costs.
How do I update my NPI information?
This NPI record was last updated on May 18, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.