DR. DENNIS PETER SORRESSO M.D.
NPI 1245283357
Internal Medicine - Sleep Medicine in Macclenny, FL

NPI Status: Active since May 18, 2006

Contact Information

159 N 3RD ST
MACCLENNY, FL
ZIP 32063
Phone: (904) 465-3183
Fax: (904) 264-3761

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  • Individual
  • Male
  • Years of Experience 33
  • Internal Medicine
  • Sleep Medicine
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About DENNIS SORRESSO

This page provides the complete NPI Profile along with additional information for Dennis Sorresso, an internist established in Macclenny, Florida with a medical specialization in Internal Medicine, focusing in sleep medicine and more than 33 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 15 years ago.

NPI
1245283357
Provider Name
DR. DENNIS PETER SORRESSO M.D.
Gender
Male
Entity Type
Individual
Location Address
159 N 3RD ST MACCLENNY, FL 32063
Location Phone
(904) 465-3183
Location Fax
(904) 264-3761
Mailing Address
1375 SOUTHSHORE DR ORANGE PARK, FL 32003
Mailing Phone
(904) 465-3183
Mailing Fax
(904) 264-3761
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
Code Navigator

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.

Location Map

Specialty - 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.

Classification

Internal Medicine Sleep Medicine

Taxonomy Code
207RS0012X
Type
Allopathic & Osteopathic Physicians
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207RP1001XAllopathic & Osteopathic Physicians

Internal Medicine
Pulmonary Disease

ME80561 (FL)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Clear VALUE Silver - HMO
  • Complete VALUE Gold - HMO
  • Focused VALUE Silver - HMO
  • Focused VALUE Silver + Vision + Adult Dental - HMO
  • Standard Gold VALUE - HMO
  • Standard Silver VALUE - HMO
  • Standard Silver VALUE + Vision + Adult Dental - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete VALUE Gold - HMO
  • Complete VALUE Silver - HMO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Elite Silver - HMO
  • Elite Silver + Vision + Adult Dental - HMO
  • Elite VALUE Bronze - HMO
  • Enhanced Diabetes Care Silver with $0 Drug Options - HMO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Gold - EPO
  • Elite Gold + Vision + Adult Dental - EPO
  • Elite Silver - EPO
  • Elite Silver + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • AvMed Entrust Bronze 600 (2025) - HMO
  • AvMed Entrust Bronze 650 (2025) - HMO
  • AvMed Entrust Expanded Bronze Standard (2025) - HMO
  • AvMed Entrust Gold 125 (2025) - HMO
  • AvMed Entrust Gold 125 Dental+Vision (2025) - HMO
  • AvMed Entrust Gold Standard (2025) - HMO
  • AvMed Entrust Platinum 25 (2025) - HMO
  • AvMed Entrust Platinum 25 Dental+Vision (2025) - HMO
  • AvMed Entrust Platinum Standard (2025) - HMO
  • AvMed Entrust Silver 350 (2025) - HMO
  • BlueOptions Bronze (HSA) 24J01-10 (Rewards / $4 Condition Care Rx) - PPO
  • BlueOptions Bronze 24J01-04 ($0 Virtual PCP Visits / 3 PCP Visits for $0 then $55 / Rewards) - PPO
  • BlueOptions Bronze 24J01-06 ($0 Virtual PCP Visits / Rewards) - PPO
  • BlueOptions Bronze 24J01-17 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) - PPO
  • BlueOptions Bronze 24J01-18S (Multilingual Available / Rewards) - PPO
  • BlueOptions Gold 24J01-09 ($0 Virtual PCP Visits / $15 PCP Visits / Rewards) - PPO
  • BlueOptions Gold 24J01-12 ($0 Virtual PCP Visits / $15 Labs / Rewards) - PPO
  • BlueOptions Gold 24J01-20S ($30 PCP Visits / Multilingual Available / Rewards) - PPO
  • BlueOptions Platinum 24J01-05 ($0 Virtual PCP Visits / $0 Labs / $15 PCP Visits / Rewards) - PPO
  • BlueOptions Platinum 24J01-08 ($0 Virtual PCP Visits / $0 Labs / $10 PCP Visits / Rewards) - PPO
  • BlueCare Bronze (HSA) 24K01-09 (Rewards / $4 Condition Care Rx) - POS
  • BlueCare Bronze 24K01-03 ($0 Virtual PCP Visits / 3 PCP Visits for $0 then $55 / Rewards) - POS
  • BlueCare Bronze 24K01-05 ($0 Virtual PCP Visits / Rewards) - POS
  • BlueCare Bronze 24K01-25 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) - POS
  • BlueCare Bronze 24K01-31S (Multilingual Available / Rewards) - POS
  • BlueCare Bronze 24K02-17 ($0 Virtual PCP Visits / 3 PCP Visits for $0 then $55 / Rewards) - POS
  • BlueCare Bronze 24K02-18 ($0 Virtual PCP Visits / Rewards) - POS
  • BlueCare Bronze 24K02-23 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) - POS
  • BlueCare Bronze 24K02-26S (Multilingual Available / Rewards) - POS
  • BlueCare Gold 24K01-08 ($0 Virtual PCP Visits / $15 PCP Visits / Rewards) - POS

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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 Identifier Issuer
263187300MEDICAID (05)FL 
35557ZMEDICARE ID-TYPE UNSPECIFIED (04) 
35557YMEDICARE PIN (08)FL 
H29482MEDICARE UPIN (02)FL 

Medicare Participation & PECOS Enrollment Status

Dennis Sorresso is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

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.

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 providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 8527969401

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20040922001234

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • 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 to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Provider Referred Orders for Durable Medical Equipment, Devices & Supplies

The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.

Durable Medical Equipment

  • DME-Other DME (DE001N)

    Tubing with integrated heating element for use with positive airway pressure device (HCPCS:A4604)

    21 DME suppliers used 597 Medicare Claims 597 Services Paid

  • DME-Other DME (DE001N)

    Full face mask used with positive airway pressure device, each (HCPCS:A7030)

    19 DME suppliers used 394 Medicare Claims 394 Services Paid

  • DME-Other DME (DE001N)

    Face mask interface, replacement for full face mask, each (HCPCS:A7031)

    17 DME suppliers used 402 Medicare Claims 1125 Services Paid

  • DME-Other DME (DE001N)

    Cushion for use on nasal mask interface, replacement only, each (HCPCS:A7032)

    16 DME suppliers used 296 Medicare Claims 1686 Services Paid

  • DME-Other DME (DE001N)

    Pillow for use on nasal cannula type interface, replacement only, pair (HCPCS:A7033)

    12 DME suppliers used 144 Medicare Claims 824 Services Paid

  • DME-Other DME (DE001N)

    Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap (HCPCS:A7034)

    20 DME suppliers used 446 Medicare Claims 446 Services Paid

  • DME-Other DME (DE001N)

    Headgear used with positive airway pressure device (HCPCS:A7035)

    25 DME suppliers used 470 Medicare Claims 470 Services Paid

  • DME-Other DME (DE001N)

    Chinstrap used with positive airway pressure device (HCPCS:A7036)

    8 DME suppliers used 29 Medicare Claims 29 Services Paid

  • DME-Other DME (DE001N)

    Tubing used with positive airway pressure device (HCPCS:A7037)

    20 DME suppliers used 217 Medicare Claims 217 Services Paid

  • DME-Other DME (DE001N)

    Filter, disposable, used with positive airway pressure device (HCPCS:A7038)

    25 DME suppliers used 795 Medicare Claims 4631 Services Paid

  • DME-Other DME (DE001N)

    Filter, non disposable, used with positive airway pressure device (HCPCS:A7039)

    16 DME suppliers used 93 Medicare Claims 93 Services Paid

  • DME-Other DME (DE001N)

    Water chamber for humidifier, used with positive airway pressure device, replacement, each (HCPCS:A7046)

    20 DME suppliers used 346 Medicare Claims 346 Services Paid

  • DME-Other DME (DE001N)

    Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) (HCPCS:E0470)

    9 DME suppliers used 165 Medicare Claims 166 Services Paid

  • DME-Other DME (DE001N)

    Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) (HCPCS:E0471)

    1 DME suppliers used 12 Medicare Claims 12 Services Paid

  • DME-Other DME (DE001N)

    Humidifier, heated, used with positive airway pressure device (HCPCS:E0562)

    9 DME suppliers used 44 Medicare Claims 44 Services Paid

  • DME-Other DME (DE001N)

    Humidifier, heated, used with positive airway pressure device (HCPCS:E0562)

    6 DME suppliers used 136 Medicare Claims 138 Services Paid

  • DME-Other DME (DE001N)

    Continuous positive airway pressure (cpap) device (HCPCS:E0601)

    16 DME suppliers used 692 Medicare Claims 699 Services Paid

  • DME-Oxygen and Supplies (DC002N)

    Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate (HCPCS:E1390)

    3 DME suppliers used 44 Medicare Claims 44 Services Paid

  • DME-Oxygen and Supplies (DC002N)

    Portable oxygen concentrator, rental (HCPCS:E1392)

    1 DME suppliers used 12 Medicare Claims 12 Services Paid

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Established patient office or other outpatient visit, 20-29 minutes

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

This service was performed 15 times for 15 patients

Established patient office or other outpatient visit, 30-39 minutes

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.

This service was performed 86 times for 82 patients

New patient office or other outpatient visit, 30-44 minutes

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

This service was performed 16 times for 16 patients

Sleep study in sleep lab (6 years or older)

A sleep study in a sleep lab is a non-invasive overnight test that monitors your body while you sleep. It helps doctors understand your sleep patterns and identify any issues like sleep apnea or insomnia. You'll be connected to equipment that tracks your heart rate, brain waves, breathing, and movements.

This service was performed 18 times for 18 patients

Sleep study in sleep lab with continuous airway pressure (6 years or older)

A sleep study in a sleep lab with continuous airway pressure is a test for individuals aged 6 and above. It monitors your sleep patterns to check for disorders like sleep apnea. Continuous airway pressure helps keep your airways open while you sleep, improving your breathing.

This service was performed 24 times for 23 patients

Physician Visit Costs



The typical physician office visit costs for Medicare beneficiaries in this area are: $32.51 for a new patient copayment and $24.79 for an established patient copayment.

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 32063 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

  • Average New Patient Price $130.04
  • Minimum New Patient Price $56
  • Maximum New Patient Price $171.84
  • Average New Patient Copayment $32.51
  • Minimum New Patient Copayment $14
  • Maximum New Patient Copayment $42.96

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $99.16
  • Minimum Established Patient Price $17.57
  • Maximum Established Patient Price $139.16
  • Average Established Patient Copayment $24.79
  • Minimum Established Patient Copayment $4.39
  • Maximum Established Patient Copayment $34.79

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Reviews for DR. DENNIS PETER SORRESSO M.D.

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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.
1245283357
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2285486310
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 = 77

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.

MARK HARDIN DO

Family Medicine

159 N 3RD ST
MACCLENNY, FL
ZIP 32063

(904) 259-7815

COMP MED INC.

Family Medicine

159 N 3RD ST
MACCLENNY, FL
ZIP 32063

(904) 259-7185

DR. AHMED YOUSIF ABDELMAGID M.D.

Emergency Medicine

159 N 3RD ST
MACCLENNY, FL
ZIP 32063

(904) 259-3151

CRANE EMERGENCY PHYSICIANS

Emergency Medicine

159 N 3RD ST
MACCLENNY, FL
ZIP 32063

(904) 259-3151

DR. PAUL JARCZYK MD

Emergency Medicine

159 N 3RD ST
MACCLENNY, FL
ZIP 32063

(904) 259-3151

BAKER COMMUNITY MEDICAL PRACTICE INC

Clinic/Center

159 N 3RD ST
MACCLENNY, FL
ZIP 32063

(904) 259-3151

JOHN J COLEMAN DPM

Podiatrist

159 N 3RD ST
MACCLENNY, FL
ZIP 32063

(904) 259-5277

BAKER EMERGENCY GROUP LLC

Emergency Medicine

159 N 3RD ST
MACCLENNY, FL
ZIP 32063

(904) 259-3151

PETER C. JANSEN MD

Family Medicine

159 N 3RD ST
MACCLENNY, FL
ZIP 32063

(904) 259-7815

BAKER COUNTY HOSPITAL AUTHORITY

Skilled Nursing Facility

159 N 3RD ST
MACCLENNY, FL
ZIP 32063

(904) 259-3151

WESTLAKE EMERGENCY MEDICAL ASSOCIATES & CONSULTANTS, LLC

Emergency Medicine

159 N 3RD ST
MACCLENNY, FL
ZIP 32063

(904) 259-3151

DR. PATRICIA F WHITE DO

Emergency Medicine

159 N 3RD ST
ED FRASER MEMORIAL HOSPITAL
MACCLENNY, FL
ZIP 32063

(904) 259-3151

KYLE MONROE KNABB DO

Internal Medicine

159 N 3RD ST
MACCLENNY, FL
ZIP 32063

(904) 259-7815

BAKER COUNTY MEDICAL SERVICES INC.

Skilled Nursing Facility

159 N 3RD ST
MACCLENNY, FL
ZIP 32063

(904) 259-3151

MARCHETA CREWS ARNP

Nurse Practitioner

(Family)

159 N 3RD ST
MACCLENNY, FL
ZIP 32063

(904) 259-3151

KERIE-ANN LAWRENCE ARNP

Nurse Practitioner

(Women's Health)

159 N 3RD ST
MACCLENNY, FL
ZIP 32063

(904) 259-3151

JOSEPH JULIAN LOPEZ MD

Internal Medicine

(Gastroenterology)

159 N 3RD ST
MACCLENNY, FL
ZIP 32063

(904) 259-3151

LINDA LOUISE HEILMAN ARNP

Nurse Practitioner

(Family)

159 N 3RD ST
MACCLENNY, FL
ZIP 32063

(904) 259-3151

DR. JOHN JOSEPH COLEMAN DPM

Podiatrist

159 N 3RD ST
MACCLENNY, FL
ZIP 32063

(904) 259-5277

FIRST COAST IMAGING, LLC

Specialist

159 N 3RD ST
MACCLENNY, FL
ZIP 32063

(904) 733-7800

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1245283357, enumerated as an "individual" on May 18, 2006.

The provider is located at 159 N 3RD ST MACCLENNY, FL 32063 and the phone number is (904) 465-3183.

Internal Medicine with taxonomy code 207RS0012X and a focus in Sleep Medicine.

The provider might be accepting Accepts: Ambetter from Superior HealthPlan, Ambetter. Please consult your insurance carrier or call the provider to verify.