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MARK S ROBBINS MD
NPI 1265442206
Internal Medicine - Hematology & Oncology in Cranston, RI

Active since August 09, 2006PECOS Enrolled
75/100
CMS Quality Rating
1220 PONTIAC AVE, SUITE 101, CRANSTON, RI 02920(401) 943-4660 Get Directions Write a Review

NPPES record last updated: April 17, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 19, 2022, Nov 19, 2021, Oct 27, 2020 (3 updates tracked since 2020).

About Mark S Robbins Md NPPES

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

MARK S ROBBINS MD (NPI 1265442206) is an individual hematology & oncology provider in Cranston, Rhode Island, licensed in Rhode Island (MD20594) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Warwick.

NPPES Registry Identity

NPI1265442206
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NameMARK S ROBBINSCredential: MD
Location Address1220 PONTIAC AVE, SUITE 101Cranston, RI 02920
Mailing Address455 Toll Gate Rd, Prc And CredentialingWarwick, RI 02886-2759 · (401) 273-0641 · Fax (401) 273-2919
Phone(401) 943-4660
Sole ProprietorNo
Enumeration DateAugust 9, 2006
Last NPPES UpdateApril 17, 20253 updates tracked since enumeration
NPPES CertifiedApril 17, 2025
✔ NPI 1265442206 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License✔ Licensed in RI · MD20594
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
1220 PONTIAC AVE, Cranston, RI 02920
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Other Names 1

Other Name (5)Mark Stanton Robbins Md

Secondary Practice Location 1

Location 1455 Toll Gate Rd, Hematology/OncologyWarwick, RI 02886 · Phone (401) 732-5900

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mark S Robbins Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

2

Medicare enrollment records show Mark Robbins reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Core Physicians, LLC
89 mi
Family Medicine
4 ALUMNI DR
Exeter, NH 03833
  • Reassigned Medicare billing, New Hampshire enrollment
  • 395 clinicians in this Medicare group
NPI 1336330588 (603) 580-6753
Florida Cancer Specialists & Research Institute, LLC
1,207 mi
Medical Oncology
1708 CAPE CORAL PKWY W, #10
Cape Coral, FL 33914
  • Reassigned Medicare billing, Florida enrollment
  • 880 clinicians in this Medicare group
NPI 1760590962 (239) 541-4633

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 4

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.

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
43 services43 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
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.
24 services24 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
21 services21 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
18 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02920 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
$177.03 typical visit price
range $58.57 – $177.03
Typical copayment $44.25 (range $14.64 – $44.25)
Most-billed visit code 99205
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
96%1,148 patients4/55-star benchmark: 100%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
97%62 patients5/55-star benchmark: 96%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
96%317 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
32%1,336 patients2/55-star benchmark: 99%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
64%1,336 patients3/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
11%1,336 patients1/55-star benchmark: 59%
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.

Other Providers at the Same Location NPPES 11

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

THOMAS DAVID PULEO, MD, LLC
Pediatrics
1220 PONTIAC AVE, SUITE 302
CRANSTON, RI 02920
Providence County (401) 944-4411
HEMATOLOGY & ONCOLOGY ASSOCIATES OF RHODE ISLAND, INC.
Internal Medicine (Hematology & Oncology)
1220 PONTIAC AVE, 101
CRANSTON, RI 02920
Providence County (401) 943-4660
DR. RONALD P SNIDERMAN DMD
Dentist
1220 PONTIAC AVE, SUITE 201
CRANSTON, RI 02920
Providence County (401) 464-4540
DR. GREGORY FRANK PEZZA DMD, MSD
Dentist (Orthodontics and Dentofacial Orthopedics)
1220 PONTIAC AVE
CRANSTON, RI 02920
Providence County (401) 943-4111
MS. PATRICIA M. WAY A.N.P
Nurse Practitioner (Adult Health)
1220 PONTIAC AVE, SUITE 101
CRANSTON, RI 02920
Providence County (401) 942-4660
SUSAN KAREN HOBIN APRN CNP
Internal Medicine (Hematology & Oncology)
1220 PONTIAC AVE
CRANSTON, RI 02920
Providence County (401) 943-4660
PEZZA ORTHODONTICS
Dentist (Orthodontics and Dentofacial Orthopedics)
1220 PONTIAC AVE
CRANSTON, RI 02920
Providence County (401) 943-4111
SUNDARESAN T SAMBANDAM M.D.
Internal Medicine (Hematology & Oncology)
1220 PONTIAC AVE, SUITE 101
CRANSTON, RI 02920
Providence County (401) 943-4660

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 Robbins's NPI number?

The NPI number for Mark Robbins is 1265442206. It was assigned to this individual provider in the NPPES registry on August 9, 2006. The provider is also known as Mark Stanton Robbins MD.

Where is Mark Robbins located?

Mark Robbins practices at 1220 Pontiac Ave Suite 101, Cranston, RI 02920. The listed phone number is (401) 943-4660.

What is Mark Robbins's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Mark Robbins enrolled in Medicare?

Yes. Mark Robbins is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Mark Robbins's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mark Robbins reassigns Medicare benefits to 2 organizations: Core Physicians, LLC (Exeter, NH) and Florida Cancer Specialists & Research Institute, LLC (Cape Coral, FL). 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 Mark Robbins's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Mark Robbins was last updated on April 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.