DR. MARK ALGARA SISON M.D.
NPI 1275777583
Physical Medicine & Rehabilitation - Sports Medicine in Fresno, CA

Active since April 30, 2009PECOS EnrolledAccepts Medicare Assignment
85.78/100
CMS Quality Rating
1630 E HERNDON AVE, FRESNO, CA 93720(559) 256-5200 Get Directions Write a Review

NPPES record last updated: February 2, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 2, 2026, Feb 28, 2019, Jun 12, 2017 (3 updates tracked since 2017).

About Dr. Mark Algara Sison M.d. NPPES

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

DR. MARK ALGARA SISON M.D. (NPI 1275777583) is an individual sports medicine provider in Fresno, California, licensed in California (A149604) and active in the NPI registry since April 2009. He is enrolled in Medicare PECOS, maintains a secondary practice location in Fresno, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1275777583
Entity TypeIndividualMale
Primary Taxonomy2081S0010X
Provider Legal NameDR. MARK ALGARA SISONCredential: M.D.
Location Address1630 E HERNDON AVEFresno, CA 93720-3391
Mailing Address1630 E Herndon AveFresno, CA 93720-3391 · (559) 256-5200 · Fax (559) 256-5376
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateApril 30, 2009
Last NPPES UpdateFebruary 2, 20263 updates tracked since enumeration
NPPES CertifiedFebruary 2, 2026
NPI 1275777583 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical Medicine & Rehabilitation · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2081S0010X
License Licensed in CA · A149604
Definition
A physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation and injuries. It is the goal of a Sports Medicine specialist to improve the healthcare of the individual engaged in physical exercise.
1630 E HERNDON AVE, Fresno, CA 93720

Secondary Practice Location 1

Location 11270 E Spruce AveFresno, CA 93720-3312 · Phone (559) 256-5200 · Fax (559) 256-5376

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

Dr. Mark Algara Sison M.d. 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 ID8628209921
PECOS Enrollment IDI20170622001381
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 33

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.

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.
1,286 services572 patients
Injection, ropivacaine hydrochloride, 1 mg J2795
Ropivacaine hydrochloride is a local anesthetic used to numb specific areas of your body during minor surgical procedures or to relieve pain. The medicine is injected into the area requiring anesthesia.
1,120 services48 patients
Injection, ketorolac tromethamine, per 15 mg J1885
Ketorolac tromethamine is a medication administered through injection, often used to manage moderate to severe pain. Each 15 mg dose helps to reduce hormones causing inflammation and pain in the body. It is not recommended for long-term use.
754 services101 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
558 services47 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.
286 services286 patients
Mri scan of lower spinal canal without contrast 72148
An MRI scan of the lower spinal canal without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to produce detailed images of your lower spine. This helps identify issues like disc problems, tumors, or nerve conditions. No dye is used.
192 services96 patients

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.

85.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality91.3
Promoting Interoperability100
Improvement Activities40
Cost61.3

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.

Orthopaedic Surgery
1630 E HERNDON AVE
FRESNO, CA 93720
Orthopaedic Surgery
1630 E HERNDON AVE
FRESNO, CA 93720
Pain Medicine (Pain Medicine)
1630 E HERNDON AVE
FRESNO, CA 93720
Orthopaedic Surgery
1630 E HERNDON AVE
FRESNO, CA 93720
Family Medicine
1630 E HERNDON AVE
FRESNO, CA 93720
Orthopaedic Surgery
1630 E HERNDON AVE
FRESNO, CA 93720
Orthopaedic Surgery
1630 E HERNDON AVE
FRESNO, CA 93720
Physician Assistant (Medical)
1630 E HERNDON AVE
FRESNO, CA 93720

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 Sison's NPI number?

The NPI number for Mark Sison is 1275777583. It was assigned to this individual provider in the NPPES registry on April 30, 2009.

Where is Mark Sison located?

Mark Sison practices at 1630 E Herndon Ave, Fresno, CA 93720. The listed phone number is (559) 256-5200.

What is Mark Sison's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Sports Medicine, with taxonomy code 2081S0010X.

Is Mark Sison enrolled in Medicare?

Yes. Mark Sison 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 Sison was last updated on February 2, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.