DR. DONATO ANTONIO SISTO MD
NPI 1295715654
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Syracuse, NY
About Dr. Donato Antonio Sisto Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. DONATO ANTONIO SISTO MD (NPI 1295715654) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in Syracuse, New York, licensed in New York (146019) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Portsmouth, and is a graduate of Other (1974).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 1
Accepted 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
Dr. Donato Antonio Sisto 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.
Medicare Billing Reassignments
2Medicare enrollment records show Donato Sisto reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Syracuse, NY 13210
- Reassigned Medicare billing, New York enrollment
- 115 clinicians in this Medicare group
Concord, NH 03301
- Reassigned Medicare billing, New Hampshire enrollment
- 636 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 13210 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Reported Quality Measures
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.
SYRACUSE, NY 13210
SYRACUSE, NY 13210
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 Donato Sisto's NPI number?
The NPI number for Donato Sisto is 1295715654. It was assigned to this individual provider in the NPPES registry on January 20, 2006.
Where is Donato Sisto located?
Donato Sisto practices at 739 Irving Ave Suite 640, Syracuse, NY 13210. The listed phone number is (315) 464-6255.
What is Donato Sisto's specialty?
The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.
Is Donato Sisto enrolled in Medicare?
Yes. Donato Sisto 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 Donato Sisto's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Donato Sisto reassigns Medicare benefits to 2 organizations: University Surgical Associates, LLP (Syracuse, NY) and Concord Hospital, Inc. (Concord, NH). 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 Donato Sisto's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Donato Sisto accept?
Health plans from Taro Health and WellSense Health Plan list Donato Sisto 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 Donato Sisto was last updated on September 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Dr. Donato Antonio Sisto, MD · NPI 1295715654
Thoracic Surgery (Cardiothoracic Vascular Surgery) physician in Syracuse, New York. Individual provider, active in the CMS NPPES registry since January 20, 2006.
## Identity
- **NPI:** 1295715654 (Entity type: Individual)
- **Enumerated:** January 20, 2006
- **Primary specialty:** Thoracic Surgery (Cardiothoracic Vascular Surgery) · taxonomy 208G00000X
- **State license:** 146019 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 739 IRVING AVE, SUITE 640, Syracuse, NY 13210
- **Phone:** (315) 464-6255 · **Fax:** (315) 464-6251
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): University Surgical Associates, LLP (NPI 1376590117, Syracuse, NY); Concord Hospital, Inc. (NPI 1194778571, Concord, NH) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1974
## Record status
- **NPPES last updated:** September 27, 2023
- **Other identifiers:** Medicaid 3086754 (NH)
---
Source: [NPI Profile](https://npiprofile.com/npi/1295715654) · Data from the CMS NPPES public registry.