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DR. DONATO ANTONIO SISTO MD
NPI 1295715654
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Syracuse, NY

Active since January 20, 2006PECOS EnrolledAccepts Medicare Assignment
739 IRVING AVE, SUITE 640, SYRACUSE, NY 13210(315) 464-6255(315) 464-6251 Get Directions Write a Review

NPPES record last updated: September 27, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 25, 2020, Dec 27, 2019, Feb 27, 2017 and 2 more (5 updates tracked since 2016).

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 and is a graduate of Other (1974).

NPPES Registry Identity

NPI1295715654
Entity TypeIndividualMale
Primary Taxonomy208G00000X
Provider Legal NameDR. DONATO ANTONIO SISTOCredential: MD
Location Address739 IRVING AVE, SUITE 640Syracuse, NY 13210
Mailing Address739 Irving Ave, Suite 640Syracuse, NY 13210 · (315) 464-6255 · Fax (315) 464-6251
Phone(315) 464-6255
Fax(315) 464-6251
Sole ProprietorNo
Medical School CMSOtherGraduated 1974
Enumeration DateJanuary 20, 2006
Last NPPES UpdateSeptember 27, 20235 updates tracked since enumeration
NPPES CertifiedAugust 25, 2020
✔ NPI 1295715654 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians
Taxonomy Code208G00000X
Licenses✔ Licensed in NY · 146019✔ Licensed in CT · 66653✔ Licensed in VT · 042-0014571✔ Licensed in NH · 10477
Definition
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.
739 IRVING AVE, Syracuse, NY 13210
Open in Google Maps ↗

Other Identifiers 1

Medicaid3086754NH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, WellSense Health Plan.Insurance ›

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. 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.

PECOS PAC ID3375445596
PECOS Enrollment IDI20040127000100
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.

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.

New Patient
$166.88 typical visit price
range $54.87 – $166.88
Typical copayment $41.72 (range $13.71 – $41.72)
Most-billed visit code 99205
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
Most-billed visit code 99213
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.

Reported Quality Measures

Perioperative Care: Selection of Prophylactic Antibiotic - First OR Second Generation Cephalosporin
Percentage of surgical patients aged 18 years and older undergoing procedures with the indications for a first OR second generation cephalosporin prophylactic antibiotic, who had an order for a first OR second generation cephalosporin for antimicrobial…
100%93 patients
Perioperative Care: Venous Thromboembolism (VTE) Prophylaxis (When Indicated in ALL Patients)
Percentage of surgical patients aged 18 years and older undergoing procedures for which venous thromboembolism (VTE) prophylaxis is indicated in all patients, who had an order for Low Molecular Weight Heparin (LMWH), Low- Dose Unfractionated Heparin (LDUH)…
100%30 patients
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 20

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

RACHNA ZIRATH MD
Internal Medicine
739 IRVING AVE, SUITE 200
SYRACUSE, NY 13210
Onondaga County (315) 479-5070
DR. SETH EVAN KRONENBERG MD
Internal Medicine
739 IRVING AVE, STE 200
SYRACUSE, NY 13210
Onondaga County (315) 479-5070
MAURA ANN BUTASH FNP
Nurse Practitioner (Family)
739 IRVING AVE, SUITE 400
SYRACUSE, NY 13210
Onondaga County (315) 234-6677
DR. MATTHEW E MARVEL M.D.
Internal Medicine
739 IRVING AVE, SUITE 200
SYRACUSE, NY 13210
Onondaga County (315) 479-5070
INTERNIST ASSOCIATES OF CENTRAL NEW YORK, PC
Clinical Medical Laboratory
739 IRVING AVE, SUITE 350
SYRACUSE, NY 13210
Onondaga County (315) 479-5070
MARK H KASOWITZ M.D.
Internal Medicine (Gastroenterology)
739 IRVING AVE, SUITE 400
SYRACUSE, NY 13210
Onondaga County (315) 234-6677
CARLY HORNIS MD
Obstetrics & Gynecology
739 IRVING AVE, SUITE 530
SYRACUSE, NY 13210
Onondaga County (315) 478-1158
CENTRAL NEW YORK SURGICAL PHYSICIANS PC
Surgery
739 IRVING AVE, STE 450
SYRACUSE, NY 13210
Onondaga County (315) 470-7364

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.

What insurance does Donato Sisto accept?

Health plans from Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield 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 2 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.