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DR. MATHEW SINESI M.D.
NPI 1376505719
Radiology - Radiation Oncology in Chesapeake, VA

Active since April 03, 2006PECOS EnrolledAccepts Medicare Assignment
53.23/100
CMS Quality Rating
736 BATTLEFIELD BLVD N, CHESAPEAKE, VA 23320(757) 312-6294 Get Directions Write a Review

NPPES record last updated: November 11, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Mathew Sinesi M.d. NPPES

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

DR. MATHEW SINESI M.D. (NPI 1376505719) is an individual radiation oncology provider in Chesapeake, Virginia, licensed in Virginia (0101040095) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Sentara Norfolk General Hospital, and is a graduate of Boston University School Of Medicine (1983).

NPPES Registry Identity

NPI1376505719
Entity TypeIndividualMale
Primary Taxonomy2085R0001X
Provider Legal NameDR. MATHEW SINESICredential: M.D.
Location Address736 BATTLEFIELD BLVD NChesapeake, VA 23320-4941
Mailing AddressPo Box 844558Boston, MA 02284-4558 · (512) 583-0205 · Fax (512) 583-2001
Phone(757) 312-6294
Sole ProprietorNo
Medical School CMSBoston University School Of MedicineGraduated 1983
Enumeration DateApril 3, 2006
Last NPPES UpdateNovember 11, 2016
✔ NPI 1376505719 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Radiation OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0001X
License✔ Licensed in VA · 0101040095
Definition
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
736 BATTLEFIELD BLVD N, Chesapeake, VA 23320
Open in Google Maps ↗

Other Identifiers 3

Medicare ID-Type Unspecified001831051VA
Medicaid006061567VA
Medicare UPINE86049VA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare.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. Mathew Sinesi 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 ID7416028816
PECOS Enrollment IDI20120319000472
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 Reassignment

Medicare enrollment records show Mathew Sinesi reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Oncology Associates Of Virginia PC
Same address
Radiation Oncology
736 BATTLEFIELD BLVD N, RADIATION ONCOLOGY DEP
Chesapeake, VA 23320
  • Reassigned Medicare billing, Virginia enrollment
  • 2 clinicians in this Medicare group
NPI 1871529230 (757) 312-6294

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 15

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.

Ct guidance for insertion of radiation therapy fields 77014
CT guidance for insertion of radiation therapy fields involves using a CT scan to accurately map the area of your body where radiation will be applied. This ensures the radiation targets only the necessary area, minimizing impact to healthy tissues.
2,384 services104 patients
Radiation treatment management, 5 treatment sessions 77427
Radiation treatment management involves a series of 5 sessions where targeted radiation is used to destroy or shrink cancer cells in your body. Each session is carefully planned to maximize effectiveness while minimizing harm to healthy tissues. You may experience side effects which will be closely monitored and managed for your comfort.
628 services146 patients
Calculation of radiation therapy dose 77300
Radiation therapy dose calculation is a process to determine the exact amount of radiation needed to treat a specific area in the body. This calculation helps ensure the treatment is effective while minimizing harm to healthy tissues. It's a key part of planning your radiation therapy.
524 services148 patients
Design and construction of complex radiation treatment device 77334
The design and construction of a complex radiation treatment device is a process where a specialized instrument is created. This device targets harmful cells with high-energy rays to destroy or damage them, while minimizing impact on healthy cells. This aids in treating conditions like cancer.
209 services77 patients
Complex radiation therapy planning 77263
Complex radiation therapy planning is a process to determine the most effective way to deliver radiation to a specific area in your body. It involves detailed imaging to map your body's structure, allowing for precise targeting of cancer cells while sparing healthy tissue.
157 services153 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.
134 services134 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Sentara Norfolk General Hospital

Acute Care Hospitals · Norfolk, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number490007
Location600 Gresham DrNorfolk, VA 23507 · Norfolk City County
Emergency services Birthing friendly

Sentara Obici Hospital

Acute Care Hospitals · Suffolk, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number490044
Location2800 Godwin BoulevardSuffolk, VA 23439 · Suffolk City County
Emergency services Birthing friendly

Sentara Leigh Hospital

Acute Care Hospitals · Norfolk, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number490046
Location830 Kempsville RoadNorfolk, VA 23502 · Norfolk City County
Birthing friendly

Riverside Regional Medical Center

Acute Care Hospitals · Newport News, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490052
Location500 J Clyde Morris BlvdNewport News, VA 23601 · Newport News City County
Emergency services Birthing friendly

Chesapeake General Hospital

Acute Care Hospitals · Chesapeake, VA
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number490120
Location736 Battlefield Blvd, NorthChesapeake, VA 23320 · Chesapeake City County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23320 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
$170.30 typical visit price
range $56.19 – $170.30
Typical copayment $42.57 (range $14.04 – $42.57)
Most-billed visit code 99205
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
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.

53.23/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality84.17
Improvement Activities0
Cost65.22

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
86%59 patients4/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
98%129 patients4/55-star benchmark: 100%
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.
31%578 patients1/55-star benchmark: 100%
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.
13%578 patients1/55-star benchmark: 100%
Oncology: Medical and Radiation - Pain Intensity Quantified
Percentage of patient visits, regardless of patient age, with a diagnosis of cancer currently receiving chemotherapy or radiation therapy in which pain intensity is quantified
100%246 patients5/55-star benchmark: 100%
Oncology: Medical and Radiation - Plan of Care for Pain
Percentage of visits for patients, regardless of age, with a diagnosis of cancer currently receiving chemotherapy or radiation therapy who report having pain with a documented plan of care to address pain
100%129 patients5/55-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.
6%578 patients1/55-star benchmark: 100%
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…
60%578 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…
4%578 patients1/55-star benchmark: 79%
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.

MIRANDA MARIE HURLEY CRNA
Nurse Anesthetist, Certified Registered
736 BATTLEFIELD BLVD N
CHESAPEAKE, VA 23320
Chesapeake City (757) 312-5246
SARAH ANN WILLIAMS PA
Physician Assistant
736 BATTLEFIELD BLVD N
CHESAPEAKE, VA 23320
Chesapeake City (757) 490-9388
DR. JIEMING YAN MD
Internal Medicine
736 BATTLEFIELD BLVD N
CHESAPEAKE, VA 23320
Chesapeake City (757) 967-8622
MISS SARAH MAE GROFT PA-C
Physician Assistant (Medical)
736 BATTLEFIELD BLVD N
CHESAPEAKE, VA 23320
Chesapeake City (757) 609-3380
DR. SALVADOR BERNARD TRINIDAD M.D.
Radiology (Diagnostic Radiology)
736 BATTLEFIELD BLVD N, RADIOLOGY DEPARTMENT
CHESAPEAKE, VA 23320
Chesapeake City (757) 366-0101
SAMANTHA JO PALOZOLA CSA, CSFA
Specialist/Technologist, Other (Surgical Assistant)
736 BATTLEFIELD BLVD N
CHESAPEAKE, VA 23320
Chesapeake City (757) 312-8121
ROJAS R KEELING CSA
Specialist/Technologist, Other (Surgical Assistant)
736 BATTLEFIELD BLVD N
CHESAPEAKE, VA 23320
Chesapeake City (757) 803-8098
ALYSON LAMM
Surgery
736 BATTLEFIELD BLVD N
CHESAPEAKE, VA 23320
Chesapeake City (757) 312-8121

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 Mathew Sinesi's NPI number?

The NPI number for Mathew Sinesi is 1376505719. It was assigned to this individual provider in the NPPES registry on April 3, 2006.

Where is Mathew Sinesi located?

Mathew Sinesi practices at 736 Battlefield Blvd N, Chesapeake, VA 23320. The listed phone number is (757) 312-6294.

What is Mathew Sinesi's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Radiation Oncology, with taxonomy code 2085R0001X.

Is Mathew Sinesi enrolled in Medicare?

Yes. Mathew Sinesi 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 organization bills Medicare for Mathew Sinesi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mathew Sinesi reassigns Medicare benefits to Oncology Associates Of Virginia PC (Chesapeake, VA). The 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 Mathew Sinesi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mathew Sinesi accept?

Health plans from Cigna Healthcare list Mathew Sinesi 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.

Is Mathew Sinesi affiliated with any hospitals?

According to CMS data, Mathew Sinesi is affiliated with Sentara Norfolk General Hospital, Sentara Obici Hospital, Sentara Leigh Hospital, Riverside Regional Medical Center and Chesapeake General Hospital.

When was this NPI record last updated?

The NPPES record for Mathew Sinesi was last updated on November 11, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.