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DR. MARK ROBERT SINIBALDI M.D.
NPI 1376581413
Psychiatry & Neurology - Psychiatry in Palos Heights, IL

Active since June 02, 2006PECOS EnrolledAccepts Medicare Assignment
94.1/100
CMS Quality Rating
12255 S 80TH AVE, SUITE 202, PALOS HEIGHTS, IL 60463(708) 923-7878(708) 923-7888 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Mark Robert Sinibaldi M.d. NPPES

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

DR. MARK ROBERT SINIBALDI M.D. (NPI 1376581413) is an individual psychiatry provider in Palos Heights, Illinois, licensed in Illinois (036050158) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Palos Community Hospital, and is a graduate of Loyola University Of Chicago, Stritch School Of Medicine (1973).

NPPES Registry Identity

NPI1376581413
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameDR. MARK ROBERT SINIBALDICredential: M.D.
Location Address12255 S 80TH AVE, SUITE 202Palos Heights, IL 60463-1270
Mailing Address12255 S 80th Ave, Suite 202Palos Heights, IL 60463-1270 · (708) 923-7878 · Fax (708) 923-7888
Phone(708) 923-7878
Fax(708) 923-7888
Sole ProprietorNo
Medical School CMSLoyola University Of Chicago, Stritch School Of MedicineGraduated 1973
Enumeration DateJune 2, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1376581413 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in IL · 036050158
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
12255 S 80TH AVE, Palos Heights, IL 60463
Open in Google Maps ↗

Other Identifiers 13

Other055429Value Behavioral Health
Other260033354Rr Medicare
OtherL029112Champus
Medicare ID-Type UnspecifiedL21291IL · Dupage County
Other41832John Hancock
Other363827229 01John Deere
Other363827229 01Heritage
Other7229PCaterpillar
Other219043Magellan
Medicare UPINC38297IL
Medicare ID-Type UnspecifiedL58633IL
Medicaid036050158IL
Other0991516762Bcbs

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 Robert Sinibaldi 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 ID9436167145
PECOS Enrollment IDI20110308000515
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 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.

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.
218 services59 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
92 services50 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.
81 services29 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
17 services15 patients

Hospital Affiliations CMS Care Compare 2

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

Palos Community Hospital

Acute Care Hospitals · Palos Heights, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140062
Location12251 South 80th AvenuePalos Heights, IL 60463 · Cook County
Emergency services Birthing friendly

Northwestern Medicine Central Dupage Hospital

Acute Care Hospitals · Winfield, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140242
Location25 North Winfield RoadWinfield, IL 60190 · Du Page County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60463 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
$183.39 typical visit price
range $60.08 – $183.39
Typical copayment $45.84 (range $15.02 – $45.84)
Most-billed visit code 99205
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
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.

94.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.59
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 18

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

MIDWEST ENVIRONMENTAL MEDICINE PC
Internal Medicine (Pulmonary Disease)
12255 S 80TH AVE
PALOS HEIGHTS, IL 60463
Cook County (708) 448-1400
DR. NATALIE PITARO M.D.
Internal Medicine
12255 S 80TH AVE
PALOS HEIGHTS, IL 60463
Cook County (708) 923-7874
ALAN R GILL LCSW,SAP.,MSW
Social Worker
12255 S 80TH AVE, SUITE 202
PALOS HEIGHTS, IL 60463
Cook County (708) 923-7878
JANIS A GUMPEL MD SC
Specialist
12255 S 80TH AVE, SUITE 201
PALOS HEIGHTS, IL 60463
Cook County (708) 923-7600
MAYSOON AL-NAQEEB MD
Obstetrics & Gynecology
12255 S 80TH AVE, STE 201
PALOS HEIGHTS, IL 60463
Cook County (708) 923-7801
DR. AHMAD SAYAM BASHIR M.D.
Psychiatry & Neurology (Psychiatry)
12255 S 80TH AVE
PALOS HEIGHTS, IL 60463
Cook County (708) 923-7878
BRUCE R DOLITSKY MD
Orthopaedic Surgery
12255 S 80TH AVE
PALOS HEIGHTS, IL 60463
Cook County (708) 923-4400
CEZARY D DUDZINSKI M.D.
Psychiatry & Neurology (Psychiatry)
12255 S 80TH AVE
PALOS HEIGHTS, IL 60463
Cook County (708) 923-7878

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 Sinibaldi's NPI number?

The NPI number for Mark Sinibaldi is 1376581413. It was assigned to this individual provider in the NPPES registry on June 2, 2006.

Where is Mark Sinibaldi located?

Mark Sinibaldi practices at 12255 S 80th Ave Suite 202, Palos Heights, IL 60463. The listed phone number is (708) 923-7878.

What is Mark Sinibaldi's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Mark Sinibaldi enrolled in Medicare?

Yes. Mark Sinibaldi 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.

Is Mark Sinibaldi affiliated with any hospitals?

According to CMS data, Mark Sinibaldi is affiliated with Palos Community Hospital and Northwestern Medicine Central Dupage Hospital.

When was this NPI record last updated?

The NPPES record for Mark Sinibaldi was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.