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DR. GARY B. SINENSKY M.D.
NPI 1376585067
Internal Medicine - Gastroenterology in Hazard, KY

Active since June 10, 2006PECOS EnrolledAccepts Medicare Assignment
200 MEDICAL CENTER DR, HAZARD, KY 41701(606) 487-7510(606) 439-6793 Get Directions Write a Review

NPPES record last updated: July 31, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 31, 2026, Nov 13, 2023, May 24, 2023 and 1 more (4 updates tracked since 2019).

About Dr. Gary B. Sinensky M.d. NPPES

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

DR. GARY B. SINENSKY M.D. (NPI 1376585067) is an individual gastroenterology provider in Hazard, Kentucky, licensed in Kentucky (TP824) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Hazard Arh Regional Medical Center, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1376585067
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDR. GARY B. SINENSKYCredential: M.D.
Location Address200 MEDICAL CENTER DRHazard, KY 41701-9466
Mailing Address200 Medical Center DrHazard, KY 41701-9466 · (606) 487-7510 · Fax (606) 439-6793
Phone(606) 487-7510
Fax(606) 439-6793
Sole ProprietorYes
Medical School CMSAlbert Einstein College Of Medicine Of Yeshiva UniversityGraduated 1978
Enumeration DateJune 10, 2006
Last NPPES UpdateJuly 31, 20264 updates tracked since enumeration
NPPES CertifiedJuly 31, 2026
✔ NPI 1376585067 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
Licenses✔ Licensed in KY · TP824✔ Licensed in WI · 81818✔ Licensed in MI · 4301510330✔ Licensed in NY · 139083
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
200 MEDICAL CENTER DR, Hazard, KY 41701
Open in Google Maps ↗

Secondary Practice Locations 4

Location 11234 Napier AveSaint Joseph, MI 49085-2112 · Phone (269) 985-4632
Location 2205 N East AveJackson, MI 49201 · Phone (517) 205-4831 · Fax (517) 205-7828
Location 31000 N Oak AveMarshfield, WI 54449-5703 · Phone (715) 387-5511
Location 424 Merchant StNewark, NJ 07105-2847 · Phone (973) 344-4787

Other Identifiers 1

Medicaid04055643NY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter of Tennessee and more.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. Gary B. Sinensky 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 ID8921284449
PECOS Enrollment IDI20231102000516, I20231213003982
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 Reassignments

5

Medicare enrollment records show Gary Sinensky reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Appalachian Regional Healthcare Inc
Same address
Psychiatry
200 MEDICAL CENTER DR STE 1J
Hazard, KY 41701
  • Reassigned Medicare billing, Kentucky enrollment
  • 419 clinicians in this Medicare group
NPI 1164947099 (606) 435-7200
T J Samson Community Hospital
149 mi
Hospice and Palliative Medicine
1301 N RACE ST
Glasgow, KY 42141
  • Reassigned Medicare billing, Kentucky enrollment
  • 323 clinicians in this Medicare group
NPI 1922343300 (270) 651-4430
W.A. Foote Memorial Hospital
347 mi
Urology
205 N. EAST AVE, ATTN: PROVIDER ENROLLMENT
Jackson, MI 49201
  • Reassigned Medicare billing, Michigan enrollment
  • 474 clinicians in this Medicare group
NPI 1073051199 (517) 841-7843
Lakeland Medical Practices
353 mi
Audiologist
42 N SAINT JOSEPH AVE STE 300
Niles, MI 49120
  • Reassigned Medicare billing, Michigan enrollment
  • 724 clinicians in this Medicare group
NPI 1134898505 (269) 687-2910
St Luke's Physician Group Inc
442 mi
Family Medicine
530 CENTRE ST
Ashland, PA 17921
  • Reassigned Medicare billing, Pennsylvania enrollment
  • Medicare enrollment name: St Lukes Physician Group Inc
  • 2,851 clinicians in this Medicare group
NPI 1134487119 (570) 889-3103

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 5

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.

Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
64 services61 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
56 services36 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
43 services24 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
19 services19 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.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Hazard Arh Regional Medical Center

Acute Care Hospitals · Hazard, KY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180029
Location100 Medical Center DriveHazard, KY 41701 · Perry County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41701 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
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

C KRISHNASWAMY MD PSC
Psychiatry & Neurology (Neurology)
200 MEDICAL CENTER DR, SUITE 3P
HAZARD, KY 41701
Perry County (606) 487-7955
SYDNEY ROARK APRN
Nurse Practitioner
200 MEDICAL CENTER DR
HAZARD, KY 41701
Perry County (606) 439-3952
DR. WILLIAM BURLIN GIBSON D.M.D.
Dentist (Oral and Maxillofacial Surgery)
200 MEDICAL CENTER DR, SUITE 2-O
HAZARD, KY 41701
Perry County (606) 487-0088
HAZARD RADIOLOGY ASSOCIATES INC.
Radiology (Diagnostic Radiology)
200 MEDICAL CENTER DR, SUITE 1-N
HAZARD, KY 41701
Perry County (606) 439-5057
BIGHNESH SATPATHY M.D.
Radiology (Vascular & Interventional Radiology)
200 MEDICAL CENTER DR
HAZARD, KY 41701
Perry County (606) 439-5057
VIDYA B YALAMANCHI MD
Internal Medicine (Cardiovascular Disease)
200 MEDICAL CENTER DR
HAZARD, KY 41701
Perry County (606) 487-7510
FRANK DANIEL MONGIARDO M.D. P.S.C
Otolaryngology (Otolaryngology/Facial Plastic Surgery)
200 MEDICAL CENTER DR, SUITE 2N
HAZARD, KY 41701
Perry County (606) 439-4466
DR. SAMUEL DEAN BAILEY M.D.
Internal Medicine (Hematology & Oncology)
200 MEDICAL CENTER DR
HAZARD, KY 41701
Perry County (606) 487-7902

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 Gary Sinensky's NPI number?

The NPI number for Gary Sinensky is 1376585067. It was assigned to this individual provider in the NPPES registry on June 10, 2006.

Where is Gary Sinensky located?

Gary Sinensky practices at 200 Medical Center Dr, Hazard, KY 41701. The listed phone number is (606) 487-7510.

What is Gary Sinensky's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Gary Sinensky enrolled in Medicare?

Yes. Gary Sinensky 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 Gary Sinensky's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gary Sinensky reassigns Medicare benefits to 5 organizations: Appalachian Regional Healthcare Inc (Hazard, KY), T J Samson Community Hospital (Glasgow, KY), W.A. Foote Memorial Hospital (Jackson, MI), Lakeland Medical Practices (Niles, MI) and St Luke's Physician Group Inc (Ashland, PA). 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 Gary Sinensky's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Gary Sinensky accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee, Anthem Blue Cross and Blue Shield and CareSource list Gary Sinensky 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 Gary Sinensky affiliated with any hospitals?

According to CMS data, Gary Sinensky is affiliated with Hazard Arh Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Gary Sinensky was last updated on July 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.