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DR. MARK S. SINESI MD
NPI 1396712923
Radiology - Radiation Oncology in Norfolk, VA

Active since March 02, 2006PECOS EnrolledAccepts Medicare Assignment
95.11/100
CMS Quality Rating
600 GRESHAM DR, NORFOLK, VA 23507(757) 388-2075(757) 627-0334 Get Directions Write a Review

NPPES record last updated: November 25, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Mark S. Sinesi Md NPPES

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

DR. MARK S. SINESI MD (NPI 1396712923) is an individual radiation oncology provider in Norfolk, Virginia, licensed in Virginia (0101042424) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Sentara Norfolk General Hospital, and is a graduate of Boston University School Of Medicine (1986).

NPPES Registry Identity

NPI1396712923
Entity TypeIndividualMale
Primary Taxonomy2085R0001X
Provider Legal NameDR. MARK S. SINESICredential: MD
Location Address600 GRESHAM DRNorfolk, VA 23507-1904
Mailing AddressPo Box 936Norfolk, VA 23501-0936 · (757) 388-3483 · Fax (757) 627-0334
Phone(757) 388-2075
Fax(757) 627-0334
Sole ProprietorNo
Medical School CMSBoston University School Of MedicineGraduated 1986
Enumeration DateMarch 2, 2006
Last NPPES UpdateNovember 25, 2009
✔ NPI 1396712923 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 · 0101042424
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.
600 GRESHAM DR, Norfolk, VA 23507
Open in Google Maps ↗

Other Identifiers 18

OtherPARVA · First Health Commercial/southern Health/coventry
OtherPARVA · Tricare/champus
Other185900VA · Anthem
Other625607VA · Uhc/mamsi
OtherPARVA · Corvel/corcare
OtherPARVA · Virginia Premier Health
Medicare UPINE86049VA
Medicare PIN009567E84VA
OtherPARVA · Usa Managed Care
Other126V4NC · Bc/bs
OtherPARVA · Multiplan
OtherPARVA · Cigna
OtherPARVA · Aetna
OtherPARVA · Virginia Health Network
Medicaid89126V4NC
Medicaid010246130VA
Other10002549VA · Sentara
Medicare PINP00285175VA

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 S. Sinesi 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 ID2163327354
PECOS Enrollment IDI20060228000730
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.

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.
323 services97 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.
77 services60 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.
16 services16 patients
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.
14 services14 patients

Hospital Affiliations CMS Care Compare

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23507 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.

95.11/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.31
Promoting Interoperability100
Improvement Activities40

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.

TRACY LYN MARTINO
Nurse Practitioner (Family)
600 GRESHAM DR
NORFOLK, VA 23507
Norfolk City (757) 388-8441
REBEKAH ANN CRISP AUD
Audiologist
600 GRESHAM DR, SUITE 1100
NORFOLK, VA 23507
Norfolk City (757) 388-6200
DEVIN PAGE RUSSELL MCINTOSH MD
Student in an Organized Health Care Education/Training Program
600 GRESHAM DR
NORFOLK, VA 23507
Norfolk City (757) 446-8937
DR. ADAM GRANT EVANS MD
Student in an Organized Health Care Education/Training Program
600 GRESHAM DR
NORFOLK, VA 23507
Norfolk City (717) 388-8000
ABIGAIL WHALEY SMITH DO
Student in an Organized Health Care Education/Training Program
600 GRESHAM DR
NORFOLK, VA 23507
Norfolk City (757) 388-3551
DR. KATHERINE ALLEN MCKNEW P.T.
Physical Therapist
600 GRESHAM DR
NORFOLK, VA 23507
Norfolk City (757) 388-3663
VICTOR SAXENA M.D.
Anesthesiology
600 GRESHAM DR
NORFOLK, VA 23507
Norfolk City (757) 473-0055
AMY LEIGH CLARK
Nurse Anesthetist, Certified Registered
600 GRESHAM DR
NORFOLK, VA 23507
Norfolk City (757) 388-3000

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 Sinesi's NPI number?

The NPI number for Mark Sinesi is 1396712923. It was assigned to this individual provider in the NPPES registry on March 2, 2006.

Where is Mark Sinesi located?

Mark Sinesi practices at 600 Gresham Dr, Norfolk, VA 23507. The listed phone number is (757) 388-2075.

What is Mark Sinesi's specialty?

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

Is Mark Sinesi enrolled in Medicare?

Yes. Mark 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.

Is Mark Sinesi affiliated with any hospitals?

According to CMS data, Mark Sinesi is affiliated with Sentara Norfolk General Hospital.

When was this NPI record last updated?

The NPPES record for Mark Sinesi was last updated on November 25, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.