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DR. JOANNA SESTI M.D.
NPI 1396988986
Thoracic Surgery (Cardiothoracic Vascular Surgery) in West Orange, NJ

Active since April 12, 2009PECOS EnrolledAccepts Medicare Assignment
93.71/100
CMS Quality Rating
101 OLD SHORT HILLS RD STE 302, WEST ORANGE, NJ 07052(412) 647-7555 Get Directions Write a Review

NPPES record last updated: January 3, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Jan 3, 2024, Nov 1, 2016 (2 updates tracked since 2016).

About Dr. Joanna Sesti M.d. NPPES

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

DR. JOANNA SESTI M.D. (NPI 1396988986) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in West Orange, New Jersey, licensed in New Jersey (25MA10145200) and active in the NPI registry since April 2009. She is enrolled in Medicare PECOS, is affiliated with Newark Beth Israel Medical Center, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1396988986
Entity TypeIndividualFemale
Primary Taxonomy208G00000X
Provider Legal NameDR. JOANNA SESTICredential: M.D.
Location Address101 OLD SHORT HILLS RD STE 302West Orange, NJ 07052-1023
Mailing Address101 Old Short Hills Rd Ste 302West Orange, NJ 07052-1023
Phone(412) 647-7555
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateApril 12, 2009
Last NPPES UpdateJanuary 3, 20242 updates tracked since enumeration
NPPES CertifiedJanuary 3, 2024
✔ NPI 1396988986 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians
Taxonomy Code208G00000X
Licenses✔ Licensed in NJ · 25MA10145200✔ Licensed in PA · MD457609
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
101 OLD SHORT HILLS RD STE 302, West Orange, NJ 07052
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.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. Joanna Sesti 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 ID4486946340
PECOS Enrollment IDI20171016002345
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 7

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.
136 services94 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.
102 services46 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
53 services52 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
52 services52 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.
16 services14 patients
Removal of lymph nodes of chest cavity using an endoscope 32674
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to access and remove lymph nodes in the chest cavity. It's a minimally invasive method, which can help in diagnosing or treating certain conditions.
14 services14 patients

Hospital Affiliations CMS Care Compare 4

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

Newark Beth Israel Medical Center

Acute Care Hospitals · Newark, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310002
Location201 Lyons AveNewark, NJ 07112 · Essex County
Emergency services Birthing friendly

Clara Maass Medical Center

Acute Care Hospitals · Belleville, NJ
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310009
LocationOne Clara Maass DriveBelleville, NJ 07109 · Essex County
Emergency services Birthing friendly

Trinitas Regional Medical Center

Acute Care Hospitals · Elizabeth, NJ
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310027
Location225 Williamson StreetElizabeth, NJ 07207 · Union County
Emergency services Birthing friendly

Cooperman Barnabas Medical Center

Acute Care Hospitals · Livingston, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310076
Location94 Old Short Hills RoadLivingston, NJ 07039 · Essex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07052 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
$190.92 typical visit price
range $63.84 – $190.92
Typical copayment $47.73 (range $15.96 – $47.73)
Most-billed visit code 99205
Established Patient
$79.09 typical visit price
range $20.97 – $155.92
Typical copayment $19.77 (range $5.24 – $38.98)
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.

93.71/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality77.79
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier22 claims30 services$61.90 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier18 claims27 services$30.81 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Joanna Sesti's NPI number?

The NPI number for Joanna Sesti is 1396988986. It was assigned to this individual provider in the NPPES registry on April 12, 2009.

Where is Joanna Sesti located?

Joanna Sesti practices at 101 Old Short Hills Rd Ste 302, West Orange, NJ 07052. The listed phone number is (412) 647-7555.

What is Joanna Sesti's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Is Joanna Sesti enrolled in Medicare?

Yes. Joanna Sesti 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 Joanna Sesti accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Joanna Sesti 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 Joanna Sesti affiliated with any hospitals?

According to CMS data, Joanna Sesti is affiliated with Newark Beth Israel Medical Center, Clara Maass Medical Center, Trinitas Regional Medical Center and Cooperman Barnabas Medical Center.

When was this NPI record last updated?

The NPPES record for Joanna Sesti was last updated on January 3, 2024. 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.