MARK SHEYNSHTEYN D.O
NPI 1447517883
Internal Medicine - Endocrinology, Diabetes & Metabolism in Staten Island, NY

NPI Status: Active since April 23, 2012

Contact Information

1366 VICTORY BLVD STE A
STATEN ISLAND, NY
ZIP 10301
Phone: (718) 727-1366
Fax: (718) 727-5041

Get Directions Reviews

  • Individual
  • Male
  • Years of Experience 13
  • Internal Medicine
  • Endocrinology, Diabetes & Metabolism
  • PECOS Enrolled
  • Accepts Medicare Approved Payment

About MARK SHEYNSHTEYN

Mark Sheynshteyn is an internist established in Staten Island, New York and his medical specialization is Internal Medicine with a focus in endocrinology, diabetes & metabolism with more than 13 years of experience. He graduated from New York College Of Osteo Medicine Of New York Institute Of Technology in 2012. The healthcare provider is registered in the NPI registry with number 1447517883 assigned on April 2012. The practitioner's primary taxonomy code is 207RE0101X with license number 279051 (NY). The provider is registered as an individual and his NPI record was last updated 3 years ago.

NPI
1447517883
Provider Name
MARK SHEYNSHTEYN D.O
Gender
Male
Entity Type
Individual
Location Address
1366 VICTORY BLVD STE A STATEN ISLAND, NY 10301
Location Phone
(718) 727-1366
Location Fax
(718) 727-5041
Mailing Address
963 RATHBUN AVE STATEN ISLAND, NY 10309
Mailing Phone
(347) 615-6331
Medical School Name
NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Graduation Year
2012
Is Sole Proprietor?
No
Enumeration Date
04-23-2012
Last Update Date
01-27-2021
Code Navigator

An internist like Mark Sheynshteyn is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Mark Sheynshteyn is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

The typical physician office visit costs for Medicare beneficiaries in this area are: $40.72 for a new patient copayment and $31.16 for an established patient copayment.

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine Endocrinology, Diabetes & Metabolism

Taxonomy Code
207RE0101X
Type
Allopathic & Osteopathic Physicians
License No.
279051
License State
NY
Taxonomy Description
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207RE0101XAllopathic & Osteopathic Physicians

Internal Medicine
Endocrinology, Diabetes & Metabolism

77673 (GA)

PECOS Enrollment and Medicare Participation Status

Mark Sheynshteyn is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 7618286907

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20151028001057

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Provider Referred Orders for Durable Medical Equipment, Devices & Supplies

The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.

Durable Medical Equipment

  • Other DME (D1E)

    Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips (HCPCS:A4253)

    21 DME suppliers used 68 Medicare Claims 259 Services Paid

  • Other DME (D1E)

    Lancets, per box of 100 (HCPCS:A4259)

    10 DME suppliers used 21 Medicare Claims 45 Services Paid

  • Other DME (D1E)

    Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service (HCPCS:K0553)

    9 DME suppliers used 113 Medicare Claims 113 Services Paid

  • Other DME (D1E)

    Receiver (monitor), dedicated, for use with therapeutic glucose continuous monitor system (HCPCS:K0554)

    5 DME suppliers used 12 Medicare Claims 12 Services Paid

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 10301 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

  • Average New Patient Price $162.91
  • Minimum New Patient Price $71.49
  • Maximum New Patient Price $215.02
  • Average New Patient Copayment $40.72
  • Minimum New Patient Copayment $17.87
  • Maximum New Patient Copayment $53.75

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $124.65
  • Minimum Established Patient Price $22.05
  • Maximum Established Patient Price $174.06
  • Average Established Patient Copayment $31.16
  • Minimum Established Patient Copayment $5.51
  • Maximum Established Patient Copayment $43.51

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Hospital Affiliations

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Mark Sheynshteyn is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
RICHMOND UNIVERSITY MEDICAL CENTER355 BARD AVENUE
STATEN ISLAND, NY 10310
(718) 818-1234Acute Care Hospitals
STATEN ISLAND UNIVERSITY HOSPITAL475 SEAVIEW AVENUE
STATEN ISLAND, NY 10305
(418) 226-9761Acute Care Hospitals

Reviews for MARK SHEYNSHTEYN D.O

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1447517883
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
248710114816
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 8 + 7 + 1 + 0 + 1 + 1 + 4 + 8 + 1 + 6 + 24 = 67
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 67 = 33

The NPI number 1447517883 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1447517883, enumerated in the NPI registry as an "individual" on April 23, 2012

The provider is located at 1366 Victory Blvd Ste A Staten Island, Ny 10301 and the phone number is (718) 727-1366

The provider's speciality is Internal Medicine with taxonomy code 207RE0101X with a focus in Endocrinology, Diabetes & Metabolism

The provider has more than 13 years of experience. He graduated from New York College Of Osteo Medicine Of New York Institute Of Technology in 2012.

Yes, as of July 16, 2024 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Medicare beneficiaries should expect a typical cost of $162.91 with an average copayment of $40.72 for new patient appointments. Established patients should expect a typical charge of $124.65 and an average copayment of 31.16. Please review your insurance plan or contact the provider directly to determine your specific costs.

The practitioner is affiliated to the following hospital(s): RICHMOND UNIVERSITY MEDICAL CENTER and STATEN ISLAND UNIVERSITY HOSPITAL. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

This NPI record was last updated on April 23, 2012. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.