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DR. WHITNEY MARIE SUNSERI M.D,
NPI 1538454566
Pediatrics - Pediatric Gastroenterology in Pittsburgh, PA

Active since June 17, 2011PECOS Enrolled
77.5/100
CMS Quality Rating
4401 PENN AVE, 6TH FLOOR FACULTY PAVILLION, PITTSBURGH, PA 15224(412) 692-5180(412) 692-7355 Get Directions Write a Review

NPPES record last updated: December 3, 2021. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Dec 3, 2021, Dec 19, 2020, Nov 6, 2019 (3 updates tracked since 2019).

About Dr. Whitney Marie Sunseri M.d, NPPES

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

DR. WHITNEY MARIE SUNSERI M.D, (NPI 1538454566) is an individual pediatric gastroenterology provider in Pittsburgh, Pennsylvania, licensed in Pennsylvania (MD451889) and active in the NPI registry since June 2011. She is enrolled in Medicare PECOS and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1538454566
Entity TypeIndividualFemale
Primary Taxonomy2080P0206X
Provider Legal NameDR. WHITNEY MARIE SUNSERICredential: M.D,
Location Address4401 PENN AVE, 6TH FLOOR FACULTY PAVILLIONPittsburgh, PA 15224-1334
Mailing Address4401 Penn Ave, 6th Floor Faculty PavillionPittsburgh, PA 15224-1334 · (412) 692-5180 · Fax (412) 692-7355
Phone(412) 692-5180
Fax(412) 692-7355
Sole ProprietorNo
Enumeration DateJune 17, 2011
Last NPPES UpdateDecember 3, 20213 updates tracked since enumeration
NPPES CertifiedDecember 3, 2021
✔ NPI 1538454566 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0206X
Licenses✔ Licensed in PA · MD451889✔ Licensed in MD · D0093050
Definition
A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.
4401 PENN AVE, Pittsburgh, PA 15224
Open in Google Maps ↗

Secondary Practice Locations 3

Location 13 Walnut St Ste 205Lemoyne, PA 17043-1168 · Phone (717) 988-0090 · Fax (717) 221-5320
Location 2625 Kent Ave Ste 102Cumberland, MD 21502-3798 · Phone (240) 964-4288 · Fax (240) 964-4280
Location 312502 Willowbrook RdCumberland, MD 21502-6491 · Phone (240) 964-7000 · Fax (240) 964-4280

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Whitney Marie Sunseri M.d, is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

2

Medicare enrollment records show Whitney Sunseri reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Of Pittsburgh Physicians
Same address
Pediatrics
4401 PENN AVE
Pittsburgh, PA 15224
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 7,114 clinicians in this Medicare group
NPI 1225096639 (412) 692-5325
Pinnacle Health Medical Services
127 mi
Pediatric Urology
761 5TH AVE STE D
Chambersburg, PA 17201
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 1,902 clinicians in this Medicare group
NPI 1053097238 (717) 988-0090

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15224 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

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.

77.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.61
Promoting Interoperability100
Improvement Activities40
Cost56.4

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.

KARA MARIE MARANGONI CRNP
Nurse Practitioner (Neonatal, Critical Care)
4401 PENN AVE
PITTSBURGH, PA 15224
Allegheny County (412) 692-5030
ALLISON WILLIAMS
Pediatrics
4401 PENN AVE, AOB SUITE 5400
PITTSBURGH, PA 15224
Allegheny County (412) 692-5285
FRANCES FLEDDERMANN
Nurse Practitioner (Neonatal)
4401 PENN AVE
PITTSBURGH, PA 15224
Allegheny County (412) 692-5030
PREETHA KEYA SINHA MD
Orthopaedic Surgery (Pediatric Orthopaedic Surgery)
4401 PENN AVE
PITTSBURGH, PA 15224
Allegheny County (412) 692-5325
CHRISTIN LAWLER DEAL M.D.
Allergy & Immunology
4401 PENN AVE
PITTSBURGH, PA 15224
Allegheny County (404) 226-4169
ANNA ELISA HEIPERTZ
Student in an Organized Health Care Education/Training Program
4401 PENN AVE, AOB BUILDING, SUITE 5400
PITTSBURGH, PA 15224
Allegheny County (412) 692-5285
DANIELLE BROWNING
Pediatrics (Neonatal-Perinatal Medicine)
4401 PENN AVE, AOB SUITE 5400
PITTSBURGH, PA 15224
Allegheny County (412) 692-5285
ADESH SURESH RANGANNA
Student in an Organized Health Care Education/Training Program
4401 PENN AVE
PITTSBURGH, PA 15224
Allegheny County (412) 692-5135

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 Whitney Sunseri's NPI number?

The NPI number for Whitney Sunseri is 1538454566. It was assigned to this individual provider in the NPPES registry on June 17, 2011.

Where is Whitney Sunseri located?

Whitney Sunseri practices at 4401 Penn Ave 6th Floor Faculty Pavillion, Pittsburgh, PA 15224. The listed phone number is (412) 692-5180.

What is Whitney Sunseri's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Gastroenterology, with taxonomy code 2080P0206X.

Is Whitney Sunseri enrolled in Medicare?

Yes. Whitney Sunseri is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Whitney Sunseri's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Whitney Sunseri reassigns Medicare benefits to 2 organizations: University Of Pittsburgh Physicians (Pittsburgh, PA) and Pinnacle Health Medical Services (Chambersburg, 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 Whitney Sunseri's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Whitney Sunseri was last updated on December 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.