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DR. MARC M SADOWSKY M.D.
NPI 1558358689
Psychiatry & Neurology - Psychiatry in Lawrence, MA

Active since October 04, 2005PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
354 MERRIMACK ST, LAWRENCE, MA 01843(978) 687-2321(978) 685-7265 Get Directions Write a Review

NPPES record last updated: March 4, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Marc M Sadowsky M.d. NPPES

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

DR. MARC M SADOWSKY M.D. (NPI 1558358689) is an individual psychiatry provider in Lawrence, Massachusetts, licensed in Massachusetts (75226) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with Mary Hitchcock Memorial Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1558358689
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameDR. MARC M SADOWSKYCredential: M.D.
Location Address354 MERRIMACK STLawrence, MA 01843-1754
Mailing Address354 Merrimack StLawrence, MA 01843-1754 · (978) 687-2321 · Fax (978) 685-7265
Phone(978) 687-2321
Fax(978) 685-7265
Sole ProprietorNo
Medical School CMSTufts University School Of MedicineGraduated 1985
Enumeration DateOctober 4, 2005
Last NPPES UpdateMarch 4, 2020
NPPES CertifiedMarch 4, 2020
✔ NPI 1558358689 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Licenses✔ Licensed in MA · 75226✔ Licensed in NH · 8176
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Also ListedPsychiatry & Neurology · Geriatric PsychiatryTaxonomy 2084P0805X · License 75226 (MA), 8176 (NH)
354 MERRIMACK ST, Lawrence, MA 01843
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1168 Kinsley StNashua, NH 03060-3634 · Phone (978) 687-2321
Location 270 Butler StSalem, NH 03079-3925 · Phone (978) 687-2321

Other Identifiers 14

Other1169401MA · First Health
Other015769MA · Valueoptions For Options
Other4274226MA · Magellan For Aetna Mbrs
Other99620MA · Cigna Behavioral Health
Other000834MA · Valueoptions For Hphc
Other075226MA · Thp
Other15-90547MA · United Behavioral Health
Other68499MA · Value Behavioral Health
OtherJ12074MA · Bcbs
Other101854MA · Magellan Behavioral Healt
OtherS017593MA · Champus
Other0106679Y0NH01NH · Anthem
Other079478000MA · Magellan For Bcbsma
Medicaid30003553NH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from NH Healthy Families, Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care and more.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. Marc M Sadowsky 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 ID9436048600
PECOS Enrollment IDI20050418000656, I20051026001027
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 6

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 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.
590 services257 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.
273 services178 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.
171 services139 patients
Assessment of emotional or behavioral problems 96127
Assessment of emotional or behavioral problems involves a thorough evaluation of your feelings, thoughts, and behaviors. It's a process where professionals study patterns over time to identify potential issues like anxiety, depression, or other mental health conditions.
166 services158 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
48 services48 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
15 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Mary Hitchcock Memorial Hospital

Acute Care Hospitals · Lebanon, NH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number300003
Location1 Medical Center DriveLebanon, NH 03756 · Grafton County
Emergency services Birthing friendly

Southern Nh Medical Center

Acute Care Hospitals · Nashua, NH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number300020
Location8 Prospect StreetNashua, NH 03060 · Hillsborough County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01843 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
$177.36 typical visit price
range $58.86 – $177.36
Typical copayment $44.34 (range $14.71 – $44.34)
Most-billed visit code 99205
Established Patient
$73.22 typical visit price
range $19.11 – $144.84
Typical copayment $18.30 (range $4.77 – $36.21)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Reported Quality Measures

Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%4,904 patients5/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
96%1,265 patients4/55-star benchmark: 100%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
99%152 patients4/55-star benchmark: 100%
Pain Assessment and Follow-Up
Percentage of visits for patients aged 18 years and older with documentation of a pain assessment using a standardized tool(s) on each visit AND documentation of a follow-up plan when pain is present
9%4,904 patients1/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
1%846 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
48%1,182 patients2/55-star benchmark: 100%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
73%688 patients3/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
41%123 patients2/55-star benchmark: 100%
Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling
Percentage of patients aged 18 years and older who were screened for unhealthy alcohol use using a systematic screening method at least once within the last 24 months AND who received brief counseling if identified as an unhealthy alcohol user
62%1,045 patients3/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
82%846 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
2%846 patients1/55-star benchmark: 79%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

DR. ANDREAS P SCHOECK MD
Psychiatry & Neurology (Neurology)
354 MERRIMACK ST
LAWRENCE, MA 01843
Essex County (978) 687-2321
ROBERT GREGORY HILL PA-C
Physician Assistant (Surgical)
354 MERRIMACK ST
LAWRENCE, MA 01843
Essex County (978) 687-2321
JIRI BRABEC MD
Psychiatry & Neurology (Neurology)
354 MERRIMACK ST
LAWRENCE, MA 01843
Essex County (978) 687-2321
DR. WILLIAM P MCCANN M.D.
Neurological Surgery
354 MERRIMACK ST
LAWRENCE, MA 01843
Essex County (978) 687-2321
ROBERT A MILLER MD
Neurological Surgery
354 MERRIMACK ST, STE 1
LAWRENCE, MA 01843
Essex County (978) 687-2321
DR. RICHARD G SELBST M.D.
Psychiatry & Neurology (Neurology)
354 MERRIMACK ST
LAWRENCE, MA 01843
Essex County (978) 687-2321
GWYNDOLYN M JONES MT-BC
Music Therapist
354 MERRIMACK ST, BUILDING 1 SUITE 270
LAWRENCE, MA 01843
Essex County (617) 594-0569
HOMEFRONT MERRIMACK, LLC
Clinic/Center (Adult Day Care)
354 MERRIMACK ST
LAWRENCE, MA 01843
Essex County (978) 745-8505

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 Marc Sadowsky's NPI number?

The NPI number for Marc Sadowsky is 1558358689. It was assigned to this individual provider in the NPPES registry on October 4, 2005.

Where is Marc Sadowsky located?

Marc Sadowsky practices at 354 Merrimack St, Lawrence, MA 01843. The listed phone number is (978) 687-2321.

What is Marc Sadowsky's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Marc Sadowsky enrolled in Medicare?

Yes. Marc Sadowsky 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 Marc Sadowsky accept?

Health plans from Ambetter from NH Healthy Families, Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care, Providence Health Plan and WellSense Health Plan list Marc Sadowsky 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 Marc Sadowsky affiliated with any hospitals?

According to CMS data, Marc Sadowsky is affiliated with Mary Hitchcock Memorial Hospital and Southern Nh Medical Center.

When was this NPI record last updated?

The NPPES record for Marc Sadowsky was last updated on March 4, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.