MARK M LENSKY MD NPI 1558582866
Internal Medicine - Clinical Cardiac Electrophysiology in Los Angeles, CA
About MARK M LENSKY MD
Mark Lensky is an internist established in Los Angeles, California and his medical specialization is Internal Medicine with a focus in clinical cardiac electrophysiology with more than 22 years of experience. He graduated from University Of California, Irvine, California College Of Medicine in 2002. The NPI number of this provider is 1558582866 and was assigned on May 2007. The practitioner's primary taxonomy code is 207RC0001X with license number A86838 (CA). The provider is registered as an individual and his NPI record was last updated one year ago.
| NPI | 1558582866 |
| Provider Name | MARK M LENSKY MD |
| Location Address | 6245 DE LONGPRE AVE LOS ANGELES, CA 90028 |
| Location Phone | (323) 462-2271 |
| Mailing Address | 4216 TARZANA ESTATES DR TARZANA, CA 91356 |
| Gender | Male |
| NPI Entity Type | Individual |
| Medical School Name | UNIVERSITY OF CALIFORNIA, IRVINE, CALIFORNIA COLLEGE OF MEDICINE |
| Graduation Year | 2002 |
| Is Sole Proprietor? | Yes |
| Enumeration Date | 05-02-2007 |
| Last Update Date | 06-21-2022 |
An internist like Mark Lensky 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 Lensky 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.
Mark Lensky is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data he has hospital affiliations with Valley Presbyterian Hospital, Southern California Hospital At Hollywood, Mission Community Hospital, L A Downtown Medical Center, Llc and L A Downtown Medical Center, Llc.
The provider participated in Medicare's Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 94.05, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance. The provider also has detailed performance information the following quality measures: implementation of improvements that contribute to more timely communication of test results, provide patients electronic access to their health information, security risk analysis and use of certified ehr to capture patient reported outcomes.
The typical physician office visit costs for Medicare beneficiaries in this area are: $36.95 for a new patient copayment and $28.72 for an established patient copayment.
Primary Taxonomy
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
| Taxonomy Code | 207RC0001X |
| Classification | Internal Medicine |
| Type | Allopathic & Osteopathic Physicians |
| Specialization | Clinical Cardiac Electrophysiology |
| License No. | A86838 |
| License State | CA |
| Taxonomy Description | A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them. |
Accepted Insurance
The NPI profile data indicates this provider might be enrolled and accepting health plans from the following insurance companies or healthcare programs:
- Medicaid
- Medicare
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Business Address
6245 DE LONGPRE AVE
LOS ANGELES, CA
ZIP 90028
Phone: (323) 462-2271
Mailing Address
4216 TARZANA ESTATES DR
TARZANA, CA
ZIP 91356
Phone: (818) 934-7833
Fax: (562) 786-8613
Location Map
PECOS Enrollment and Medicare Participation Status
What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
| Registered in PECOS? | Yes |
| PECOS PAC ID | 4284655606 |
| PECOS Enrollment ID | I20051213000890 |
| 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 order / refer Part B Clinical Laboratory and Imaging | Yes |
| Eligible order / refer Durable Medical Equipment | Yes |
| Eligible order / refer Home Health Agency (HHA) | Yes |
| Eligible order / refer Power Mobility Devices | Yes |
Physician Office Visit Costs
The provider accepts as payment the Medicare approved amount. Medicare beneficiaries should not be billed for more than the Medicare deductible and coinsurance amounts. Medicare pricing is usually a reference point for private insurance covered patients. The prices below reflect the costs for new and established patients in the 90028 ZIP code area.
| New Patients Office Visits Costs * | ||
|---|---|---|
| Most Utilized Procedure Code for new patients office visits: 99204 | ||
| Minimum New Patient Pricing | Maximum New Patient Pricing | Typical New Patient Pricing |
| $65.18 | $194.87 | $147.83 |
| Minimum New Patient Copayment | Maximum New Patient Copayment | Typical New Patient Copayment |
| $16.29 | $48.71 | $36.95 |
| Established Patients Office Visits Costs * | ||
|---|---|---|
| Most Utilized Procedure Code for established patients office visits: 99214 | ||
| Minimum Established Patient Pricing | Maximum Established Patient Pricing | Typical Established Patient Pricing |
| $20.89 | $159.82 | $114.88 |
| Minimum Established Patient Copayment | Maximum Established Patient Copayment | Typical Established Patient Copayment |
| $5.22 | $39.95 | $28.72 |
* The physician office visit costs information is obtained by Medicare's statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Overall MIPS Quality Performance
The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in Medicare's Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.
| MIPS Measure | Score Weight | Score | |
|---|---|---|---|
| Quality | 40% | N/A | |
|
The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores. There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey. |
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| Promoting Interoperability (PI) | 25% | 93 | |
|
The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores. The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data. |
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| Improvement Activities | 15% | 40 | |
|
The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores. |
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| Cost | 20% | N/A | |
|
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services. Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores. |
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| MIPS Final Score | - | 94.05 | |
| The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment. | |||
MIPS Quality Measures
The following performance measures were reported under the Merit-Based Incentive Payment System (MIPS) and Qualified Clinical Data Registry (QCDR) quality measures program.
| Quality Measure | Performance | Number of Patients |
|---|---|---|
| Implementation of improvements that contribute to more timely communication of test results | Yes | N/A |
| Timely communication of test results defined as timely identification of abnormal test results with timely follow-up. | ||
| Provide Patients Electronic Access to Their Health Information | 99% | 285 |
| For at least one unique patient seen by the MIPS eligible clinician: (1) The patient (or the patient-authorized representative) is provided timely access to view online, download, and transmit his or her health information; and (2) The MIPS eligible clinician ensures the patient's health information is available for the patient (or patient-authorized representative) to access using any application of their choice that is configured to meet the technical specifications of the Application Programing Interface (API) in the MIPS eligible clinician's certified electronic health record technology (CEHRT). | ||
| Security Risk Analysis | Yes | N/A |
| Conduct or review a security risk analysis in accordance with the requirements in 45 CFR 164.308(a)(1), including addressing the security (to include encryption) of ePHI data created or maintained by certified electronic health record technology (CEHRT) in accordance with requirements in 45 CFR 164.312(a)(2)(iv) and 164.306(d)(3), implement security updates as necessary, and correct identified security deficiencies as part of the MIPS eligible clinician's risk management process. | ||
| Use of certified EHR to capture patient reported outcomes | Yes | N/A |
| In support of improving patient access, performing additional activities that enable capture of patient reported outcomes (e.g., home blood pressure, blood glucose logs, food diaries, at-risk health factors such as tobacco or alcohol use, etc.) or patient activation measures through use of certified EHR technology, containing this data in a separate queue for clinician recognition and review. | ||
Clinician Utilization
The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.
- 355Routine electrocardiogram (ekg) using at least 12 leads with interpretation and report (HCPCS:93010)
- 219Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function (HCPCS:93306)
- 106Routine ekg using at least 12 leads including interpretation and report (HCPCS:93000)
- 76Evaluation, testing, and programming adjustment of permanent dual lead pacemaker system with physician analysis, review, and report (HCPCS:93280)
- 21Nuclear medicine study of vessels of heart using drugs or exercise multiple studies (HCPCS:78452)
- 20Insertion of needle into vein for collection of blood sample (HCPCS:36415)
Hospital Affiliations
Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare 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 Lensky is affiliated with the following medical facilities:
| Hospital Name | Address | Phone | Hospital Type | CMS Certification Number (CCN) | Overall Rating |
|---|---|---|---|---|---|
| VALLEY PRESBYTERIAN HOSPITAL | 15107 VANOWEN ST VAN NUYS, CA 91406 | (818) 782-6600 | Acute Care Hospitals | 50126 | |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD | 6245 DE LONGPRE AVE HOLLYWOOD, CA 90028 | (323) 462-2271 | Acute Care Hospitals | 50135 | |
| MISSION COMMUNITY HOSPITAL | 14850 ROSCOE BLVD PANORAMA CITY, CA 91402 | (818) 904-3100 | Acute Care Hospitals | 50704 | |
| L A DOWNTOWN MEDICAL CENTER, LLC | 1711 WEST TEMPLE STREET LOS ANGELES, CA 90026 | (213) 989-6123 | Acute Care Hospitals | 50763 | |
Additional Identifiers
Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1558582866 | MEDICAID (05) | CA | |
| 1558582866 | OTHER (01) | CA | MEDICARE |
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. | |||||||||
| 1 | 5 | 5 | 8 | 5 | 8 | 2 | 8 | 6 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 10 | 8 | 10 | 8 | 4 | 8 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 1 + 0 + 8 + 1 + 0 + 8 + 4 + 8 + 1 + 2 + 24 = 64 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 64 = 6 | 6 | ||||||||
The NPI number 1558582866 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 16 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1912968231 | WESTCOM RADIOLOGY MEDICAL GROUP Organization | Radiology (Diagnostic Radiology) | 6245 DE LONGPRE AVE LOS ANGELES, CA 90028 (323) 462-2271 |
| 1144281163 | KENNETH C NIEBERG MD INC Organization | Pathology (Anatomic Pathology & Clinical Pathology) | 6245 DE LONGPRE AVE HOLLYWOOD, CA 90028 (323) 462-2271 |
| 1730141888 | PATRICK L MULLENS MD Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 6245 DE LONGPRE AVE HOLLYWOOD, CA 90028 (323) 462-2271 |
| 1477504769 | KRISHNA SAIGAL MD Individual | Pathology (Cytopathology) | 6245 DE LONGPRE AVE LOS ANGELES, CA 90028 (323) 938-3161 |
| 1881898740 | JOEL FREDERICK FINE, MD A MED Organization | Anesthesiology | 6245 DE LONGPRE AVE HOLLYWOOD, CA 90028 (323) 462-2271 |
| 1699713966 | ALEXIS NIXON PA Individual | Physician Assistant (Medical) | 6245 DE LONGPRE AVE 206 HOLLYWOOD, CA 90028 (323) 785-1223 |
| 1265470868 | IDEAL HEALTH CARE AND MEDICAL Organization | Specialist | 6245 DE LONGPRE AVE 206 HOLLYWOOD, CA 90028 (323) 462-2271 |
| 1104296870 | ERNEST SHMIDT, MD INC. Organization | Anesthesiology | 6245 DE LONGPRE AVE LOS ANGELES, CA 90028 (323) 462-2271 |
| 1003037508 | DR. ERNEST SHMIDT MD Individual | Anesthesiology | 6245 DE LONGPRE AVE LOS ANGELES, CA 90028 (323) 462-2271 |
| 1730631730 | ARNEL M JOAQUIN M D INC Organization | Specialist | 6245 DE LONGPRE AVE SUITE 206, B HOLLYWOOD, CA 90028 (213) 880-3305 |
| 1255883005 | MEMORIAL PATHOLOGY MEDICAL GROUP, INC. Organization | Pathology (Anatomic Pathology & Clinical Pathology) | 6245 DE LONGPRE AVE HOLLYWOOD, CA 90028 (323) 462-2271 |
| 1003033754 | GLORY CABANILLA TANCINCO MD Individual | Anesthesiology | 6245 DE LONGPRE AVE LOS ANGELES, CA 90028 (234) 622-2713 |
| 1023010113 | SOUTHERN CALIFORNIA HEALTHCARE SYSTEM, INC Organization | General Acute Care Hospital | 6245 DE LONGPRE AVE HOLLYWOOD, CA 90028 (323) 462-2271 |
| 1396775474 | DR. MARCEL S FILART MD Individual | Internal Medicine (Geriatric Medicine) | 6245 DE LONGPRE AVE FL 2 LOS ANGELES, CA 90028 (323) 499-1350 |
| 1386381325 | LORENA TULUD BANTUG NP Individual | Nurse Practitioner (Family) | 6245 DE LONGPRE AVE LOS ANGELES, CA 90028 (323) 499-1350 |
| 1962038125 | MARK LENSKY MD INC Organization | Internal Medicine (Clinical Cardiac Electrophysiology) | 6245 DE LONGPRE AVE LOS ANGELES, CA 90028 (323) 462-2271 |
Frequently Asked Questions
What is Mark Lensky MD NPI number?
The NPI number assigned to this healthcare provider is 1558582866, registered as an "individual" on May 02, 2007
Where is Mark Lensky MD located?
The provider is located at 6245 De Longpre Ave Los Angeles, Ca 90028 and the phone number is (323) 462-2271
Which is Mark Lensky MD specialty?
The provider's speciality is Internal Medicine with a focus in Clinical Cardiac Electrophysiology
How many years of experience does Mark Lensky MD have?
The provider has more than 22 years of experience. He graduated from University Of California, Irvine, California College Of Medicine in 2002.
What insurance does Mark Lensky MD accept?
The provider might be accepting Medicaid and Medicare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Is Mark Lensky MD registered in PECOS?
Yes, as of September 14, 2023 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a Medicare 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.
What are Mark Lensky MD Quality Ratings?
The provider has an overall high rating in the following quality measures: uses technology to exchange and make use of healthcare information. The provider obtained a high score in the following performance measures: Provide Patients Electronic Access to Their Health Information. The quality ratings are based on unbiased reviews and reported submissions to Medicare's Quality Payment Program.
How much is a visit to Mark Lensky MD?
Medicare beneficiaries should expect a typical cost of $147.83 with an average copayment of $36.95 for new patient appointments. Established patients should expect a typical charge of $114.88 and an average copayment of 28.72. Please review your insurance plan or contact the provider directly to determine your specific costs.
What are some of the services provided by Mark Lensky MD?
The most common procedures or services performed by this practitioner are: Routine electrocardiogram (ekg) using at least 12 leads with interpretation and report, Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function, Routine ekg using at least 12 leads including interpretation and report, Evaluation, testing, and programming adjustment of permanent dual lead pacemaker system with physician analysis, review, and report, Nuclear medicine study of vessels of heart using drugs or exercise multiple studies and Insertion of needle into vein for collection of blood sample.
Is Mark Lensky MD affiliated to any hospitals?
The practitioner is affiliated to the following hospitals: VALLEY PRESBYTERIAN HOSPITAL, SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD, MISSION COMMUNITY HOSPITAL, L A DOWNTOWN MEDICAL CENTER, LLC and . Hospital affiliations are identified through self-reporting data and service claims based on the place of service.
How do I update my NPI information?
The NPI record of Mark Lensky MD was last updated on May 02, 2007. 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].
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