GALE A SISNEY MD
NPI 1659330124
Radiology - Diagnostic Radiology in Cincinnati, OH
About Gale A Sisney Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GALE A SISNEY MD (NPI 1659330124) is an individual diagnostic radiology provider in Cincinnati, Ohio, licensed in Ohio (25.000309) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS, is affiliated with St Mary Medical Center, and maintains a secondary practice location in Warwick.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Gale A Sisney Md 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.
Medicare Billing Reassignments
16Medicare enrollment records show Gale Sisney reassigns Medicare billing to 16 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Cincinnati, OH 45213
- Reassigned Medicare billing, Ohio enrollment
- 90 clinicians in this Medicare group
Cincinnati, OH 45227
- Reassigned Medicare billing, Ohio enrollment
- 46 clinicians in this Medicare group
Peoria, IL 61637
- Reassigned Medicare billing, Florida enrollment
- 13 clinicians in this Medicare group
Peoria, IL 61615
- Reassigned Medicare billing, Florida enrollment
- 18 clinicians in this Medicare group
New York, NY 10013
- Reassigned Medicare billing, New York enrollment
- 284 clinicians in this Medicare group
New York, NY 10013
- Reassigned Medicare billing, Florida enrollment
- 2 clinicians in this Medicare group
Brooklyn, NY 11237
- Reassigned Medicare billing, New York enrollment
- 20 clinicians in this Medicare group
Mount Kisco, NY 10549
- Reassigned Medicare billing, New York enrollment
- Medicare enrollment name: Optum Medical Care PC
- 1,601 clinicians in this Medicare group
Jericho, NY 11753
- Reassigned Medicare billing, New York enrollment
- 413 clinicians in this Medicare group
Melbourne, FL 32901
- Reassigned Medicare billing, Florida enrollment
- 92 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 13
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.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
St Mary Medical Center
Acute Care Hospitals · Galesburg, ILOsf Saint Elizabeth Mdl Ctr
Acute Care Hospitals · Ottawa, ILSaint James Hospital
Acute Care Hospitals · Pontiac, ILOsf Saint Paul Medical Center
Critical Access Hospitals · Mendota, ILOsf Saint Clare Medical Center
Critical Access Hospitals · Princeton, ILPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 45213 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Reported Quality Measures
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.
CINCINNATI, OH 45213
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 Gale Sisney's NPI number?
The NPI number for Gale Sisney is 1659330124. It was assigned to this individual provider in the NPPES registry on March 22, 2006.
Where is Gale Sisney located?
Gale Sisney practices at 5400 Kennedy Ave, Cincinnati, OH 45213. The listed phone number is (513) 281-3400.
What is Gale Sisney's specialty?
The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.
Is Gale Sisney enrolled in Medicare?
Yes. Gale Sisney 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.
Which organizations bill Medicare for Gale Sisney's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Gale Sisney reassigns Medicare benefits to 16 organizations: Proscan Radiology, LLC (Cincinnati, OH), Proscan Womens Imaging At Redbank (Cincinnati, OH), Central Illinois Radiological Associates, Ltd. (Peoria, IL), Osf Multi-Specialty Group (Peoria, IL), Chinatown True Care Medical PLLC (New York, NY) and 11 more organizations, listed in the Medicare section above. 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 Gale Sisney's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Gale Sisney affiliated with any hospitals?
According to CMS data, Gale Sisney is affiliated with St Mary Medical Center, Osf Saint Elizabeth Mdl Ctr, Saint James Hospital, Osf Saint Paul Medical Center and Osf Saint Clare Medical Center.
When was this NPI record last updated?
The NPPES record for Gale Sisney was last updated on September 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Gale A Sisney, MD · NPI 1659330124
Diagnostic Radiology physician in Cincinnati, Ohio. Individual provider, active in the CMS NPPES registry since March 22, 2006.
## Identity
- **NPI:** 1659330124 (Entity type: Individual)
- **Enumerated:** March 22, 2006
- **Primary specialty:** Radiology - Diagnostic Radiology · taxonomy 2085R0202X
- **State license:** 25.000309 (Ohio)
- **Sole proprietor:** No
## Practice location
- **Address:** 5400 KENNEDY AVE, Cincinnati, OH 45213-2664
- **Phone:** (513) 281-3400
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 16 organizations under Medicare reassignment (form CMS-855R): Proscan Radiology, LLC (NPI 1588654610, Cincinnati, OH); Proscan Womens Imaging At Redbank (NPI 1013907120, Cincinnati, OH); Central Illinois Radiological Associates, Ltd. (NPI 1538192828, Peoria, IL); Osf Multi-Specialty Group (NPI 1922445527, Peoria, IL); Chinatown True Care Medical PLLC (NPI 1912567884, New York, NY); and 11 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Univ Of Illinois At Chicago College Of Dentistry, class of 1988
## Record status
- **NPPES last updated:** September 21, 2021
- **Other identifiers:** Medicaid 04945520 (NY)
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Source: [NPI Profile](https://npiprofile.com/npi/1659330124) · Data from the CMS NPPES public registry.