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DR. MARIO J SEBASTIANELLI MD
NPI 1972501872
Internal Medicine - Nephrology in Dunmore, PA

Active since July 13, 2005PECOS EnrolledAccepts Medicare Assignment
1416 MONROE AVE, STE 206, DUNMORE, PA 18509(570) 347-5212(570) 346-4814 Get Directions Write a Review

NPPES record last updated: August 2, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Mario J Sebastianelli Md NPPES

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

DR. MARIO J SEBASTIANELLI MD (NPI 1972501872) is an individual nephrology provider in Dunmore, Pennsylvania, licensed in Pennsylvania (MD0006983E) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with Geisinger-community Medical Center, and is a graduate of Jefferson Medical College Of Thomas Jefferson University (1962).

NPPES Registry Identity

NPI1972501872
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameDR. MARIO J SEBASTIANELLICredential: MD
Location Address1416 MONROE AVE, STE 206Dunmore, PA 18509-2477
Mailing Address1416 Monroe Ave, Ste 206Dunmore, PA 18509-2477 · (570) 347-5212 · Fax (570) 346-4814
Phone(570) 347-5212
Fax(570) 346-4814
Sole ProprietorYes
Medical School CMSJefferson Medical College Of Thomas Jefferson UniversityGraduated 1962
Enumeration DateJuly 13, 2005
Last NPPES UpdateAugust 2, 2007
✔ NPI 1972501872 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
Licenses✔ Licensed in PA · MD0006983E✔ Licensed in FL · ME-11834
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
1416 MONROE AVE, Dunmore, PA 18509
Open in Google Maps ↗

Other Identifiers 4

Medicare UPINB33402
Medicare ID-Type UnspecifiedSE019554PA
Medicare PIN196539PA
Medicaid0669080PA

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. Mario J Sebastianelli 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.

PECOS PAC ID2860522810
PECOS Enrollment IDI20100617000613
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 4

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
111 services16 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.
74 services36 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.
36 services24 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
21 services17 patients

Hospital Affiliations CMS Care Compare 2

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

Geisinger-Community Medical Center

Acute Care Hospitals · Scranton, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390001
Location1822 Mulberry StreetScranton, PA 18510 · Lackawanna County
Emergency services Birthing friendly

Regional Hospital Of Scranton

Acute Care Hospitals · Scranton, PA
2/5 CMS rating
OwnershipProprietary
CMS Certification Number390237
Location746 Jefferson AvenueScranton, PA 18501 · Lackawanna County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18509 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.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
2 suppliers34 claims2,402 services$0.32 avg. paid by Medicare
Mycophenolate mofetil, oral, 250 mg J7517
Treatment-Treatment - Miscellaneous · category RX029N
2 suppliers23 claims2,760 services$0.19 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
2 suppliers19 claims19 services$18.93 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
2 suppliers38 claims38 services$11.96 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

A T MERCURI DPM
Durable Medical Equipment & Medical Supplies
1416 MONROE AVE, SUITE 205
DUNMORE, PA 18509
Lackawanna County (570) 344-8686
MADELINE GRANT LSW
Social Worker (Clinical)
1416 MONROE AVE
DUNMORE, PA 18509
Lackawanna County (570) 483-8956
DR. ANTHONY THOMAS MERCURI JR. DPM
Podiatrist
1416 MONROE AVE, SUITE # 205
DUNMORE, PA 18509
Lackawanna County (570) 344-8686
MARIO J. SEBASTIANELLI, MD PC
Internal Medicine (Nephrology)
1416 MONROE AVE, STE 206
DUNMORE, PA 18509
Lackawanna County (570) 347-5212
EMILY KUCHWARA MS, LAPC, NCC, CADC
Counselor (Mental Health)
1416 MONROE AVE
DUNMORE, PA 18509
Lackawanna County (570) 871-0851
JOSEPH STROCCHIA
Counselor (Professional)
1416 MONROE AVE
DUNMORE, PA 18509
Lackawanna County (570) 483-8956
MS. EMILY ACKOUREY LSW
Social Worker
1416 MONROE AVE
DUNMORE, PA 18509
Lackawanna County (973) 902-6202
BIO-MEDICAL APPLICATIONS OF PENNSYLVANIA INC
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
1416 MONROE AVE
DUNMORE, PA 18509
Lackawanna County (570) 496-1179

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 Mario Sebastianelli's NPI number?

The NPI number for Mario Sebastianelli is 1972501872. It was assigned to this individual provider in the NPPES registry on July 13, 2005.

Where is Mario Sebastianelli located?

Mario Sebastianelli practices at 1416 Monroe Ave Ste 206, Dunmore, PA 18509. The listed phone number is (570) 347-5212.

What is Mario Sebastianelli's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Mario Sebastianelli enrolled in Medicare?

Yes. Mario Sebastianelli 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.

Is Mario Sebastianelli affiliated with any hospitals?

According to CMS data, Mario Sebastianelli is affiliated with Geisinger-Community Medical Center and Regional Hospital Of Scranton.

When was this NPI record last updated?

The NPPES record for Mario Sebastianelli was last updated on August 2, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.