Active NPI 1922071505 Individual Practitioner Male Practitioner

Dr. Mark I Sisskin , MD

Internal Medicine • Ocean, NJ

Professional Overview & Biography Verified Profile Summary

Dr. Mark Sisskin, MD is a registered healthcare professional specializing in Internal Medicine in Ocean, NJ. Practice services are available at 3200 SUNSET AVE under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit, colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3200 Sunset Ave
Suite 100

Ocean, NJ 077124556

Telephone 7327744114

Fax 7327746869

Associated Practice Facility / Clinic

🏢 Orthocare Physical Therapy Facility NPI 1639225915

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Ocean, NJ

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 21.5 Yrs

State Avg: 30.1 Yrs

Regional Practice Density

13 Specialists

Practicing in Ocean, NJ (4957 Statewide)

Telehealth Adoption Rate

38.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

62.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2022)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	353	241	$245.00	$99.31
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	209	172	$360.00	$138.26
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	165	165	$380.00	$142.88
G0328 Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous	38	38	$20.00	$17.97
93000 Routine ekg using at least 12 leads including interpretation and report	28	28	$55.00	$15.81
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	13	13	$545.00	$182.49

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	530	324	$209.15	$141.53
99213 Established patient office or other outpatient visit, typically 15 minutes	510	303	$163.64	$100.04
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	305	305	$311.15	$144.69
G0008 Administration of influenza virus vaccine	216	216	$40.37	$19.53
90662 Influenza vaccine split virus, preservative free	183	183	$90.00	$64.90
93000 Routine ekg using at least 12 leads including interpretation and report	77	74	$90.06	$16.38
G0328 Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous	66	66	$30.45	$18.05
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	63	11	$18.33	$1.98
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	63	11	$53.00	$15.64
90682 Influenza vaccine, quadrivalent derived from recombinant dna	35	35	$80.00	$63.66
82274 Stool analysis for blood, by fecal hemoglobin determination by immunoassay	34	34	$34.12	$15.60
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	18	18	$370.83	$183.10

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	772	382	$112.00	$81.03
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	308	308	$260.00	$126.09
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	264	177	$165.00	$117.90
G0008 Administration of influenza virus vaccine	228	223	$35.00	$18.34
90662 Influenza vaccine split virus, preservative free	202	197	$64.85	$60.50
93000 Routine ekg using at least 12 leads including interpretation and report	74	73	$130.00	$18.78
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	69	14	$20.00	$2.03
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	69	14	$37.00	$15.59
G0328 Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous	68	68	$35.00	$17.89
90682 Influenza vaccine, quadrivalent derived from recombinant dna	27	27	$65.00	$60.98
96127 Assessment of emotional or behavioral problems	19	19	$15.00	$5.63
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	18	18	$260.00	$184.43
82274 Stool analysis for blood, by fecal hemoglobin determination by immunoassay	17	17	$35.00	$15.92
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	15	15	$260.00	$178.30
G0403 Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report	11	11	$130.00	$18.71

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	1,032	447	$111.96	$79.29
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	317	317	$260.00	$124.20
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	292	198	$165.00	$115.79
G0008 Administration of influenza virus vaccine	217	217	$35.00	$17.98
90662 Influenza vaccine split virus, preservative free	183	183	$60.00	$54.59
G0328 Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous	152	152	$35.00	$17.69
93000 Routine ekg using at least 12 leads including interpretation and report	86	83	$130.00	$18.27
90682 Influenza vaccine, quadrivalent derived from recombinant dna	36	36	$65.00	$53.37
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	25	25	$260.00	$175.81
99496 Transitional care management services for problem of high complexity	24	22	$300.00	$247.63
81003 Automated urinalysis test	24	23	$25.00	$2.34
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	15	14	$50.00	$16.20
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$255.00	$174.77
G0403 Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report	11	11	$130.00	$18.58

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	1,160	472	$111.09	$78.05
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	305	305	$258.16	$125.13
G0008 Administration of influenza virus vaccine	255	250	$35.00	$22.32
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	241	171	$165.00	$115.25
90662 Influenza vaccine split virus, preservative free	232	232	$59.94	$52.26
G0328 Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous	157	157	$35.00	$19.25
93000 Routine ekg using at least 12 leads including interpretation and report	125	118	$127.38	$18.42
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	29	29	$260.00	$177.54
81003 Automated urinalysis test	27	24	$25.00	$2.71
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	23	22	$38.00	$17.48
G0403 Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report	23	23	$130.00	$18.50
99496 Transitional care management services for problem of high complexity	16	16	$300.00	$249.36
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$255.00	$175.58

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	1,074	433	$110.85	$77.96
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	298	207	$165.00	$114.63
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	283	283	$258.01	$123.52
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	230	230	$38.00	$17.40
G0008 Administration of influenza virus vaccine	228	228	$35.00	$27.83
93000 Routine ekg using at least 12 leads including interpretation and report	115	106	$128.10	$18.43
G0328 Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous	77	77	$35.00	$21.38
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	70	17	$37.29	$28.06
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	61	16	$20.33	$2.99
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	23	23	$260.00	$175.17
81003 Automated urinalysis test	19	16	$25.00	$3.02
G0403 Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report	16	16	$130.00	$18.45
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$255.00	$174.81
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	13	13	$50.00	$14.79

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License NJ MA04343400

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

1785702 (NJ)

Commercial Insurance / Payer ID Healthnet

0K7979 (NJ)

Commercial Insurance / Payer ID Qualcare

223360408-019 (NJ)

Commercial Insurance / Payer ID Railroad Medicare

110172478 (NJ)

Commercial Insurance / Payer ID Oxford

P403608 (NJ)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

13 Associated Practitioners

Michael Knox , PT

Physical Therapist - Orthopedic

NPI 1003962382

Physical Therapist

Sandra Cohen

Social Worker - Clinical

NPI 1013134865

Liza Restifo , LCSW, LCADC

Social Worker - Clinical

NPI 1174635825

Licensed Clinical Social Worker, Licensed Clinical Alcohol and Drug Counselor

Dr. Robert Leitner , DDS

Dentist - General Practice

NPI 1376683250

Doctor of Dental Surgery

Dr. Thomas Armbruster , MD

Family Medicine

NPI 1558334698

Doctor of Medicine (M.D.)

Dr. Martin Fried , MD

Pediatrics - Pediatric Gastroenterology

NPI 1578557344

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active October 01, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location October 01, 2008

Registered at 3200 SUNSET AVE, SUITE 100, OCEAN, NJ 077124556 (Tel: 7327744114)

📍

Updated Business Mailing Address October 01, 2008

Registered at 3200 SUNSET AVE, SUITE 100, OCEAN, NJ 077124556 (Tel: 7327744114)

👤

Provider Name / Credentials Updated October 01, 2008

Recorded as MARK SISSKIN, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 01, 2008

Internal Medicine (License #MA04343400 in NJ)

🟢

Initial NPI Registration & Enumeration February 13, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1922071505

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: February 13, 2006

Last Update: October 01, 2008

Sole Proprietor: No

Update or Correct Profile

Mailing Address

3200 Sunset Ave, Suite 100

Ocean, NJ 077124556

Phone: 7327744114

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.