Active NPI 1801934013 Individual Practitioner Male Practitioner

Dr. Marek Leonard Sikora , MD

Internal Medicine • Maspeth, NY

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Marek Sikora, MD is a certified Internal Medicine practicing in Maspeth, NY. With approximately 53 years of clinical experience since completing medical education in 1973, Dr. Sikora delivers high-quality medical care to the local community at 65 04 GRAND AVE.

Dr. Sikora accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, insertion of needle into vein for collection of blood sample, residence visit for established patient with low level of medical decision making, per day, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

65 04 Grand Ave

Maspeth, NY 113782423

Telephone 7188949274

Fax 7188949753

Medicare Profile & Education

Medical School

Other

Graduation Year

1973

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Maspeth, NY

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

53 Yrs +28.2 yrs vs City Avg

City Avg: 24.8 Yrs

State Avg: 29.4 Yrs

Regional Practice Density

8 Specialists

Practicing in Maspeth, NY (12979 Statewide)

Telehealth Adoption Rate

37.5% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

14.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Sikora (53 Years) 53 Yrs

Maspeth Specialty Average (24.8 Years) 24.8 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	361	122	$114.74	$100.93
36415 Insertion of needle into vein for collection of blood sample	144	72	$20.00	$8.65
99348 Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes	40	15	$90.96	$83.59

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	360	130	$114.11	$103.65
36415 Insertion of needle into vein for collection of blood sample	124	70	$20.00	$8.40
99348 Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes	33	16	$93.43	$86.08
G0008 Administration of influenza virus vaccine	17	17	$50.00	$35.73
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	16	16	$20.00	$19.60
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$150.00	$132.09

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	366	126	$119.59	$105.92
36415 Insertion of needle into vein for collection of blood sample	141	72	$20.00	$2.96
99348 Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes	63	22	$102.76	$96.16
G0008 Administration of influenza virus vaccine	13	13	$50.00	$35.52
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	13	13	$20.00	$19.62

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	394	142	$116.95	$108.23
36415 Insertion of needle into vein for collection of blood sample	151	72	$20.07	$3.00
99348 Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes	63	27	$105.23	$97.97
G0008 Administration of influenza virus vaccine	20	20	$50.00	$20.48
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	20	20	$20.00	$19.91

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	405	150	$148.44	$75.86
36415 Insertion of needle into vein for collection of blood sample	95	68	$20.11	$2.97
99348 Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes	63	43	$106.54	$97.96
G0008 Administration of influenza virus vaccine	16	16	$50.00	$19.75
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	16	16	$20.00	$19.17
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m servic	15	13	$18.14	$15.57

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	617	163	$110.06	$84.19
99348 Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes	225	55	$104.55	$93.97
36415 Insertion of needle into vein for collection of blood sample	184	97	$20.00	$2.94
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	39	39	$20.00	$17.48
G0008 Administration of influenza virus vaccine	38	38	$50.00	$19.35
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	16	15	$180.00	$143.97
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$150.00	$125.09

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	566	164	$110.21	$82.82
99348 Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes	160	43	$102.94	$94.19
36415 Insertion of needle into vein for collection of blood sample	151	82	$20.00	$2.94
G0008 Administration of influenza virus vaccine	43	43	$50.00	$23.99
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	41	41	$20.00	$17.48
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	20	19	$180.00	$144.33
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$150.00	$124.90

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	585	162	$110.00	$82.16
36415 Insertion of needle into vein for collection of blood sample	171	90	$20.00	$2.94
99348 Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes	136	40	$102.94	$93.64
G0008 Administration of influenza virus vaccine	37	37	$50.00	$29.84
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	22	22	$19.03	$18.65
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$150.00	$123.53
90656 Vaccine for influenza for administration into muscle, 0.5 ml dosage	15	15	$30.00	$18.86

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License NY 142085

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

Commercial Insurance / Payer ID Ghi

25037 (NY)

Commercial Insurance / Payer ID B Cross

28A711 (NY)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 65 04 GRAND AVE, MASPETH, NY 113782423 (Tel: 7188949274)

📍

Updated Business Mailing Address July 08, 2007

Registered at 65 04 GRAND AVE, MASPETH, NY 113782423 (Tel: 7188949274)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as MAREK SIKORA, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Internal Medicine (License #142085 in NY)

🟢

Initial NPI Registration & Enumeration February 01, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1801934013

Entity Type:

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

Enumeration Date: February 01, 2007

Last Update: July 08, 2007

Sole Proprietor: No

Update or Correct Profile

Mailing Address

65 04 Grand Ave

Maspeth, NY 113782423

Phone: 7188949274

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.