Active NPI 1114949450 Individual Practitioner Male Practitioner

Dr. Mark J Sterling , MD

Specialist • Smithtown, NY

Professional Overview & Biography Verified Profile Summary

Dr. Mark Sterling, MD is a certified Specialist practicing in Smithtown, NY. With approximately 33 years of clinical experience since graduating from New York Medical College in 1993, Dr. Sterling delivers high-quality medical care to the local community at 48 ROUTE 25A.

Dr. Sterling does not directly accept Medicare assignment.

Frequently performed procedures and clinical services include injection, dexamethasone sodium phosphate, 1 mg, established patient outpatient office visit, injection, ketorolac tromethamine, per 15 mg. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

48 Route 25a
Suite 106

Smithtown, NY 117871431

Telephone 6318631007

Fax 6318623668

Associated Practice Facility / Clinic

🏢 Prohealth Care Associates Llp Facility NPI 1285643650

Medicare Profile & Education

Medical School

New York Medical College

Graduation Year

1993

Medicare Assignment

Not Specified

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Smithtown, NY

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

33 Yrs +2.0 yrs vs City Avg

City Avg: 31.0 Yrs

State Avg: 34.9 Yrs

Regional Practice Density

69 Specialists

Practicing in Smithtown, NY (23296 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

59.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Sterling (33 Years) 33 Yrs

Smithtown Specialty Average (31.0 Years) 31.0 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
J1100 Injection, dexamethasone sodium phosphate, 1 mg	1,152	43	$25.00	$0.11
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	379	136	$200.00	$126.53
J1885 Injection, ketorolac tromethamine, per 15 mg	265	66	$25.00	$0.64
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	99	40	$400.00	$97.06
20553 Injection of trigger points, 3 or more muscles	82	44	$200.00	$59.28
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	63	34	$250.00	$58.33
76705 Limited ultrasound scan of abdomen	46	42	$200.00	$88.80
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	40	40	$350.00	$168.39
99213 Established patient office or other outpatient visit, typically 15 minutes	39	32	$150.00	$90.21
62323 Injection of substance into lower spine canal using imaging guidance	25	16	$550.00	$265.14
76604 Ultrasound scan of chest	21	19	$200.00	$57.70
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	18	16	$50.00	$14.57
20552 Injections of trigger points in 1 or 2 muscles	15	14	$150.00	$48.34
76536 Ultrasound of head and neck	13	11	$200.00	$114.05

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0585 Injection, onabotulinumtoxina, 1 unit	4,393	11	$10.00	$5.81
J1100 Injection, dexamethasone sodium phosphate, 1 mg	1,209	67	$25.00	$0.11
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	496	166	$200.00	$137.48
J1885 Injection, ketorolac tromethamine, per 15 mg	356	75	$25.00	$0.50
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	144	56	$400.00	$106.43
20553 Injection of trigger points, 3 or more muscles	113	51	$200.00	$63.89
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	98	46	$250.00	$65.25
76705 Limited ultrasound scan of abdomen	65	49	$200.00	$98.15
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	49	49	$350.00	$184.94
99213 Established patient office or other outpatient visit, typically 15 minutes	43	32	$150.00	$100.01
76536 Ultrasound of head and neck	25	21	$200.00	$127.59
20552 Injections of trigger points in 1 or 2 muscles	22	19	$150.00	$46.82
62323 Injection of substance into lower spine canal using imaging guidance	21	17	$550.00	$294.58
76604 Ultrasound scan of chest	18	14	$200.00	$64.09
64483 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level	16	16	$500.00	$124.60
64484 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, each additional level	14	13	$250.00	$57.90
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	14	11	$50.00	$15.65
76882 Limited ultrasound scan of joint or other extremity structure except blood vessels	13	12	$200.00	$43.77

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1100 Injection, dexamethasone sodium phosphate, 1 mg	621	80	$25.00	$0.12
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	541	185	$200.00	$143.62
J1885 Injection, ketorolac tromethamine, per 15 mg	438	94	$25.00	$0.54
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	195	68	$400.00	$119.08
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	120	56	$250.00	$66.59
99213 Established patient office or other outpatient visit, typically 15 minutes	91	62	$150.00	$101.62
20553 Injection of trigger points, 3 or more muscles	87	43	$200.00	$70.34
76705 Limited ultrasound scan of abdomen	81	66	$200.00	$103.14
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	62	61	$350.00	$189.25
20552 Injections of trigger points in 1 or 2 muscles	38	30	$150.00	$59.62
95886 Needle measurement of electrical activity in arm or leg muscles, complete study	36	18	$400.00	$112.79
76604 Ultrasound scan of chest	26	22	$200.00	$65.91
72100 X-ray of lower and sacral spine, 2-3 views	24	23	$100.00	$47.22
76536 Ultrasound of head and neck	24	21	$200.00	$133.41
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	20	13	$50.00	$16.20
76882 Limited ultrasound scan of joint or other extremity structure except blood vessels	20	18	$200.00	$65.14
64483 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level	19	16	$500.00	$141.64
62323 Injection of substance into lower spine canal using imaging guidance	19	16	$550.00	$309.36
73030 X-ray of shoulder, minimum of 2 views	17	15	$95.00	$43.49
64484 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, each additional level	14	12	$250.00	$61.38
73562 X-ray of knee, 3 views	13	11	$70.00	$51.89
95911 Nerve transmission studies, 9-10 studies	12	11	$950.00	$246.81

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	493	180	$200.00	$147.33
J1885 Injection, ketorolac tromethamine, per 15 mg	466	109	$25.00	$0.46
99213 Established patient office or other outpatient visit, typically 15 minutes	227	112	$150.00	$103.73
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	163	70	$400.00	$122.83
J1100 Injection, dexamethasone sodium phosphate, 1 mg	160	87	$25.00	$0.14
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	138	70	$250.00	$66.91
20553 Injection of trigger points, 3 or more muscles	97	47	$200.00	$72.03
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	82	82	$350.00	$189.66
76705 Limited ultrasound scan of abdomen	73	60	$200.00	$107.24
20552 Injections of trigger points in 1 or 2 muscles	73	48	$150.00	$60.99
95886 Needle measurement of electrical activity in arm or leg muscles, complete study	53	28	$400.00	$118.13
62323 Injection of substance into lower spine canal using imaging guidance	50	34	$550.00	$316.02
72100 X-ray of lower and sacral spine, 2-3 views	41	41	$100.00	$46.72
64484 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, each additional level	37	22	$250.00	$60.66
64483 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level	37	22	$500.00	$128.94
73562 X-ray of knee, 3 views	34	25	$70.00	$49.08
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	29	22	$50.00	$16.11
76604 Ultrasound scan of chest	27	26	$200.00	$78.45
73030 X-ray of shoulder, minimum of 2 views	26	22	$95.00	$42.02
76536 Ultrasound of head and neck	24	22	$200.00	$137.82
72040 X-ray of upper spine, 2-3 views	21	21	$100.00	$46.31
72275 Radiological supervision and interpretation x-ray of covering of spinal cord	20	15	$100.00	$42.50
76882 Limited ultrasound scan of joint or other extremity structure except blood vessels	17	13	$200.00	$65.48
73502 X-ray of hip, 2-3 views	17	12	$95.00	$54.82
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$250.00	$127.86
95911 Nerve transmission studies, 9-10 studies	14	14	$950.00	$258.69

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	417	150	$150.00	$85.33
J1885 Injection, ketorolac tromethamine, per 15 mg	262	59	$24.96	$0.55
J1100 Injection, dexamethasone sodium phosphate, 1 mg	118	74	$25.42	$0.12
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	116	88	$200.00	$123.08
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	92	41	$249.46	$65.32
20553 Injection of trigger points, 3 or more muscles	74	38	$200.00	$71.74
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	72	36	$398.61	$117.88
62323 Injection of substance into lower spine canal using imaging guidance	66	42	$550.00	$301.36
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	59	59	$350.00	$187.86
20552 Injections of trigger points in 1 or 2 muscles	41	29	$151.22	$60.65
76705 Limited ultrasound scan of abdomen	31	27	$200.00	$105.71
76604 Ultrasound scan of chest	21	18	$200.00	$91.23
95886 Needle measurement of electrical activity in arm or leg muscles, complete study	20	11	$400.00	$111.16
64483 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level	20	16	$500.00	$136.86
76536 Ultrasound of head and neck	20	18	$200.00	$135.18
64484 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, each additional level	18	15	$250.00	$62.21
72100 X-ray of lower and sacral spine, 2-3 views	17	17	$100.00	$44.37
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$250.00	$123.66
72275 Radiological supervision and interpretation x-ray of covering of spinal cord	14	14	$100.00	$44.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	515	187	$150.00	$81.78
J1885 Injection, ketorolac tromethamine, per 15 mg	318	87	$25.00	$0.50
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	184	123	$200.00	$119.20
J1100 Injection, dexamethasone sodium phosphate, 1 mg	135	94	$25.00	$0.11
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	114	54	$250.00	$62.97
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	96	42	$400.00	$98.71
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	82	82	$350.00	$181.37
76705 Limited ultrasound scan of abdomen	73	65	$200.00	$101.97
62323 Injection of substance into lower spine canal using imaging guidance	72	59	$550.00	$283.82
20553 Injection of trigger points, 3 or more muscles	63	43	$200.00	$71.32
20552 Injections of trigger points in 1 or 2 muscles	45	35	$150.00	$61.01
95886 Needle measurement of electrical activity in arm or leg muscles, complete study	37	20	$400.00	$105.34
64483 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level	36	25	$500.00	$123.80
64484 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, each additional level	35	24	$250.00	$57.51
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	30	30	$250.00	$120.57
76604 Ultrasound scan of chest	23	22	$200.00	$100.14
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	19	16	$50.00	$18.48
72275 Radiological supervision and interpretation x-ray of covering of spinal cord	17	16	$100.00	$42.14
95911 Nerve transmission studies, 9-10 studies	15	15	$950.00	$259.10
76536 Ultrasound of head and neck	11	11	$200.00	$130.13

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	400	167	$150.00	$80.35
J1885 Injection, ketorolac tromethamine, per 15 mg	241	58	$25.00	$0.58
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	222	142	$200.00	$117.89
J1100 Injection, dexamethasone sodium phosphate, 1 mg	125	88	$25.00	$0.12
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	125	58	$250.00	$66.53
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	110	110	$350.00	$182.33
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	97	50	$400.00	$97.13
20553 Injection of trigger points, 3 or more muscles	87	44	$200.00	$71.02
62323 Injection of substance into lower spine canal using imaging guidance	66	53	$550.00	$277.44
76705 Limited ultrasound scan of abdomen	60	54	$200.00	$103.24
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	37	37	$250.00	$120.96
20552 Injections of trigger points in 1 or 2 muscles	36	30	$150.00	$59.73
76882 Limited ultrasound scan of joint or other extremity structure except blood vessels	33	26	$200.00	$65.07
95886 Needle measurement of electrical activity in arm or leg muscles, complete study	33	17	$400.00	$101.96
64483 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level	27	21	$500.00	$125.17
64484 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, each additional level	21	16	$250.00	$57.45
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	19	13	$50.00	$22.91
72275 Radiological supervision and interpretation x-ray of covering of spinal cord	18	16	$100.00	$42.09
76536 Ultrasound of head and neck	17	16	$200.00	$132.81
95911 Nerve transmission studies, 9-10 studies	15	15	$950.00	$263.76
76604 Ultrasound scan of chest	14	14	$200.00	$101.24
22310 Closed treatment of broken spine bones with casting or bracing	11	11	$600.00	$364.45

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	329	145	$150.00	$80.22
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	129	92	$200.00	$117.85
J1885 Injection, ketorolac tromethamine, per 15 mg	117	33	$25.00	$0.63
20553 Injection of trigger points, 3 or more muscles	92	48	$200.00	$69.61
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	81	46	$250.00	$66.90
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	74	74	$350.00	$181.50
J1100 Injection, dexamethasone sodium phosphate, 1 mg	73	47	$25.00	$0.12
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	52	24	$400.00	$98.55
62323 Injection of substance into lower spine canal using imaging guidance	46	32	$550.00	$276.77
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	44	29	$50.00	$27.90
76705 Limited ultrasound scan of abdomen	41	40	$200.00	$103.36
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	32	32	$250.00	$120.92
95886 Needle measurement of electrical activity in arm or leg muscles, complete study	22	13	$400.00	$101.08
76604 Ultrasound scan of chest	20	16	$200.00	$99.93
72275 Radiological supervision and interpretation x-ray of covering of spinal cord	20	19	$100.00	$42.11
20552 Injections of trigger points in 1 or 2 muscles	15	14	$150.00	$62.26
62323 Injection of substance into lower spine canal using imaging guidance	13	13	$550.00	$105.05
76536 Ultrasound of head and neck	13	11	$200.00	$132.28

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License NY 1917573-1

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Empire Bc/bs

71Z721 (NY)

Practice Associates & Co-Workers

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

5 Associated Practitioners

Dr. Kevin Vesey , MD

Specialist

NPI 1245259464

Doctor of Medicine (M.D.)

Georgine Polimeni-Napurano , PT

Physical Therapist

NPI 1285733394

Physical Therapist

Dr. Sanford Scheman , MD

Specialist

NPI 1477575702

Doctor of Medicine (M.D.)

Gerald Wertlieb

Specialist

NPI 1538181870

Dr. Charles Bleifeld , MD

Specialist

NPI 1639191968

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 June 09, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location June 09, 2011

Registered at 48 ROUTE 25A, SUITE 106, SMITHTOWN, NY 117871431 (Tel: 6318631007)

📍

Updated Business Mailing Address June 09, 2011

Registered at 48 ROUTE 25A, SUITE 106, SMITHTOWN, NY 117871431 (Tel: 6318631007)

👤

Provider Name / Credentials Updated June 09, 2011

Recorded as MARK STERLING, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 09, 2011

Specialist (License #1917573-1 in NY)

🟢

Initial NPI Registration & Enumeration July 24, 2006

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: 1114949450

Entity Type:

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

Enumeration Date: July 24, 2006

Last Update: June 09, 2011

Sole Proprietor: No

Update or Correct Profile

Mailing Address

48 Route 25a, Suite 106

Smithtown, NY 117871431

Phone: 6318631007

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.