Active NPI
Marlena Mattingly Masavage, M.D.
- Obstetrics & Gynecology Physician
- Beaufort, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 38179
- Practice address
- Beaufort Memorial Obstetrics & Gynecology Specialists
989 Ribaut Rd., Ste 210
Beaufort, SC 29902-5472 - Phone
- (843) 522-7820
- Fax
- (843) 522-7821
- NPI assigned
- Jun 20, 2011
- Last updated
- Sep 24, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 38179 | SC | Primary |
| Obstetrics & Gynecology Physician | 207V00000X | 11015972A | IN |
Addresses
Primary practice location
Beaufort Memorial Obstetrics & Gynecology Specialists
989 Ribaut Rd., Ste 210
Beaufort, SC 29902-5472
Mailing address
955 Ribaut Rd
Bmac Credentialing Coordinator
Beaufort, SC 29902-5441
Phone (843) 522-5674
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 38179 | Other | SC | STATE MEDICAL LICENSE BOARD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC, KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- University of Kentucky College of Medicine, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2200 E Parrish Ave
Owensboro, KY 42303-1449
Phone (270) 926-3700
989 Ribaut Rd
Suite 210
Beaufort, SC 29902-5481
Phone (843) 522-7820
Hospital & facility affiliations
- Beaufort County Memorial Hospital
- Owensboro Health Regional Hospital
- Novant Health Hilton Head Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.95 of 100
- Quality
- 83.15
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 73.35
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38179 | SC | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beaufort County Memorial Hospital | Current | Accepting new patients | |
| Owensboro Health Medical Group, Inc. | Current | Accepting new patients | |
| Owensboro Health Medical Group Inc | Current | Accepting new patients | |
| Beaufort County Memorial Hospital | Current | Accepting new patients | |
| Beaufort County Memorial Hospital | Obstetrics & Gynecology | Past | Accepting new patients |
| Owensboro Health Inc | Past | Accepting new patients | |
| Beaufort County Memorial Hospital | Past | Accepting new patients | |
| Owensboro Health Medical Group, Inc | Past | Accepting new patients |
Locations
2200 E Parrish Ave
Ste 201
Owensboro, KY 42303
Phone (270) 688-1670
2211 Mayfair Dr
Ste 102
Owensboro, KY 42301
Phone (270) 688-1351
955 Ribaut Rd
Beaufort, SC 29902
Phone (803) 522-5200
955 Ribaut Rd
#C
Beaufort, SC 29902
989 Ribaut Rd
Ste 103
Beaufort, SC 29902
Phone (843) 522-5351
989 Ribaut Rd
Ste 210
Beaufort, SC 29902
Phone (843) 522-7820
122 Okatie Center Blvd N
Ste 320
Okatie, SC 29909
Phone (843) 522-7820
1000 Pine St W
Varnville, SC 29944
Phone (803) 943-5228
Interoperability endpoints
- marlena.mattingly.1@16436.direct.athenahealth.com
Organizations & group practices 9
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Beaufort Memorial Emergency Medicine Physicians
- Emergency Medicine Physician
- Beaufort, SC
- NPI 1871335018
-
dba Owensboro Health Muhlenberg Community Hospital Wound Center
- Surgery Physician
- Greenville, KY
- NPI 1235518242
-
- Rural Health Clinic/Center
- Varnville, SC
- NPI 1033175344
-
dba Owensboro Health Medical Group Premier Primary Care
- Internal Medicine Physician
- Owensboro, KY
- NPI 1306700711
-
dba Owensboro Health Medical Group - Cardiology
- Cardiovascular Disease Physician
- Madisonville, KY
- NPI 1053782193
-
- Obstetrics & Gynecology Physician
- Beaufort, SC
- NPI 1235552746
-
- General Acute Care Hospital
- Beaufort, SC
- NPI 1366436073
-
dba Owensboro Health Regional Hospital
- General Acute Care Hospital
- Owensboro, KY
- NPI 1285613612
-
dba Owensboro Health Medical Group - EKG Professional Services
- Family Medicine Physician
- Owensboro, KY
- NPI 1376594242
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Beaufort, SC
- NPI 1366436073
-
dba Novant Health Hilton Head Medical Center
- General Acute Care Hospital
- Hilton Head Island, SC
- NPI 1902675101
-
dba Owensboro Health Regional Hospital
- General Acute Care Hospital
- Owensboro, KY
- NPI 1285613612
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1537747200000",
"number": "1023304847",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "955 RIBAUT RD",
"address_2": "BMAC CREDENTIALING COORDINATOR",
"city": "BEAUFORT",
"state": "SC",
"postal_code": "299025441",
"telephone_number": "843-522-5674",
"fax_number": "843-522-5678"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "BEAUFORT MEMORIAL OBSTETRICS & GYNECOLOGY SPECIALISTS",
"address_2": "989 RIBAUT RD., STE 210",
"city": "BEAUFORT",
"state": "SC",
"postal_code": "299025472",
"telephone_number": "843-522-7820",
"fax_number": "843-522-7821"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASAVAGE",
"first_name": "MARLENA",
"middle_name": "MATTINGLY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-06-20",
"last_updated": "2018-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "SC",
"license": "38179",
"primary": true
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "IN",
"license": "11015972A",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE MEDICAL LICENSE BOARD",
"identifier": "38179",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Beaufort, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.