Thomas D Masten, MD

Primary specialty

Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X

License

154187 Issued in NY

Practice address

6620 Fly Rd
East Syracuse, NY 13057-9717

Phone

(315) 464-9390

Fax

(315) 464-6482

NPI assigned

Jul 20, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

96.72 of 100Reported as group

Quality

89.22

Promoting interoperability

100

Improvement activities

40

Cost

77.3

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Physical Medicine & Rehab Medical Service Group

  • Physical Medicine & Rehabilitation Physician
  • Syracuse, NY
  • NPI 1336189919
  Medicare reassignment NPD
• Genesee Valley Group Health Association

  • Clinic Pharmacy
  • Rochester, NY
  • NPI 1962591875
  NPD (past)
• Syracuse Orthopedic Specialists, PLLC

  • Orthopaedic Surgery Physician
  • Syracuse, NY
  • NPI 1669410379
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287619200000",
    "number": "1194745299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6620 FLY RD",
            "city": "EAST SYRACUSE",
            "state": "NY",
            "postal_code": "130579717",
            "telephone_number": "315-464-9390",
            "fax_number": "315-464-6482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6620 FLY RD",
            "city": "EAST SYRACUSE",
            "state": "NY",
            "postal_code": "130579717",
            "telephone_number": "315-464-9390",
            "fax_number": "315-464-6482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASTEN",
        "first_name": "THOMAS",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2010-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "NY",
            "license": "154187",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00920549",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vanessa Anne Martinez
• Marie Christina Martini, LMT
• Mary L Oot, FNP, P.C.
• Mary Lou Corcoran PT, P.C.
• Tracy Massa, MD
• Ashley Masterpol
• Jennifer L Mastropietro, NP
• Subinse Mathew
• Lorri Jean Mathewson, RMT, LMT
• Pratik Mansukh Mavani

• Sports Medicine (Family Medicine) Physician in East Syracuse, NY
• Providers in East Syracuse, NY by specialty
• Sports Medicine (Family Medicine) Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2010; 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.

Verify at the official NPI Registry.