Individual provider Active NPI

John R Caruso, M.D.

  • Neurological Surgery Physician
  • Hagerstown, MD
National Provider Identifier
1285654632
Registry record updated Jun 29, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
D0051043 Issued in MD
Practice address
17 Western Maryland Pkwy
Hagerstown, MD 21740-5146
Phone
(301) 797-9240
Fax
(301) 797-4119
NPI assigned
Jul 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X D0051043 MD Primary
Neurological Surgery Physician 207T00000X 18854 WV

Addresses

Primary practice location

17 Western Maryland Pkwy
Hagerstown, MD 21740-5146

Mailing address

19808 Blue Heron LN
Hagerstown, MD 21742-1603
Phone (301) 745-3948

Other identifiers 6

IdentifierTypeStateIssuer
138304300MedicaidMD
W2660001OtherMDMD BLUE SHIELD REGIONAL
145619OtherPAPA BLUE SHIELD PA LOC
400443OtherPAPA BLUE SHIELD MD LOC
68556206OtherMDMD BLUE SHIELD TRADITIONA
140005740OtherRR MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, WV2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20110314000511 MD Practitioner - Neurosurgery 5496648255 Reassigns benefits to 1 organization
I20170804002642 WV Practitioner - Neurosurgery 5496648255 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Eastern Virginia Medical School, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Meritus Medical Center IncGroup PAC ID 7113811795, shared by 8 NPIs, 730 clinicians

Practice addresses (Care Compare)

11110 Medical Campus Rd
Hagerstown, MD 21742-6700

13 Western Maryland Pkwy
106 Wvu Medicine Brain and Spine
Hagerstown, MD 21740-6474
Phone (240) 513-4591

13079 Garrett Hwy
Uha Oakland CKD Clinic
Oakland, MD 21550
Phone (304) 598-4800

2500 Hospital Dr
Martinsburg, WV 25401-3402
Phone (304) 264-1000

RT 7 Box
Suite 1495
Oakland, MD 21550
Phone (301) 334-3400

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.34 of 100Reported as apm
Quality
79.86
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion123
Laminectomy or laminotomy (partial removal of spine bones)66
Melanoma (skin cancer) excision1-10
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D0051043MDMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
City Hospital, Inc Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jcaruso106394@direct.wvuhsdirect.com

Organizations & group practices 3

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1498694400000",
    "number": "1285654632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19808 BLUE HERON LN",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217421603",
            "telephone_number": "301-745-3948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 WESTERN MARYLAND PKWY",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217405146",
            "telephone_number": "301-797-9240",
            "fax_number": "301-797-4119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARUSO",
        "first_name": "JOHN",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2017-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "MD",
            "license": "D0051043",
            "primary": true
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "WV",
            "license": "18854",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "138304300",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MD BLUE SHIELD REGIONAL",
            "identifier": "W2660001",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA BLUE SHIELD PA LOC",
            "identifier": "145619",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA BLUE SHIELD MD LOC",
            "identifier": "400443",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MD BLUE SHIELD TRADITIONA",
            "identifier": "68556206",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "140005740",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hagerstown, MD

Sources for this page

Verify at the official NPI Registry.