Marc Anthony Masotti, MD

Primary specialty

Hospitalist PhysicianTaxonomy code 208M00000X

License

DR.0053289 Issued in CO

Practice address

4401A Union St
Johnstown, CO 80534-2800

Phone

(801) 783-5011

Fax

(801) 746-3734

NPI assigned

Aug 7, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in NM, CO2 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

Merit-based Incentive Payment System (MIPS)

Final score

94.23 of 100Reported as group

Quality

87

Improvement activities

40

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

Practice roles

Locations

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Vibra Hospital of Denver LLC

  • Long Term Care Hospital
  • Thornton, CO
  • NPI 1124402854

  Corporate Director

  CMS ownership

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.

• Inpatient Services, PC

  • Internal Medicine Physician
  • Brighton, CO
  • NPI 1710999768
  Medicare reassignment NPD
• Utah Regional Hospitalists LLC

  • Hospitalist Physician
  • Murray, UT
  • NPI 1962821223

  CO

  Medicare reassignment NPD
• Inpatient Services, PC

  • Internal Medicine Physician
  • Littleton, CO
  • NPI 1376388868
  NPD
• Northern Colorado Hospitalists Professional LLC

  • Hospitalist Physician
  • Fort Collins, CO
  • NPI 1831315662
  NPD
• Utah Regional Hospitalists LLC

  • Hospitalist Physician
  • Idaho Falls, ID
  • NPI 1740715507
  NPD
• Vibra Hospital of Denver LLC

  • Long Term Care Hospital
  • Thornton, CO
  • NPI 1124402854
  NPD (past)
• Hospital Internists of Austin, P.a.

  • Specialist
  • Austin, TX
  • NPI 1811922461
  NPD (past)
• Monte Sol Medical Group

  • Internal Medicine Physician
  • Santa Fe, NM
  • NPI 1316964372
  NPD (past)
• New York Em-III Medical Services, PC

  • Internal Medicine Physician
  • Ithaca, NY
  • NPI 1053413120
  NPD (past)

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

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597795200000",
    "number": "1790794824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3299",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897023299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4401A UNION ST",
            "city": "JOHNSTOWN",
            "state": "CO",
            "postal_code": "805342800",
            "telephone_number": "801-783-5011",
            "fax_number": "801-746-3734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASOTTI",
        "first_name": "MARC",
        "middle_name": "ANTHONY",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-07",
        "last_updated": "2020-08-19",
        "certification_date": "2020-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NM",
            "license": "9498",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NM",
            "license": "94-98",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CO",
            "license": "DR.0053289",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08639779",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC",
            "identifier": "1380580",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MOLINA",
            "identifier": "QMP000003390487",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRESBYTERIAN HEALTH PLANS",
            "identifier": "202019599",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NM",
            "identifier": "NM002A17",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Monica Londono
• Melissa Dawn Luft, PT
• Steven L Martin, DDS
• Thomas R. Martin, D.O.
• Tiffani Martin, PHD
• Amber Mazankowski
• Anna McCain, M.A
• Ashley Thornhill McCullough
• Ashley McDonald, LPC
• Aaron Thomas McGrew, PA-C

• Hospitalist Physician in Johnstown, CO
• Providers in Johnstown, CO by specialty
• Hospitalist Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.