Individual provider Active NPI

Mark H Masteller, DO

  • Family Medicine Physician
  • Erie, PA
National Provider Identifier
1861470163
Registry record updated Oct 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS006889L Issued in PA
Practice address
2240 E 38TH St
Erie, PA 16510-3688
Phone
(814) 825-4262
Fax
(814) 825-2616
NPI assigned
Jan 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS006889L PA Primary

Addresses

Primary practice location

2240 E 38TH St
Erie, PA 16510-3688

Mailing address

2240 E 38TH St Ste 200
Erie, PA 16510-3688
Phone (814) 825-4262

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mmasteller148866@direct.ahn.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20040108001124 PA Practitioner - Family Practice 8729988654 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Philadelphia College of Osteopathic Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Vincent Medical Education and Research Institute IncGroup PAC ID 3870405137, 297 clinicians

Practice addresses (Care Compare)

2240 E 38TH St
200 McClelland Family Practice
Erie, PA 16510-3688
Phone (814) 825-4262

Hospital & facility affiliations

  • Allegheny Health Network Healthcare at Home Home H Home health agency, Warrendale, PA, CCN 398069
  • Visiting Nurse Association of Erie County Home health agency, Erie, PA, CCN 397034
  • Saint Vincent Hospital Hospital, Erie, PA, CCN 390009

Merit-based Incentive Payment System (MIPS)

Final score
93.9 of 100Reported as apm
Quality
85.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St Vincent Medical Education and Research Institute Inc Family Medicine CurrentSince Jul 2, 1991 Accepting new patients
Saint Vincent Medical Education and Research Institute Family Medicine Past Accepting new patients

Locations

155 E State St
Albion, PA 16401
Phone (814) 756-4917

2240 E 38th St
Erie, PA 16510
Phone (814) 824-3937

2314 Sassafras St
Ste 200
Erie, PA 16502
Phone (814) 452-4484

3530 Peach St
Ste LL1
Erie, PA 16508

232 W 25th St
Erie, PA 16544
Phone (814) 452-5337

2240 E 38th St
Ste 200
Erie, PA 16510
Phone (814) 825-4262

153 E 13th St
Ste 1300
Erie, PA 16503
Phone (814) 452-5081

Interoperability endpoints

  • Direct secure messaging: mmasteller148866@direct.ahn.org

Organizations & group practices 2

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 3

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": "1136505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601942400000",
    "number": "1861470163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2240 E 38TH ST STE 200",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165103688",
            "telephone_number": "814-825-4262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2240 E 38TH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165103688",
            "telephone_number": "814-825-4262",
            "fax_number": "814-825-2616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASTELLER",
        "first_name": "MARK",
        "middle_name": "H",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-06",
        "last_updated": "2020-10-06",
        "certification_date": "2020-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS006889L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mmasteller148866@direct.ahn.org",
            "affiliation": "N",
            "address_1": "2240 E 38th St",
            "city": "Erie",
            "state": "PA",
            "country_code": "US",
            "postal_code": "165103688",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

Verify at the official NPI Registry.