DR. JOHN MICHAEL MASTERSON MD
NPI 1043773732
Urology in New Castle, DE

Active since April 09, 2019PECOS EnrolledAccepts Medicare Assignment
12 READS WAY STE 2000, NEW CASTLE, DE 19720(302) 652-8990 Get Directions Write a Review

NPPES record last updated: February 27, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 24, 2025, Aug 7, 2024, Apr 9, 2019 (3 updates tracked since 2019).

About Dr. John Michael Masterson Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JOHN MICHAEL MASTERSON MD (NPI 1043773732) is an individual urology provider in New Castle, Delaware, licensed in Delaware (C1-0028061) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS, is affiliated with Chester County Hospital, and is a graduate of University Of Miami, Lm Miller School Of Medicine (2019).

NPPES Registry Identity

NPI1043773732
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameDR. JOHN MICHAEL MASTERSONCredential: MD
Location Address12 READS WAY STE 2000New Castle, DE 19720-1649
Mailing Address12 Reads Way Ste 2000New Castle, DE 19720-1649 · (302) 652-8990 · Fax (302) 652-8646
Sole ProprietorNo
Medical School CMSUniversity Of Miami, Lm Miller School Of MedicineGraduated 2019
Enumeration DateApril 9, 2019
Last NPPES UpdateFebruary 27, 20263 updates tracked since enumeration
NPPES CertifiedFebruary 27, 2026
✔ NPI 1043773732 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License✔ Licensed in DE · C1-0028061
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
12 READS WAY STE 2000, New Castle, DE 19720

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. John Michael Masterson Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID345787826
PECOS Enrollment IDI20250716004410
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show John Masterson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Urology
12 READS WAY STE 2000
New Castle, DE 19720
  • Reassigned Medicare billing, Delaware enrollment
  • 15 clinicians in this Medicare group
Vascular & Interventional Radiology
4745 STANTON OGLETWN RD
Newark, DE 19713
  • Reassigned Medicare billing, Delaware enrollment
  • 1,531 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Chester County Hospital

Acute Care Hospitals · West Chester, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390179
Location701 East Marshall StreetWest Chester, PA 19380 · Chester County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19720 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$131.15 typical visit price
range $57.12 – $173.08
Typical copayment $32.78 (range $14.28 – $43.27)
Most-billed visit code 99204
Established Patient
$71.19 typical visit price
range $18.36 – $141.05
Typical copayment $17.79 (range $4.59 – $35.26)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
12 READS WAY STE 2000
NEW CASTLE, DE 19720
Urology
12 READS WAY STE 2000
NEW CASTLE, DE 19720
Urology
12 READS WAY STE 2000
NEW CASTLE, DE 19720
Urology
12 READS WAY STE 2000
NEW CASTLE, DE 19720
Urology
12 READS WAY STE 2000
NEW CASTLE, DE 19720
Urology
12 READS WAY STE 2000
NEW CASTLE, DE 19720
Physician Assistant
12 READS WAY STE 2000
NEW CASTLE, DE 19720
Physician Assistant
12 READS WAY STE 2000
NEW CASTLE, DE 19720

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is John Masterson's NPI number?

The NPI number for John Masterson is 1043773732. It was assigned to this individual provider in the NPPES registry on April 9, 2019.

Where is John Masterson located?

John Masterson practices at 12 Reads Way Ste 2000, New Castle, DE 19720. The listed phone number is (302) 652-8990.

What is John Masterson's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is John Masterson enrolled in Medicare?

Yes. John Masterson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for John Masterson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), John Masterson reassigns Medicare benefits to 2 organizations: Brandywine Urology Consultants PA (New Castle, DE) and Christiana Care Health Services Inc (Newark, DE). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for John Masterson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does John Masterson accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and Highmark Blue Cross Blue Shield Delaware list John Masterson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is John Masterson affiliated with any hospitals?

According to CMS data, John Masterson is affiliated with Chester County Hospital.

When was this NPI record last updated?

The NPPES record for John Masterson was last updated on February 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.