ARLIE MASSILLON RPA
NPI 1073742243
Physician Assistant - Medical in Astoria, NY

Q: What is Arlie Massillon's NPI number?

The NPI number for Arlie Massillon is 1073742243. It was assigned to this individual provider in the NPPES registry on July 9, 2009.

Q: What is Arlie Massillon's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Arlie Massillon was last updated on July 9, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years 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.

Active since July 09, 2009PECOS Enrolled

4904 19TH AVE, ASTORIA, NY 11105(718) 777-3494 Get Directions Write a Review

NPPES record last updated: July 9, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Arlie Massillon Rpa NPPES

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

ARLIE MASSILLON RPA (NPI 1073742243) is an individual medical provider in Astoria, New York, licensed in New York (005691) and active in the NPI registry since July 2009. She is enrolled in Medicare PECOS and is a graduate of Other (1994).

NPPES Registry Identity

NPI1073742243

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameARLIE MASSILLONCredential: RPA

Location Address4904 19TH AVEAstoria, NY 11105-1002

Mailing Address4904 19th AveAstoria, NY 11105-1002 · (718) 777-3494

Phone(718) 777-3494

Sole ProprietorNo

Medical School CMSOtherGraduated 1994

Enumeration DateJuly 9, 2009

✔ NPI 1073742243 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in NY · 005691

4904 19TH AVE, Astoria, NY 11105

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Arlie Massillon Rpa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6002178167

PECOS Enrollment IDI20180329001936

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 Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Breast Cancer Screening

67%79 patients3/55-star benchmark: 93%

Cervical Cancer Screening

91%425 patients4/55-star benchmark: 98%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

35%265 patients2/55-star benchmark: 98%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

33%327 patients3/55-star benchmark: 61%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients combinedPopulations: 87% · 448 patients

Patients screened: 93% · 448 patients

10%30 patients1/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 20

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

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