ERIK MARK MASSENZIO BA
NPI 1093394769
Ophthalmology in Philadelphia, PA

Q: What is Erik Massenzio's NPI number?

The NPI number for Erik Massenzio is 1093394769. It was assigned to this individual provider in the NPPES registry on April 7, 2021.

Q: What is Erik Massenzio's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Q: When was this NPI record last updated?

The NPPES record for Erik Massenzio was last updated on June 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since April 07, 2021PECOS EnrolledAccepts Medicare Assignment

840 WALNUT ST STE 1020, PHILADELPHIA, PA 19107(800) 331-6634 Get Directions Write a Review

NPPES record last updated: June 23, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 23, 2025, May 28, 2025, Apr 7, 2021 (3 updates tracked since 2021).

On this page

About Erik Mark Massenzio Ba NPPES

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

ERIK MARK MASSENZIO BA (NPI 1093394769) is an individual ophthalmology provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD489432) and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS, is affiliated with Thomas Jefferson University Hospital, and maintains a secondary practice location in Philadelphia.

NPPES Registry Identity

NPI1093394769

Entity TypeIndividualMale

Primary Taxonomy207W00000X

Provider Legal NameERIK MARK MASSENZIOCredential: BA

Location Address840 WALNUT ST STE 1020Philadelphia, PA 19107-5109

Mailing Address840 Walnut St Ste 1020Philadelphia, PA 19107-5109 · (800) 331-6634

Phone(800) 331-6634

Sole ProprietorNo

Medical School CMSJefferson Medical College Of Thomas Jefferson UniversityGraduated 2021

Enumeration DateApril 7, 2021

Last NPPES UpdateJune 23, 20253 updates tracked since enumeration

NPPES CertifiedJune 23, 2025

✔ NPI 1093394769 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

License✔ Licensed in PA · MD489432

Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

840 WALNUT ST STE 1020, Philadelphia, PA 19107

Open in Google Maps ↗

Secondary Practice Location 1

Location 1833 Chestnut St Ste 220Philadelphia, PA 19107-4405 · Phone (215) 955-8465 · Fax (215) 955-2516

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Erik Mark Massenzio Ba 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 ID4789093048

PECOS Enrollment IDI20250509001982

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.

Hospital Affiliations CMS Care Compare 2

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

Thomas Jefferson University Hospital

Acute Care Hospitals · Philadelphia, PA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390174

Location111 South 11th StreetPhiladelphia, PA 19107 · Philadelphia County

Emergency services Birthing friendly

Wills Eye Hospital

Acute Care Hospitals · Philadelphia, PA

OwnershipVoluntary non-profit - Private

CMS Certification Number390331

Location840 Walnut StreetPhiladelphia, PA 19107 · Philadelphia County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19107 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

$137.17 typical visit price

range $59.88 – $180.99

Typical copayment $34.29 (range $14.97 – $45.24)

Most-billed visit code 99204

Established Patient

$74.47 typical visit price

range $19.30 – $147.29

Typical copayment $18.61 (range $4.82 – $36.82)

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 20

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

CINDY SIYANG ZHAO

Ophthalmology