DR. RALPH EUGENE MASSULLO JR. MD
NPI 1104810563
Dermatology - MOHS-Micrographic Surgery in Lecanto, FL

Active since August 31, 2005PECOS EnrolledAccepts Medicare Assignment
91.5/100
CMS Quality Rating
525 N DACIE PT, LECANTO, FL 34461(352) 746-2200(352) 746-9320 Get Directions Write a Review

NPPES record last updated: November 12, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Ralph Eugene Massullo Jr. Md NPPES

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

DR. RALPH EUGENE MASSULLO JR. MD (NPI 1104810563) is an individual mohs-micrographic surgery provider in Lecanto, Florida, licensed in Florida (ME54469) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS and is a graduate of West Virginia University School Of Medicine (1985).

NPPES Registry Identity

NPI1104810563
Entity TypeIndividualMale
Primary Taxonomy207ND0101X
Provider Legal NameDR. RALPH EUGENE MASSULLO JR.Credential: MD
Location Address525 N DACIE PTLecanto, FL 34461-8399
Mailing Address4651 Van Dyke RdLutz, FL 33558-4880 · (813) 321-1786 · Fax (813) 321-1787
Fax(352) 746-9320
Sole ProprietorNo
Medical School CMSWest Virginia University School Of MedicineGraduated 1985
Enumeration DateAugust 31, 2005
Last NPPES UpdateNovember 12, 2022
NPPES CertifiedNovember 12, 2022
NPI 1104810563 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyDermatology · MOHS-Micrographic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207ND0101X
License Licensed in FL · ME54469
Definition
The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.
Also ListedDermatologyTaxonomy 207N00000X · License ME54469 (FL)
Also ListedDermatology · DermatopathologyTaxonomy 207ND0900X · License ME54469 (FL)
Also ListedDermatology · Procedural DermatologyTaxonomy 207NS0135X · License ME54469 (FL)
525 N DACIE PT, Lecanto, FL 34461

Other Identifiers 2

Medicaid037329000FL
Other070002449FL · Srrga

Accepted 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

Dr. Ralph Eugene Massullo Jr. 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 ID6507822111
PECOS Enrollment IDI20100709000769
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.

Areas of Expertise CMS Part B claims 34

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks 17311
This procedure involves the careful removal of a growth from the head, neck, hands, or feet. The removed tissue, divided into 1-5 blocks, is then examined under a microscope to study its characteristics and determine the nature of the growth.
511 services407 patients
Repair of wound of scalp, arms, or legs by transferring skin, 10.1-30.0 sq cm 14021
This procedure involves repairing a wound on your scalp, arm, or leg by moving skin from another part of your body. The skin transferred will cover an area between 10.1 to 30.0 square cm. This helps promote healing and reduce scarring.
308 services267 patients
Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
283 services46 patients
Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks 17312
This procedure involves the careful removal of abnormal growths from the head, neck, hands, or feet. The removed tissues, divided into 1-5 blocks, are then examined under a microscope to identify any irregularities. The process may be carried out in multiple stages for thorough examination.
272 services222 patients
Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.1-30.0 sq cm 14041
This procedure involves repairing a wound on specified body areas by transferring skin from another part of the body. The transferred skin, measuring between 10.1 to 30.0 square cm, aids in healing the wound and restoring the skin's normal function.
217 services194 patients
Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks 17313
This procedure involves the removal of a growth from your trunk, arms, or legs. The removed tissue, divided into 1-5 blocks, is then examined under a microscope to identify any abnormalities. This helps in diagnosing and planning further treatment.
145 services126 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34461 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

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.

91.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality90
Promoting Interoperability90
Improvement Activities40

Reported Quality Measures

Advance Care Plan
100%1,045 patients5/55-star benchmark: 100%
Melanoma: Continuity of Care - Recall System
100%134 patients
Melanoma: Coordination of Care
100%88 patients
Provide Patients Electronic Access to Their Health Information
73%939 patients2/55-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 17

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

Dermatology (MOHS-Micrographic Surgery)
525 N DACIE PT
LECANTO, FL 34461
Dermatology
525 N DACIE PT
LECANTO, FL 34461
Physician Assistant
525 N DACIE PT
LECANTO, FL 34461
Nurse Practitioner
525 N DACIE PT
LECANTO, FL 34461
Nurse Practitioner (Gerontology)
525 N DACIE PT
LECANTO, FL 34461
Physician Assistant
525 N DACIE PT
LECANTO, FL 34461
Nurse Practitioner
525 N DACIE PT
LECANTO, FL 34461
Physician Assistant
525 N DACIE PT
LECANTO, FL 34461

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 Ralph Massullo's NPI number?

The NPI number for Ralph Massullo is 1104810563. It was assigned to this individual provider in the NPPES registry on August 31, 2005.

Where is Ralph Massullo located?

Ralph Massullo practices at 525 N Dacie Pt, Lecanto, FL 34461. The listed phone number is (352) 746-2200.

What is Ralph Massullo's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in MOHS-Micrographic Surgery, with taxonomy code 207ND0101X.

Is Ralph Massullo enrolled in Medicare?

Yes. Ralph Massullo 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.

What insurance does Ralph Massullo accept?

Health plans from AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Health First Commercial Plans, Inc. and Oscar Health Maintenance Organization of Florida list Ralph Massullo 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.

When was this NPI record last updated?

The NPPES record for Ralph Massullo was last updated on November 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.