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JOSEPH W. MASHNI JR. M.D.
NPI 1164637054
Urology in Gilbert, AZ

Active since May 14, 2007PECOS EnrolledAccepts Medicare Assignment
81.49/100
CMS Quality Rating
2646 E. BANNER GATEWAY DRIVE, GILBERT, AZ 85234(480) 256-6444(480) 256-4734 Get Directions Write a Review

NPPES record last updated: March 6, 2015. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Joseph W. Mashni Jr. M.d. NPPES

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

JOSEPH W. MASHNI JR. M.D. (NPI 1164637054) is an individual urology provider in Gilbert, Arizona, licensed in New York (2639111) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS and is a graduate of Loma Linda University School Of Medicine (2006).

NPPES Registry Identity

NPI1164637054
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameJOSEPH W. MASHNI JR.Credential: M.D.
Location Address2646 E. BANNER GATEWAY DRIVEGilbert, AZ 85234-2165
Mailing Address2940 E. Banner Gateway Drive, Suite #450Gilbert, AZ 85234-2165 · (480) 256-6444 · Fax (480) 256-4734
Phone(480) 256-6444
Fax(480) 256-4734
Sole ProprietorNo
Medical School CMSLoma Linda University School Of MedicineGraduated 2006
Enumeration DateMay 14, 2007
Last NPPES UpdateMarch 6, 2015
✔ NPI 1164637054 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License✔ Licensed in NY · 2639111
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.
2646 E. BANNER GATEWAY DRIVE, Gilbert, AZ 85234
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc., UnitedHealthcare.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

Joseph W. Mashni Jr. M.d. 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 ID9931341468
PECOS Enrollment IDI20140925000591
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 Reassignment

Medicare enrollment records show Joseph Mashni reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Banner Cancer Center Specialists LLC
21 mi
Oncology
2901 N CENTRAL AVE STE 160
Phoenix, AZ 85012
  • Reassigned Medicare billing, Arizona enrollment
  • 470 clinicians in this Medicare group
NPI 1518253152 (602) 747-4000

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

Areas of Expertise CMS Part B claims 12

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
260 services158 patients
Diagnostic exam of bladder and urethra using an endoscope 52000
This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.
145 services83 patients
Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
94 services83 patients
Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
90 services76 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
56 services48 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
44 services44 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85234 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
$127.71 typical visit price
range $55.44 – $168.60
Typical copayment $31.92 (range $13.86 – $42.15)
Most-billed visit code 99204
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
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.

81.49/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40
Cost38.3

Referred Medical Equipment & Supplies CMS DME claims 8

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
3 suppliers25 claims2,469 services$1.61 avg. paid by Medicare
Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each A4352
DME-Orthotic Devices · category DF008N
3 suppliers24 claims2,953 services$6.17 avg. paid by Medicare
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357
DME-Orthotic Devices · category DF000N
8 suppliers60 claims148 services$8.86 avg. paid by Medicare
Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each A4385
DME-Orthotic Devices · category DF010N
3 suppliers16 claims440 services$4.92 avg. paid by Medicare
Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each A4407
DME-Orthotic Devices · category DF010N
4 suppliers25 claims615 services$8.02 avg. paid by Medicare
Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each A4409
DME-Orthotic Devices · category DF010N
6 suppliers45 claims1,040 services$5.52 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

DR. MICHELLE LOCKE DNP, AGNP-C, RNFA
Nurse Practitioner (Adult Health)
2646 E. BANNER GATEWAY DRIVE
GILBERT, AZ 85234
Maricopa County (480) 256-6444

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 Joseph Mashni's NPI number?

The NPI number for Joseph Mashni is 1164637054. It was assigned to this individual provider in the NPPES registry on May 14, 2007.

Where is Joseph Mashni located?

Joseph Mashni practices at 2646 E. Banner Gateway Drive, Gilbert, AZ 85234. The listed phone number is (480) 256-6444.

What is Joseph Mashni's specialty?

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

Is Joseph Mashni enrolled in Medicare?

Yes. Joseph Mashni 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 organization bills Medicare for Joseph Mashni's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Joseph Mashni reassigns Medicare benefits to Banner Cancer Center Specialists LLC (Phoenix, AZ). The 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 Joseph Mashni's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Joseph Mashni accept?

Health plans from Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc. and UnitedHealthcare list Joseph Mashni 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 Joseph Mashni was last updated on March 6, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.