MARIA C MASCOLO MD
NPI 1194793042
Internal Medicine - Pulmonary Disease in Rincon, GA

Active since March 08, 2006PECOS EnrolledAccepts Medicare Assignment
86.83/100
CMS Quality Rating
131 SILVERWOOD CT, SUITE 100, RINCON, GA 31326(912) 826-3927(912) 826-3931 Get Directions Write a Review

NPPES record last updated: May 10, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Maria C Mascolo Md NPPES

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

MARIA C MASCOLO MD (NPI 1194793042) is an individual pulmonary disease provider in Rincon, Georgia, licensed in Georgia (052469) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS, is affiliated with Candler Hospital, and is a graduate of University Of Virginia School Of Medicine (2003).

NPPES Registry Identity

NPI1194793042
Entity TypeIndividualFemale
Primary Taxonomy207RP1001X
Provider Legal NameMARIA C MASCOLOCredential: MD
Location Address131 SILVERWOOD CT, SUITE 100Rincon, GA 31326-5131
Mailing AddressPo Box 14417Savannah, GA 31416-1417 · (912) 629-2290 · Fax (912) 629-2291
Fax(912) 826-3931
Sole ProprietorNo
Medical School CMSUniversity Of Virginia School Of MedicineGraduated 2003
Enumeration DateMarch 8, 2006
Last NPPES UpdateMay 10, 2016
NPI 1194793042 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License Licensed in GA · 052469
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 052469 (GA)
Also ListedInternal Medicine · Sleep MedicineTaxonomy 207RS0012X · License 052469 (GA)
131 SILVERWOOD CT, Rincon, GA 31326

Other Identifiers 4

Medicare UPING69315GA
Medicaid487007710BGA
Medicare PIN11BDWLVGA
Other290015487GA · Railroad Medicare

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

Maria C Mascolo 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 ID4284770488
PECOS Enrollment IDI20091001000102
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 35

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.
946 services467 patients
Test to measure expiratory airflow and volume 94010
This test, known as spirometry, assesses how well your lungs work. It measures how much air you can inhale, how much you can exhale and how quickly you can exhale. It's non-invasive and helps diagnose conditions like asthma or COPD.
525 services366 patients
Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
500 services47 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
360 services281 patients
Test to determine lung volumes using gas dilution or washout 94727
This test measures lung volumes by either diluting or washing out a known amount of gas in your lungs. You'll breathe in a harmless gas, then exhale. The exhaled air is analyzed to assess your lung capacity and function.
265 services264 patients
Test to examine how well the lungs exchange gases 94729
This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.
263 services262 patients

Hospital Affiliations CMS Care Compare 5

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

Candler Hospital

Acute Care Hospitals · Savannah, GA
1/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110024
Location5353 Reynolds StreetSavannah, GA 31412 · Chatham County
Emergency services Birthing friendly

Memorial University Medical Center

Acute Care Hospitals · Savannah, GA
1/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110036
Location4700 Waters AvenueSavannah, GA 31404 · Chatham County
Emergency services Birthing friendly

St Joseph's Hospital - Savannah

Acute Care Hospitals · Savannah, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110043
Location11705 Mercy BoulevardSavannah, GA 31419 · Chatham County
Emergency services

Effingham Health System

Critical Access Hospitals · Springfield, GA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number111306
Location459 Ga Highway 119 SouthSpringfield, GA 31329 · Effingham County
Emergency services

Optim Medical Center - Screven

Critical Access Hospitals · Sylvania, GA
OwnershipProprietary
CMS Certification Number111312
Location215 Mims RoadSylvania, GA 30467 · Screven County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31326 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
$124.10 typical visit price
range $53.31 – $164.04
Typical copayment $31.02 (range $13.32 – $41.01)
Most-billed visit code 99204
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
Most-billed visit code 99214
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.

86.83/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality76.59
Promoting Interoperability95
Improvement Activities40

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report
84%92 patients4/55-star benchmark: 87%
Controlling High Blood Pressure
75%672 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
99%6,552 patients4/55-star benchmark: 100%
e-Prescribing
94%1,890 patients2/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 98% · 1,848 patients
Patients screened: 100% · 1,848 patients
91%313 patients4/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
64%2,188 patients3/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
77%726 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 1% · 1,439 patients
Patients totalRate: 4% · 1,456 patients
4%1,456 patients4/55-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.

Referred Medical Equipment & Supplies CMS DME claims 33

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

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
19 suppliers353 claims353 services$37.30 avg. paid by Medicare
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003
DME-Other DME · category DE000N
9 suppliers39 claims74 services$1.46 avg. paid by Medicare
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable A7005
DME-Other DME · category DE000N
10 suppliers18 claims18 services$14.02 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
15 suppliers222 claims222 services$91.42 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
13 suppliers225 claims614 services$35.25 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
13 suppliers142 claims800 services$19.90 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 3

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

Sleep Specialist, PhD
131 SILVERWOOD CT, SUITE 100
RINCON, GA 31326
Nurse Practitioner
131 SILVERWOOD CT, SUITE 100
RINCON, GA 31326
Internal Medicine (Pulmonary Disease)
131 SILVERWOOD CT, SUITE 100
RINCON, GA 31326

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 Maria Mascolo's NPI number?

The NPI number for Maria Mascolo is 1194793042. It was assigned to this individual provider in the NPPES registry on March 8, 2006.

Where is Maria Mascolo located?

Maria Mascolo practices at 131 Silverwood Ct Suite 100, Rincon, GA 31326. The listed phone number is (912) 826-3927.

What is Maria Mascolo's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Maria Mascolo enrolled in Medicare?

Yes. Maria Mascolo 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 Maria Mascolo accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Maria Mascolo 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 Maria Mascolo affiliated with any hospitals?

According to CMS data, Maria Mascolo is affiliated with Candler Hospital, Memorial University Medical Center, St Joseph's Hospital - Savannah, Effingham Health System and Optim Medical Center - Screven.

When was this NPI record last updated?

The NPPES record for Maria Mascolo was last updated on May 10, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.