JOHN A MUNGOVAN MD
NPI 1245279975
Radiology - Diagnostic Radiology in Fall River, MA

Active since June 06, 2006PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
363 HIGHLAND AVE, RADIOLOGY DEPARTMENT, FALL RIVER, MA 02720(508) 677-9729(508) 679-4728 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About John A Mungovan Md NPPES

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

JOHN A MUNGOVAN MD (NPI 1245279975) is an individual diagnostic radiology provider in Fall River, Massachusetts, licensed in Massachusetts (150247) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Saint Anne's Hospital, and is a graduate of Warren Alpert Medical School Of Brown University (1990).

NPPES Registry Identity

NPI1245279975
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameJOHN A MUNGOVANCredential: MD
Location Address363 HIGHLAND AVE, RADIOLOGY DEPARTMENTFall River, MA 02720-3703
Mailing Address484 Highland Ave, Radiology DepartmentFall River, MA 02720-3704 · (508) 677-9729 · Fax (508) 679-4728
Fax(508) 679-4728
Sole ProprietorNo
Medical School CMSWarren Alpert Medical School Of Brown UniversityGraduated 1990
Enumeration DateJune 6, 2006
Last NPPES UpdateJuly 13, 2026
✔ NPI 1245279975 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in MA · 150247
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
363 HIGHLAND AVE, Fall River, MA 02720

Other Identifiers 2

Medicaid3150909MA
MedicaidJM16469RI

Accepted 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

John A Mungovan 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 ID7113954595
PECOS Enrollment IDI20101201000759, I20170220000046
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 John Mungovan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Diagnostic Radiology
363 HIGHLAND AVE
Fall River, MA 02720
  • Reassigned Medicare billing, Massachusetts and Rhode Island enrollments
  • 26 clinicians in this Medicare group

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 59

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.

X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
651 services585 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
519 services503 patients
Ct scan head or brain without contrast 70450
A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.
495 services477 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
264 services262 patients
Screening 3d breast mammography 77063
Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.
221 services221 patients
Screening mammography 77067
Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.
221 services221 patients

Hospital Affiliations CMS Care Compare 3

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

Saint Anne's Hospital

Acute Care Hospitals · Fall River, MA
3/5 CMS rating
OwnershipProprietary
CMS Certification Number220020
Location795 Middle StreetFall River, MA 02721 · Bristol County
Emergency services

Southcoast Hospitals Group

Acute Care Hospitals · Fall River, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220074
Location363 Highland AvenueFall River, MA 02720 · Bristol County
Emergency services Birthing friendly

Newport Hospital

Acute Care Hospitals · Newport, RI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number410006
Location11 Friendship StreetNewport, RI 02840 · Newport County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02720 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
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$73.22 typical visit price
range $19.11 – $144.84
Typical copayment $18.30 (range $4.77 – $36.21)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

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.

Dietitian, Registered
363 HIGHLAND AVE
FALL RIVER, MA 02720
Nurse Practitioner (Critical Care Medicine)
363 HIGHLAND AVE
FALL RIVER, MA 02720
Nurse Practitioner
363 HIGHLAND AVE
FALL RIVER, MA 02720
Pediatrics
363 HIGHLAND AVE
FALL RIVER, MA 02720
Physician Assistant
363 HIGHLAND AVE
FALL RIVER, MA 02720
Nurse Practitioner (Acute Care)
363 HIGHLAND AVE
FALL RIVER, MA 02720
Physician Assistant (Medical)
363 HIGHLAND AVE
FALL RIVER, MA 02720
Nurse Practitioner (Adult Health)
363 HIGHLAND AVE
FALL RIVER, MA 02720

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 John Mungovan's NPI number?

The NPI number for John Mungovan is 1245279975. It was assigned to this individual provider in the NPPES registry on June 6, 2006.

Where is John Mungovan located?

John Mungovan practices at 363 Highland Ave Radiology Department, Fall River, MA 02720. The listed phone number is (508) 677-9729.

What is John Mungovan's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is John Mungovan enrolled in Medicare?

Yes. John Mungovan 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 John Mungovan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), John Mungovan reassigns Medicare benefits to Southern New England Radiology Inc (Fall River, MA). 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 John Mungovan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does John Mungovan accept?

Health plans from Taro Health list John Mungovan 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 John Mungovan affiliated with any hospitals?

According to CMS data, John Mungovan is affiliated with Saint Anne's Hospital, Southcoast Hospitals Group and Newport Hospital.

When was this NPI record last updated?

The NPPES record for John Mungovan was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.