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MALCOLM C MASTELLER M.D.
NPI 1255368148
Family Medicine in Bremerton, WA

Active since June 27, 2006PECOS EnrolledAccepts Medicare Assignment
95.7/100
CMS Quality Rating
NAVAL HOSPITAL, ONE BOONE ROAD, BREMERTON, WA 98312(360) 475-4426(360) 475-4344 Get Directions Write a Review

NPPES record last updated: November 20, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 20, 2021, Apr 13, 2021 (2 updates tracked since 2021).

About Malcolm C Masteller M.d. NPPES

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

MALCOLM C MASTELLER M.D. (NPI 1255368148) is an individual family medicine provider in Bremerton, Washington, licensed in Utah (8576787-1205) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Utah Valley Hospital, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1255368148
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMALCOLM C MASTELLERCredential: M.D.
Location AddressNAVAL HOSPITAL, ONE BOONE ROADBremerton, WA 98312-1898
Mailing AddressNaval Hospital, One Boone RoadBremerton, WA 98312-1898 · (360) 475-4426 · Fax (360) 475-4344
Phone(360) 475-4426
Fax(360) 475-4344
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateJune 27, 2006
Last NPPES UpdateNovember 20, 20212 updates tracked since enumeration
NPPES CertifiedNovember 20, 2021
✔ NPI 1255368148 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in UT · 8576787-1205
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
NAVAL HOSPITAL, Bremerton, WA 98312
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and more.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

Malcolm C Masteller 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 ID9537399803
PECOS Enrollment IDI20140306000492
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 Malcolm Masteller reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

University Of Utah Community Physicians Group
691 mi
Family Medicine
1492 W ANTELOPE DR STE 150
Layton, UT 84041
  • Reassigned Medicare billing, Utah enrollment
  • 295 clinicians in this Medicare group
NPI 1356745061 (801) 776-7804

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 5

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.
389 services182 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
77 services77 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.
52 services42 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.
16 services16 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
14 services14 patients

Hospital Affiliations CMS Care Compare 4

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

Utah Valley Hospital

Acute Care Hospitals · Provo, UT
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460001
Location1034 North 500 WestProvo, UT 84604 · Utah County
Emergency services Birthing friendly

University Of Utah Hospitals And Clinics

Acute Care Hospitals · Salt Lake City, UT
5/5 CMS rating
OwnershipGovernment - State
CMS Certification Number460009
Location50 North Medical DriveSalt Lake City, UT 84132 · Salt Lake County
Emergency services Birthing friendly

American Fork Hospital

Acute Care Hospitals · American Fork, UT
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460023
Location170 North 1100 EastAmerican Fork, UT 84003 · Utah County
Emergency services Birthing friendly

Timpanogos Regional Hospital

Acute Care Hospitals · Orem, UT
3/5 CMS rating
OwnershipProprietary
CMS Certification Number460052
Location750 West 800 NorthOrem, UT 84057 · Utah County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98312 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
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
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.

95.7/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality92.19
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 4

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
10 suppliers30 claims94 services$5.61 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
4 suppliers31 claims31 services$89.79 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier11 claims11 services$35.43 avg. paid by Medicare
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738
DME-Oxygen and Supplies · category DC000N
2 suppliers12 claims12 services$35.47 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 2

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

DR. MICHAEL MADDOX M.D.
Otolaryngology
NAVAL HOSPITAL, ONE BOONE ROAD
BREMERTON, WA 98312
Kitsap County (360) 475-4426
RANDALL GRANT KELLEY D.O.
Family Medicine
NAVAL HOSPITAL, ONE BOONE ROAD
BREMERTON, WA 98312
Kitsap County (360) 475-4426

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 Malcolm Masteller's NPI number?

The NPI number for Malcolm Masteller is 1255368148. It was assigned to this individual provider in the NPPES registry on June 27, 2006.

Where is Malcolm Masteller located?

Malcolm Masteller practices at Naval Hospital One Boone Road, Bremerton, WA 98312. The listed phone number is (360) 475-4426.

What is Malcolm Masteller's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Malcolm Masteller enrolled in Medicare?

Yes. Malcolm Masteller 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 Malcolm Masteller's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Malcolm Masteller reassigns Medicare benefits to University Of Utah Community Physicians Group (Layton, UT). 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 Malcolm Masteller's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Malcolm Masteller accept?

Health plans from BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and University of Utah Health Plans list Malcolm Masteller 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 Malcolm Masteller affiliated with any hospitals?

According to CMS data, Malcolm Masteller is affiliated with Utah Valley Hospital, University Of Utah Hospitals And Clinics, American Fork Hospital and Timpanogos Regional Hospital.

When was this NPI record last updated?

The NPPES record for Malcolm Masteller was last updated on November 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.