SHERYL MASCARENHAS MD
NPI 1477715431
Internal Medicine - Rheumatology in Columbus, OH

Q: What is Sheryl Mascarenhas's NPI number?

The NPI number for Sheryl Mascarenhas is 1477715431. It was assigned to this individual provider in the NPPES registry on June 30, 2008.

Q: What is Sheryl Mascarenhas's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Active since June 30, 2008PECOS EnrolledAccepts Medicare Assignment

71.23/100

CMS Quality Rating

543 TAYLOR AVE, COLUMBUS, OH 43203(614) 293-4837(614) 293-3125 Get Directions Write a Review

NPPES record last updated: May 29, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Sheryl Mascarenhas Md NPPES

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

SHERYL MASCARENHAS MD (NPI 1477715431) is an individual rheumatology provider in Columbus, Ohio, licensed in Ohio (35121529) and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS, is affiliated with Holzer Medical Center, and is a graduate of Wright State University Boonshoft School Of Medicine (2008).

NPPES Registry Identity

NPI1477715431

Entity TypeIndividualFemale

Primary Taxonomy207RR0500X

Provider Legal NameSHERYL MASCARENHASCredential: MD

Location Address543 TAYLOR AVEColumbus, OH 43203-1278

Mailing Address543 Taylor AveColumbus, OH 43203-1278 · (614) 293-4837 · Fax (614) 293-3125

Phone(614) 293-4837

Fax(614) 293-3125

Sole ProprietorNo

Medical School CMSWright State University Boonshoft School Of MedicineGraduated 2008

Enumeration DateJune 30, 2008

Last NPPES UpdateMay 29, 2015

✔ NPI 1477715431 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians

Taxonomy Code207RR0500X

License✔ Licensed in OH · 35121529

Definition

An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.

543 TAYLOR AVE, Columbus, OH 43203

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Other Identifiers 2

Medicaid0090851OH

Medicare PINH258740OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Sheryl Mascarenhas 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 ID7719126622

PECOS Enrollment IDI20131003000385

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 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.

206 services88 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.

41 services26 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.

37 services37 patients

Limited ultrasound scan of joint or other extremity structure except blood vessels 76882

A limited ultrasound scan of a joint or other extremity structure lacking blood vessels is a non-invasive procedure that uses sound waves to create images of the inside of your body. This helps in diagnosing and monitoring conditions related to your joints or other similar structures.

22 services14 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.

20 services17 patients

Hospital Affiliations CMS Care Compare 5

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

Holzer Medical Center

Acute Care Hospitals · Gallipolis, OH

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360054

Location100 Jackson PikeGallipolis, OH 45631 · Gallia County

Emergency services Birthing friendly

Fairfield Medical Center

Acute Care Hospitals · Lancaster, OH

1/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number360072

Location401 North Ewing StreetLancaster, OH 43130 · Fairfield County

Emergency services Birthing friendly

Ohio State University State Health System

Acute Care Hospitals · Columbus, OH

4/5 CMS rating

OwnershipGovernment - State

CMS Certification Number360085

Location410 West 10th AvenueColumbus, OH 43210 · Franklin County

Emergency services Birthing friendly

Marietta Memorial Hospital

Acute Care Hospitals · Marietta, OH

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number360147

Location401 Matthew StreetMarietta, OH 45750 · Washington County

Emergency services Birthing friendly

Hocking Valley Community Hospital

Critical Access Hospitals · Logan, OH

OwnershipVoluntary non-profit - Other

CMS Certification Number361330

Location601 State Route 664NLogan, OH 43138 · Hocking County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43203 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

$126.12 typical visit price

range $54.34 – $166.65

Typical copayment $31.53 (range $13.58 – $41.66)

Most-billed visit code 99204

Established Patient

$96.44 typical visit price

range $17.10 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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.

71.23/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

52.72

Promoting Interoperability

Improvement Activities

Cost

58.69

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.

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