DR. JOSEPH M TUSCANO M.D.
NPI 1487639795
Internal Medicine - Hematology & Oncology in Sacramento, CA

Active since December 08, 2005PECOS EnrolledAccepts Medicare Assignment
90.92/100
CMS Quality Rating
4501 X ST STE 3016, SACRAMENTO, CA 95817(916) 734-5981(916) 734-0631 Get Directions Write a Review

NPPES record last updated: August 30, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Joseph M Tuscano M.d. NPPES

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

DR. JOSEPH M TUSCANO M.D. (NPI 1487639795) is an individual hematology & oncology provider in Sacramento, California, licensed in California (G69025) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS and is a graduate of University Of Southern California Keck School Of Medicine (1989).

NPPES Registry Identity

NPI1487639795
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NameDR. JOSEPH M TUSCANOCredential: M.D.
Location Address4501 X ST STE 3016Sacramento, CA 95817-2229
Mailing Address4501 X St, Suite 3016Sacramento, CA 95817-2229 · (916) 734-3771 · Fax (916) 734-7946
Fax(916) 734-0631
Sole ProprietorNo
Medical School CMSUniversity Of Southern California Keck School Of MedicineGraduated 1989
Enumeration DateDecember 8, 2005
Last NPPES UpdateAugust 30, 2019
NPI 1487639795 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
Licenses Licensed in CA · G69025 Licensed in CA · G069025
Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

Also ListedSpecialistTaxonomy 174400000X · License G069025 (CA)
4501 X ST STE 3016, Sacramento, CA 95817

Other Identifiers 1

MedicaidG069025CA

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

Dr. Joseph M Tuscano 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 ID5294809075
PECOS Enrollment IDI20080729000344
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 10

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 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.
403 services179 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
214 services46 patients
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212
This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.
95 services76 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
93 services23 patients
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.
81 services66 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.
39 services39 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95817 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
$180.85 typical visit price
range $60.44 – $180.85
Typical copayment $45.21 (range $15.11 – $45.21)
Most-billed visit code 99205
Established Patient
$105.95 typical visit price
range $19.88 – $148.15
Typical copayment $26.48 (range $4.97 – $37.03)
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.

90.92/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality63.35
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 15

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

Internal Medicine
4501 X ST STE 3016
SACRAMENTO, CA 95817
Internal Medicine (Hematology & Oncology)
4501 X ST STE 3016
SACRAMENTO, CA 95817
Internal Medicine
4501 X ST STE 3016
SACRAMENTO, CA 95817
Internal Medicine (Hematology & Oncology)
4501 X ST STE 3016
SACRAMENTO, CA 95817
Clinic/Center (Oncology)
4501 X ST STE 3016
SACRAMENTO, CA 95817
Internal Medicine (Hematology & Oncology)
4501 X ST STE 3016
SACRAMENTO, CA 95817
Internal Medicine (Hematology & Oncology)
4501 X ST STE 3016
SACRAMENTO, CA 95817
Internal Medicine
4501 X ST STE 3016
SACRAMENTO, CA 95817

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 Tuscano's NPI number?

The NPI number for Joseph Tuscano is 1487639795. It was assigned to this individual provider in the NPPES registry on December 8, 2005.

Where is Joseph Tuscano located?

Joseph Tuscano practices at 4501 X St Ste 3016, Sacramento, CA 95817. The listed phone number is (916) 734-5981.

What is Joseph Tuscano's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Joseph Tuscano enrolled in Medicare?

Yes. Joseph Tuscano 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.

When was this NPI record last updated?

The NPPES record for Joseph Tuscano was last updated on August 30, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.