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DR. MARIO V FUSARO M.D.
NPI 1538486550
Internal Medicine - Pulmonary Disease in Valhalla, NY

Active since April 29, 2010PECOS EnrolledAccepts Medicare Assignment
100 WOODS RD, VALHALLA, NY 10595(914) 493-7979(914) 493-8373 Get Directions Write a Review

NPPES record last updated: November 18, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Mario V Fusaro M.d. NPPES

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

DR. MARIO V FUSARO M.D. (NPI 1538486550) is an individual pulmonary disease provider in Valhalla, New York, licensed in New York (263930) and active in the NPI registry since April 2010. He is enrolled in Medicare PECOS, is affiliated with St Mary's General Hospital, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1538486550
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameDR. MARIO V FUSAROCredential: M.D.
Location Address100 WOODS RDValhalla, NY 10595-1530
Mailing Address19 Bradhurst Ave, Suite 3100nHawthorne, NY 10532-2140 · (914) 909-9018 · Fax (914) 909-9028
Phone(914) 493-7979
Fax(914) 493-8373
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateApril 29, 2010
Last NPPES UpdateNovember 18, 2016
✔ NPI 1538486550 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
Licenses✔ Licensed in NY · 263930✔ Licensed in MD · D0078526
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 D0078526 (MD)
100 WOODS RD, Valhalla, NY 10595
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, CareSource, WellPoint.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

Dr. Mario V Fusaro 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 ID749402808
PECOS Enrollment IDI20200205000337, I20230309002138
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 Reassignments

6

Medicare enrollment records show Mario Fusaro reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Westchester Medical Center Advanced Physician Services PC
Same address
Anesthesiology
100 WOODS RD, TAYLOR PAVILION - ROOM M229
Valhalla, NY 10595
  • Reassigned Medicare billing, New York enrollment
  • 1,663 clinicians in this Medicare group
NPI 1740687458 (914) 493-2844
Critical Care Medical Management Associates PLLC
3.3 mi
Critical Care Medicine
701 N BROADWAY
Sleepy Hollow, NY 10591
  • Reassigned Medicare billing, New York enrollment
  • 25 clinicians in this Medicare group
NPI 1194090878 (914) 366-3000
Ccmma Nj LLC
23 mi
Critical Care Medicine
350 BOULEVARD
Passaic, NJ 07055
  • Reassigned Medicare billing, New Jersey and Pennsylvania enrollments
  • 51 clinicians in this Medicare group
NPI 1124543095 (973) 365-4300
Ccmma Tx PLLC
33 mi
Anesthesiology
2 PARK AVE STE 2039
New York, NY 10016
  • Reassigned Medicare billing, Texas enrollment
  • 62 clinicians in this Medicare group
NPI 1841829819 (845) 702-2711
Ccmma Sc LLC
610 mi
Critical Care Medicine
129 N WASHINGTON ST
Sumter, SC 29150
  • Reassigned Medicare billing, South Carolina enrollment
  • 7 clinicians in this Medicare group
NPI 1245715796 (803) 774-9000
Ccmma Ca PC
2,513 mi
Critical Care Medicine
1100 BUTTE ST
Redding, CA 96001
  • Reassigned Medicare billing, California enrollment
  • 46 clinicians in this Medicare group
NPI 1679293443 (530) 244-5400

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 6

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
235 services109 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.
145 services126 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.
90 services56 patients
Telehealth consultation, critical care, subsequent, physicians typically spend 50 minutes communicating with the patient and providers via telehealth G0509
A telehealth consultation for critical care is a virtual meeting with a doctor for ongoing critical health issues. It involves a 50-minute session where the physician connects with the patient and other healthcare providers to discuss and manage the patient's condition. This method ensures safe, convenient care.
66 services54 patients
Telehealth consultation, critical care, initial , physicians typically spend 60 minutes communicating with the patient and providers via telehealth G0508
A telehealth consultation for critical care is a virtual meeting with a physician, typically lasting 60 minutes. Here, the doctor assesses your health condition, provides guidance, and communicates with other care providers, all through digital platforms. It's a safe, convenient way to receive critical care.
61 services61 patients
Critical care, each additional 30 minutes 99292
Critical care refers to special attention given to patients facing life-threatening conditions. Each additional 30 minutes indicates the extension of this specialized care. This might include close monitoring, medication adjustments, and immediate interventions as needed.
25 services17 patients

Hospital Affiliations CMS Care Compare 3

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

St Mary's General Hospital

Acute Care Hospitals · Passaic, NJ
3/5 CMS rating
OwnershipProprietary
CMS Certification Number310006
Location350 BoulevardPassaic, NJ 07055 · Passaic County
Emergency services Birthing friendly

Shore Medical Center

Acute Care Hospitals · Somers Point, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310047
Location100 Medical Center WaySomers Point, NJ 08244 · Atlantic County
Emergency services Birthing friendly

Atlanticare Regional Medical Center - City Campus

Acute Care Hospitals · Atlantic City, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310064
Location1925 Pacific AvenueAtlantic City, NJ 08401 · Atlantic County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10595 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

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.

MRS. LISA ANN SAUER N.P.
Nurse Practitioner (Neonatal, Critical Care)
100 WOODS RD
VALHALLA, NY 10595
Westchester County (914) 493-7000
KAREN FRANCOIS MD
Anesthesiology
100 WOODS RD
VALHALLA, NY 10595
Westchester County (914) 493-7000
KIMBERLY WILSON R.D.
Dietitian, Registered
100 WOODS RD
VALHALLA, NY 10595
Westchester County (914) 493-7664
RADHIKA VOLETI M.D
Internal Medicine
100 WOODS RD
VALHALLA, NY 10595
Westchester County (914) 493-7000
FAREENA NAWAZ MD
Internal Medicine
100 WOODS RD
VALHALLA, NY 10595
Westchester County (914) 493-7000
AUSTIN B CARPENTER
Student in an Organized Health Care Education/Training Program
100 WOODS RD
VALHALLA, NY 10595
Westchester County (914) 493-8795
AMRO AGLAN MD
Student in an Organized Health Care Education/Training Program
100 WOODS RD
VALHALLA, NY 10595
Westchester County (914) 493-7000
HAO WANG MD, PHD
Student in an Organized Health Care Education/Training Program
100 WOODS RD
VALHALLA, NY 10595
Westchester County (914) 493-6613

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 Mario Fusaro's NPI number?

The NPI number for Mario Fusaro is 1538486550. It was assigned to this individual provider in the NPPES registry on April 29, 2010.

Where is Mario Fusaro located?

Mario Fusaro practices at 100 Woods Rd, Valhalla, NY 10595. The listed phone number is (914) 493-7979.

What is Mario Fusaro's specialty?

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

Is Mario Fusaro enrolled in Medicare?

Yes. Mario Fusaro 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 organizations bill Medicare for Mario Fusaro's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mario Fusaro reassigns Medicare benefits to 6 organizations: Westchester Medical Center Advanced Physician Services PC (Valhalla, NY), Critical Care Medical Management Associates PLLC (Sleepy Hollow, NY), Ccmma Nj LLC (Passaic, NJ), Ccmma Tx PLLC (New York, NY), Ccmma Sc LLC (Sumter, SC) and 1 more organization, listed in the Medicare section above. Each 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 Mario Fusaro's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mario Fusaro accept?

Health plans from Blue Cross and Blue Shield of Texas, CareSource and WellPoint list Mario Fusaro 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 Mario Fusaro affiliated with any hospitals?

According to CMS data, Mario Fusaro is affiliated with St Mary's General Hospital, Shore Medical Center and Atlanticare Regional Medical Center - City Campus.

When was this NPI record last updated?

The NPPES record for Mario Fusaro was last updated on November 18, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.