KELLEN MASTICK MD
NPI 1538655709
Internal Medicine in South Bend, IN

Q: What is Kellen Mastick's NPI number?

The NPI number for Kellen Mastick is 1538655709. It was assigned to this individual provider in the NPPES registry on July 10, 2018.

Q: What is Kellen Mastick's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Kellen Mastick was last updated on May 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since July 10, 2018PECOS EnrolledAccepts Medicare Assignment

615 N MICHIGAN ST 1ST FL HOSPITALIST STE, SOUTH BEND, IN 46601(574) 647-3050(574) 647-4320 Get Directions Write a Review

NPPES record last updated: May 1, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 1, 2023, Mar 29, 2023, Jul 10, 2018 (3 updates tracked since 2018).

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About Kellen Mastick Md NPPES

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

KELLEN MASTICK MD (NPI 1538655709) is an individual internal medicine provider in South Bend, Indiana, licensed in Indiana (01087004A) and active in the NPI registry since July 2018. He is enrolled in Medicare PECOS, is affiliated with Memorial Hospital Of South Bend, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1538655709

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameKELLEN MASTICKCredential: MD

Location Address615 N MICHIGAN ST 1ST FL HOSPITALIST STESouth Bend, IN 46601-1033

Mailing Address3245 Health Dr Ste 100Granger, IN 46530-1380 · (574) 647-1840

Phone(574) 647-3050

Fax(574) 647-4320

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateJuly 10, 2018

Last NPPES UpdateMay 1, 20233 updates tracked since enumeration

NPPES CertifiedMay 1, 2023

✔ NPI 1538655709 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Licenses✔ Licensed in IN · 01087004A✔ Licensed in ND · 15248

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

615 N MICHIGAN ST 1ST FL HOSPITALIST STE, South Bend, IN 46601

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Other Identifiers 1

Medicaid300060015IN

Accepted Insurance

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

Kellen Mastick 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 ID9739564014

PECOS Enrollment IDI20220922002812

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 4

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.

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.

278 services103 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.

135 services56 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

70 services68 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

41 services41 patients

Hospital Affiliations CMS Care Compare

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

Memorial Hospital Of South Bend

Acute Care Hospitals · South Bend, IN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150058

Location615 N Michigan StSouth Bend, IN 46601 · St. Joseph County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46601 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

$122.49 typical visit price

range $53.07 – $161.76

Typical copayment $30.62 (range $13.26 – $40.44)

Most-billed visit code 99204

Established Patient

$94.22 typical visit price

range $16.93 – $132.22

Typical copayment $23.55 (range $4.23 – $33.05)

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.

NYCOLE WELLS MD

Internal Medicine