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DR. JOSEPH M MASTERNICK DO
NPI 1548240237
Family Medicine in Clawson, MI

Active since January 19, 2006PECOS EnrolledAccepts Medicare Assignment
909 W MAPLE RD, STE 100, CLAWSON, MI 48017(248) 435-2028(248) 435-2099 Get Directions Write a Review

NPPES record last updated: November 27, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Joseph M Masternick Do NPPES

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

DR. JOSEPH M MASTERNICK DO (NPI 1548240237) is an individual family medicine provider in Clawson, Michigan, licensed in Michigan (5101006910) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Promedica Coldwater Regional Hospital, and maintains a secondary practice location in Flint.

NPPES Registry Identity

NPI1548240237
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. JOSEPH M MASTERNICKCredential: DO
Location Address909 W MAPLE RD, STE 100Clawson, MI 48017
Mailing Address909 W Maple Rd, Ste 100Clawson, MI 48017 · (248) 435-2028 · Fax (248) 435-2099
Phone(248) 435-2028
Fax(248) 435-2099
Sole ProprietorNo
Medical School CMSDes Moines University Of Osteopathic Medicine And Health SciencesGraduated 1975
Enumeration DateJanuary 19, 2006
Last NPPES UpdateNovember 27, 2018
✔ NPI 1548240237 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MI · 5101006910
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.
909 W MAPLE RD, Clawson, MI 48017
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Secondary Practice Location 1

Location 14800 S Saginaw St Ste 1370Flint, MI 48507-2677 · Phone (810) 223-0199 · Fax (810) 223-0239

Other Identifiers 2

Other080F319020Blue Cross Blue Shield
Medicaid1238667MI

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

Dr. Joseph M Masternick Do 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 ID3678578093
PECOS Enrollment IDI20110304000075
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 2

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.

Testing for presence of drug, by chemistry analyzers 80307
Chemistry analyzers are used to detect the presence of drugs in your system. This test involves taking a small sample of your blood or urine. The sample is then analyzed for specific substances. The results help in understanding your health condition better.
81 services21 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.
66 services17 patients

Hospital Affiliations CMS Care Compare 2

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

Promedica Coldwater Regional Hospital

Acute Care Hospitals · Coldwater, MI
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number230022
Location274 E Chicago StColdwater, MI 49036 · Branch County
Emergency services Birthing friendly

Southeast Michigan Surgical Hospital LLC

Acute Care Hospitals · Warren, MI
OwnershipVoluntary non-profit - Private
CMS Certification Number230264
Location21230 Dequindre RoadWarren, MI 48091 · Macomb County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48017 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
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.

Referred Medical Equipment & Supplies CMS DME claims

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
5 suppliers16 claims58 services$6.81 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 11

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

SHENANDOAH CLINIC, P.C.
Family Medicine
909 W MAPLE RD, SUITE 100
CLAWSON, MI 48017
Oakland County (248) 435-2028
DR. STEPHEN EARL BOODIN M.D.
Neurological Surgery
909 W MAPLE RD, SUITE 104
CLAWSON, MI 48017
Oakland County (248) 288-3200
STEPHEN BOODIN MD PC
Neurological Surgery
909 W MAPLE RD, SUITE 104
CLAWSON, MI 48017
Oakland County (248) 288-3200
COMPREHENSIVE PULMONARY SERVICES CENTER
Internal Medicine (Pulmonary Disease)
909 W MAPLE RD, SUITE 105
CLAWSON, MI 48017
Oakland County (248) 280-1867
DR. AGATA M MICHALCZAK DO
Family Medicine
909 W MAPLE RD, STE 100
CLAWSON, MI 48017
Oakland County (248) 435-2028
DR. RONALD I ROTHENBERG DO
Family Medicine
909 W MAPLE RD, STE 100
CLAWSON, MI 48017
Oakland County (248) 435-2028
SIGNATURE CHIROPRACTIC PC
Chiropractor
909 W MAPLE RD, SUITE 106
CLAWSON, MI 48017
Oakland County (248) 288-3280
MICHIGAN PULMONAYR & SLEEP PHYSICIANS, PC
Internal Medicine (Pulmonary Disease)
909 W MAPLE RD, SUITE 109
CLAWSON, MI 48017
Oakland County (248) 280-1867

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 Masternick's NPI number?

The NPI number for Joseph Masternick is 1548240237. It was assigned to this individual provider in the NPPES registry on January 19, 2006.

Where is Joseph Masternick located?

Joseph Masternick practices at 909 W Maple Rd Ste 100, Clawson, MI 48017. The listed phone number is (248) 435-2028.

What is Joseph Masternick's specialty?

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

Is Joseph Masternick enrolled in Medicare?

Yes. Joseph Masternick 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.

What insurance does Joseph Masternick accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 3 other insurers list Joseph Masternick 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 Joseph Masternick affiliated with any hospitals?

According to CMS data, Joseph Masternick is affiliated with Promedica Coldwater Regional Hospital and Southeast Michigan Surgical Hospital LLC.

When was this NPI record last updated?

The NPPES record for Joseph Masternick was last updated on November 27, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.