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DR. MARCELLO MICHAEL DISTASIO JR. M.D., PH.D.
NPI 1609295781
Pathology - Neuropathology in New Haven, CT

Active since April 15, 2014PECOS EnrolledAccepts Medicare Assignment
73.56/100
CMS Quality Rating
310 CEDAR ST, NEW HAVEN, CT 06510(203) 785-3624 Get Directions Write a Review

NPPES record last updated: November 2, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 2, 2020, Jul 19, 2018 (2 updates tracked since 2018).

About Dr. Marcello Michael Distasio Jr. M.d., Ph.d. NPPES

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

DR. MARCELLO MICHAEL DISTASIO JR. M.D., PH.D. (NPI 1609295781) is an individual neuropathology provider in New Haven, Connecticut, licensed in Connecticut (64362) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1609295781
Entity TypeIndividualMale
Primary Taxonomy207ZN0500X
Provider Legal NameDR. MARCELLO MICHAEL DISTASIO JR.Credential: M.D., PH.D.
Location Address310 CEDAR STNew Haven, CT 06510-3218
Mailing Address75 Francis StBoston, MA 02115-6110 · (617) 732-7510 · Fax (617) 277-9015
Phone(203) 785-3624
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateApril 15, 2014
Last NPPES UpdateNovember 2, 20202 updates tracked since enumeration
NPPES CertifiedNovember 2, 2020
✔ NPI 1609295781 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPathology · NeuropathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZN0500X
License✔ Licensed in CT · 64362
Definition
A neuropathologist is expert in the diagnosis of diseases of the nervous system and skeletal muscles and functions as a consultant primarily to neurologists and neurosurgeons. The neuropathologist is knowledgeable in the infirmities of humans as they affect the nervous and neuromuscular systems, be they degenerative, infectious, metabolic, immunologic, neoplastic, vascular or physical in nature.
Also ListedPathology · Anatomic PathologyTaxonomy 207ZP0101X · License 64362 (CT)
310 CEDAR ST, New Haven, CT 06510
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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. Marcello Michael Distasio Jr. M.d., Ph.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 ID6800144122
PECOS Enrollment IDI20201215000967
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06510 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
$138.84 typical visit price
range $60.82 – $183.10
Typical copayment $34.71 (range $15.20 – $45.77)
Most-billed visit code 99204
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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.

73.56/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality75.84
Promoting Interoperability74
Improvement Activities40
Cost51.43

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.

RAFFAELLA MOROTTI MD
Pathology (Pediatric Pathology)
310 CEDAR ST, PATHOLOGY DEPARTMENT
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 737-6325
DR. MAHBOUBEH RAHMANI MD
Student in an Organized Health Care Education/Training Program
310 CEDAR ST
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 737-2115
DR. CAMERON BEECH
Pathology (Anatomic Pathology)
310 CEDAR ST, YUSM, DEPARTMENT OF PATHOLOGY
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 737-4142
DR. WADE LOREN SCHULZ MD, PHD
Pathology (Clinical Pathology/Laboratory Medicine)
310 CEDAR ST
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 737-2115
JOSE COSTA MD
Pathology (Anatomic Pathology)
310 CEDAR ST, LAUDER HALL ROOM 108
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 785-2788
DR. TESSA E MADDEN MD
Obstetrics & Gynecology
310 CEDAR ST
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 785-5545
ROBERT J HOMER MD
Pathology (Anatomic Pathology)
310 CEDAR ST, LAUDER HALL ROM 108
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 785-3624
DAVID L RIMM MD
Pathology (Anatomic Pathology)
310 CEDAR ST, LAUDER HALL, ROOM 108
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 785-3624

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 Marcello Distasio's NPI number?

The NPI number for Marcello Distasio is 1609295781. It was assigned to this individual provider in the NPPES registry on April 15, 2014.

Where is Marcello Distasio located?

Marcello Distasio practices at 310 Cedar St, New Haven, CT 06510. The listed phone number is (203) 785-3624.

What is Marcello Distasio's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Neuropathology, with taxonomy code 207ZN0500X.

Is Marcello Distasio enrolled in Medicare?

Yes. Marcello Distasio 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 Marcello Distasio was last updated on November 2, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.