DR. THOMAS M MASTERSON MD
NPI 1649224643
Internal Medicine in Clinton, MD

Active since May 22, 2006PECOS EnrolledAccepts Medicare Assignment
9106 PINE VIEW LN, CLINTON, MD 20735(703) 356-2037(703) 734-8987 Get Directions Write a Review

NPPES record last updated: September 30, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 10, 2017, Aug 22, 2016 (2 updates tracked since 2016).

About Dr. Thomas M Masterson Md NPPES

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

DR. THOMAS M MASTERSON MD (NPI 1649224643) is an individual internal medicine provider in Clinton, Maryland, licensed in Maryland (D50534) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with University Of Md Capital Region Medical Center, and is a graduate of University Of Virginia School Of Medicine (1984).

NPPES Registry Identity

NPI1649224643
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. THOMAS M MASTERSONCredential: MD
Location Address9106 PINE VIEW LNClinton, MD 20735-3229
Mailing Address2100 Powell St, Ste 900Emeryville, CA 94608-1844 · (510) 350-2842 · Fax (510) 879-9128
Fax(703) 734-8987
Sole ProprietorYes
Medical School CMSUniversity Of Virginia School Of MedicineGraduated 1984
Enumeration DateMay 22, 2006
Last NPPES UpdateSeptember 30, 20172 updates tracked since enumeration
NPI 1649224643 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses Licensed in MD · D50534 Licensed in VA · 0101038350
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.

9106 PINE VIEW LN, Clinton, MD 20735

Other Identifiers 3

Other0101038350VA · Medical License
Medicare PING02313N01DC
Medicare UPINE29989DC

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. Thomas M Masterson 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 ID1456373802
PECOS Enrollment IDI20051228000547, I20140326000433
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.

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
1,779 services492 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
571 services244 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
454 services421 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
341 services184 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
103 services77 patients
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305
An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
82 services81 patients

Hospital Affiliations CMS Care Compare 2

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

University Of MD Capital Region Medical Center

Acute Care Hospitals · Upper Marlboro, MD
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210003
Location901 North Harry S Truman DriveUpper Marlboro, MD 20774 · Prince Georges County
Emergency services Birthing friendly

Luminis Health Anne Arundel Medical Center, Inc

Acute Care Hospitals · Annapolis, MD
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210023
Location2001 Medical ParkwayAnnapolis, MD 21401 · Anne Arundel County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20735 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
$147.85 typical visit price
range $65.18 – $194.86
Typical copayment $36.96 (range $16.29 – $48.71)
Most-billed visit code 99204
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
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 34

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357
DME-Orthotic Devices · category DF000N
3 suppliers15 claims21 services$9.26 avg. paid by Medicare
Ostomy skin barrier, powder, per oz A4371
DME-Orthotic Devices · category DF010N
1 supplier13 claims13 services$3.50 avg. paid by Medicare
Tape, non-waterproof, per 18 square inches A4450
DME-Medical/Surgical Supplies · category DA000N
1 supplier11 claims616 services$0.10 avg. paid by Medicare
Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each A5063
DME-Orthotic Devices · category DF010N
1 supplier12 claims240 services$2.60 avg. paid by Medicare
Skin barrier, wipes or swabs, each A5120
DME-Orthotic Devices · category DF010N
2 suppliers14 claims350 services$0.23 avg. paid by Medicare
Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing A6196
DME-Medical/Surgical Supplies · category DA023N
2 suppliers28 claims1,004 services$7.12 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 15

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

Long Term Care Hospital
9106 PINE VIEW LN
CLINTON, MD 20735
Internal Medicine (Pulmonary Disease)
9106 PINE VIEW LN
CLINTON, MD 20735
Physical Medicine & Rehabilitation
9106 PINE VIEW LN
CLINTON, MD 20735
Internal Medicine (Nephrology)
9106 PINE VIEW LN
CLINTON, MD 20735
Internal Medicine
9106 PINE VIEW LN
CLINTON, MD 20735
Skilled Nursing Facility
9106 PINE VIEW LN
CLINTON, MD 20735
Internal Medicine
9106 PINE VIEW LN
CLINTON, MD 20735
Nurse Practitioner (Adult Health)
9106 PINE VIEW LN
CLINTON, MD 20735

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 Thomas Masterson's NPI number?

The NPI number for Thomas Masterson is 1649224643. It was assigned to this individual provider in the NPPES registry on May 22, 2006.

Where is Thomas Masterson located?

Thomas Masterson practices at 9106 Pine View Ln, Clinton, MD 20735. The listed phone number is (703) 356-2037.

What is Thomas Masterson's specialty?

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

Is Thomas Masterson enrolled in Medicare?

Yes. Thomas Masterson 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.

Is Thomas Masterson affiliated with any hospitals?

According to CMS data, Thomas Masterson is affiliated with University Of MD Capital Region Medical Center and Luminis Health Anne Arundel Medical Center, Inc.

When was this NPI record last updated?

The NPPES record for Thomas Masterson was last updated on September 30, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.