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DR. JAMES MARIO MASSULLO MD
NPI 1689793747
Surgery in Columbus, OH

Active since March 28, 2007PECOS EnrolledAccepts Medicare Assignment
81.3/100
CMS Quality Rating
5131 BEACON HILL RD, SUITE 230, COLUMBUS, OH 43228(614) 544-1880(614) 544-1087 Get Directions Write a Review

NPPES record last updated: January 5, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 5, 2022, Sep 13, 2021 (2 updates tracked since 2021).

About Dr. James Mario Massullo Md NPPES

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

DR. JAMES MARIO MASSULLO MD (NPI 1689793747) is an individual surgery provider in Columbus, Ohio, licensed in Ohio (35-091384) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS, is affiliated with Grant Medical Center, and is a graduate of Northeastern Ohio University College Of Medicine (2004).

NPPES Registry Identity

NPI1689793747
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. JAMES MARIO MASSULLOCredential: MD
Location Address5131 BEACON HILL RD, SUITE 230Columbus, OH 43228-4442
Mailing Address5131 Beacon Hill Rd, Suite 230Columbus, OH 43228-4442 · (614) 544-1880 · Fax (614) 544-1087
Phone(614) 544-1880
Fax(614) 544-1087
Sole ProprietorNo
Medical School CMSNortheastern Ohio University College Of MedicineGraduated 2004
Enumeration DateMarch 28, 2007
Last NPPES UpdateJanuary 5, 20222 updates tracked since enumeration
NPPES CertifiedSeptember 13, 2021
✔ NPI 1689793747 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in OH · 35-091384
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
5131 BEACON HILL RD, Columbus, OH 43228
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, MedMutual.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. James Mario Massullo 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 ID3173675311
PECOS Enrollment IDI20100927000694
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 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.
19 services12 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
16 services16 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
15 services12 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Grant Medical Center

Acute Care Hospitals · Columbus, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360017
Location111 South Grant AvenueColumbus, OH 43215 · Franklin County
Emergency services Birthing friendly

Doctors Hospital

Acute Care Hospitals · Columbus, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360152
Location5100 West Broad StreetColumbus, OH 43228 · Franklin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43228 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
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.

81.3/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.58
Promoting Interoperability98
Improvement Activities40
Cost65.77

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.

ANDREA M BELL CNP
Nurse Practitioner (Family)
5131 BEACON HILL RD, SUITE 230
COLUMBUS, OH 43228
Franklin County (614) 544-1880
JAMES J PEREZ DO
Obstetrics & Gynecology
5131 BEACON HILL RD, SUITE 340
COLUMBUS, OH 43228
Franklin County (614) 544-1006
OHIO HEALTH CORPORATION
Obstetrics & Gynecology
5131 BEACON HILL RD, STE. 340
COLUMBUS, OH 43228
Franklin County (614) 544-1006
PETER EDWIN JOHNSTON DO
Orthopaedic Surgery
5131 BEACON HILL RD, SUITE 160
COLUMBUS, OH 43228
Franklin County (614) 544-1837
RACHEL MEHMERT DO
Student in an Organized Health Care Education/Training Program
5131 BEACON HILL RD
COLUMBUS, OH 43228
Franklin County (614) 544-1006
INTEGRATED GROUP PRACTICE LLC
Urology
5131 BEACON HILL RD, SUITE 220
COLUMBUS, OH 43228
Franklin County (614) 298-8150
SARA BALMERT M.A.
Audiologist
5131 BEACON HILL RD, SUITE 300
COLUMBUS, OH 43228
Franklin County (614) 853-1950
CENTRAL OHIO CARDIOVASCULAR CONSULTANTS, INC
Internal Medicine (Cardiovascular Disease)
5131 BEACON HILL RD, STE 120
COLUMBUS, OH 43228
Franklin County (614) 486-2000

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 James Massullo's NPI number?

The NPI number for James Massullo is 1689793747. It was assigned to this individual provider in the NPPES registry on March 28, 2007.

Where is James Massullo located?

James Massullo practices at 5131 Beacon Hill Rd Suite 230, Columbus, OH 43228. The listed phone number is (614) 544-1880.

What is James Massullo's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is James Massullo enrolled in Medicare?

Yes. James Massullo 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 James Massullo accept?

Health plans from CareSource and MedMutual list James Massullo 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 James Massullo affiliated with any hospitals?

According to CMS data, James Massullo is affiliated with Grant Medical Center and Doctors Hospital.

When was this NPI record last updated?

The NPPES record for James Massullo was last updated on January 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.