MATTHEW G MASIELLO MD NPI 1720083892
Pediatrics in Leominster, MA

Individual Male Pediatrics PECOS Enrolled MIPS Quality Score 95

About MATTHEW G MASIELLO MD

Matthew Masiello is a pediatrician established in Leominster, Massachusetts and his medical specialization is Pediatrics. The NPI number of Matthew Masiello is 1720083892 and was assigned on June 2005. The practitioner's primary taxonomy code is 208000000X with license number 58679 (MA). The provider is registered as an individual and his NPI record was last updated 2 years ago.

NPI
1720083892
Provider Name MATTHEW G MASIELLO MD
Provider Location Address60 HOSPITAL RD LEOMINSTER, MA 01453
Provider Mailing AddressPO BOX 415348 BOSTON, MA 02241
GenderMale
NPI Entity TypeIndividual
Is Sole Proprietor?No
Enumeration Date06-16-2005
Last Update Date11-09-2020

A pediatrician like Matthew G Masiello Md is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.Matthew Masiello is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices..

Matthew Masiello is a non-participating provider of Medicare. If you are a Medicare beneficiary this means the provider can charge up to 15% more than Medicare's approved amount for the cost of rendered services, in addition to your normal deductible and coinsurance costs. There are some states that restrict the limiting charge when you see non-participating provider. If you pay the full cost of your care up front, your non- participating provider should still submit a claim to Medicare. Afterward, you should receive reimbursement from Medicare for up 80% of the Medicare-approved amount for the services rendered.

The provider participated in Medicare's Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 95, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.



Primary Taxonomy

Taxonomy Code208000000X
ClassificationPediatrics
TypeAllopathic & Osteopathic Physicians
License No.58679
License StateMA
Taxonomy DescriptionA pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Business Address

MATTHEW G MASIELLO MD
60 HOSPITAL RD
LEOMINSTER, MA
ZIP 01453
Phone: (978) 466-2257
Fax: (978) 466-2291

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Mailing Address

MATTHEW G MASIELLO MD
PO BOX 415348
BOSTON, MA
ZIP 02241
Phone: (800) 225-8885
Fax: (508) 334-1977


PECOS Enrollment and Medicare Participation

What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.

Registered in PECOS? Yes
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Overall MIPS Quality Performance

The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in Medicare's Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.

MIPS Measure Score Weight Score
Quality 40% 100
The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.

There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.
Promoting Interoperability (PI) 25% 70
The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.

The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data.
Improvement Activities 15% 40
The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs.

The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores.
Cost 20% N/A
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.
MIPS Final Score - 95
The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1208000000XAllopathic & Osteopathic PhysiciansPediatricsMD048546LPANo

Taxonomy Description: a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
001395041MEDICAID (05)PA

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1720083892
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2740086818
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 4 + 0 + 0 + 8 + 6 + 8 + 1 + 8 + 24 = 68
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 68 = 22

The NPI number 1720083892 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1932192796MRS. ANNE F JOSEPHS MD
Individual
Pediatrics60 HOSPITAL RD
LEOMINSTER, MA 01453
(978) 466-2257
1174513782DR. JAN C ROCKWOOD MD
Individual
Emergency Medicine60 HOSPITAL RD
LEOMINSTER, MA 01453
(978) 466-2994
1699765297DR. SHAM RANG KHALSA MD
Individual
Emergency Medicine60 HOSPITAL RD
LEOMINSTER, MA 01453
(978) 466-2994
1124018734DR. LEEWOOD L LANE JR. MD
Individual
Emergency Medicine60 HOSPITAL RD
LEOMINSTER, MA 01453
(978) 466-2994
1275523946DR. ANTHONY G. DRAPPI MD
Individual
Emergency Medicine60 HOSPITAL RD
LEOMINSTER, MA 01453
(978) 466-2994
1497745848DR. GLENN ALLISON M.D.
Individual
Internal Medicine60 HOSPITAL RD
LEOMINSTER, MA 01453
(978) 466-4169
1063402493DR. JOSEPH C PALOMBA MD
Individual
Emergency Medicine60 HOSPITAL RD
LEOMINSTER, MA 01453
(978) 466-2994
1053375519COORDINATED PRIMARY CARE INC
Organization
Hospitalist60 HOSPITAL RD
LEOMINSTER, MA 01453
(978) 466-4169
1780648774 VAL W SLAYTON MD
Individual
Internal Medicine60 HOSPITAL RD
LEOMINSTER, MA 01453
(978) 466-2005
1649218967 SERGEY FUZAYLOV M.D.
Individual
Anesthesiology60 HOSPITAL RD LEOMINSTER HOSPITAL
LEOMINSTER, MA 01453
(978) 665-5800
1679512404 MICHAEL G POPIK MD
Individual
Radiology (Diagnostic Radiology)60 HOSPITAL RD RADIOLOGY DEPARTMENT
LEOMINSTER, MA 01453
(978) 466-2685
1376553693WACHUSETT EMERGENCY PHYSICIANS, PC
Organization
Emergency Medicine60 HOSPITAL RD
LEOMINSTER, MA 01453
(978) 466-2994
1972516318 ERIC DAMIAN SPAGNUOLO PA-C
Individual
Physician Assistant (Medical)60 HOSPITAL RD
LEOMINSTER, MA 01453
(978) 466-2585
1699865899 CHARLES H LOUCRAFT JR. PA
Individual
Physician Assistant60 HOSPITAL RD
LEOMINSTER, MA 01453
(978) 466-2994
1104982438 ROBERT STRAUBE HARPER M.D.
Individual
Pathology (Anatomic Pathology & Clinical Pathology)60 HOSPITAL RD PATHOLOGY DEPT.
LEOMINSTER, MA 01453
(978) 466-2860
1003961988 LILLIAN RICH M.D.
Individual
Emergency Medicine60 HOSPITAL RD WACHUSETT EMERGENCY PHYSICIANS
LEOMINSTER, MA 01453
(978) 466-2994
1467666107 LINDA BRISEBOIS NP
Individual
Nurse Practitioner (Family)60 HOSPITAL RD DEPARTMENT TAKE CHARGE
LEOMINSTER, MA 01453
(978) 466-2060
1013126432 GERMAINE EARLE-CRUICKSHANKS D.O
Individual
Obstetrics & Gynecology (Hospice and Palliative Medicine)60 HOSPITAL RD HEALTH ALLIANCE HOSPITAL
LEOMINSTER, MA 01453
(978) 466-2000
1285880716HEALTHALLIANCE PATHOLOGY, LLC
Organization
Pathology (Anatomic Pathology & Clinical Pathology)60 HOSPITAL RD
LEOMINSTER, MA 01453
(978) 466-2860
1851623714COORDINATED PRIMARY CARE, INC.
Organization
Hospitalist60 HOSPITAL RD
LEOMINSTER, MA 01453
(978) 466-2257

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
Matthew G Masiello Md is registered as an entity type code: 1. The entity type code describes the type of health care provider that is being assigned an NPI. The entity type codes are:

  • 1 = Person: individual human being who furnishes health care.
  • 2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.