DR. ROBERT L. MASCI M.D.
NPI 1730139619
Internal Medicine - Cardiovascular Disease in Newton, NJ

Active since May 11, 2006PECOS EnrolledAccepts Medicare Assignment
91.53/100
CMS Quality Rating
222 HIGH ST, SUITE 205, NEWTON, NJ 07860(973) 579-2100(973) 579-6638 Get Directions Write a Review

NPPES record last updated: November 27, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Robert L. Masci M.d. NPPES

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

DR. ROBERT L. MASCI M.D. (NPI 1730139619) is an individual cardiovascular disease provider in Newton, New Jersey, licensed in New Jersey (MA072673) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Morristown Medical Center, and is a graduate of Rutgers New Jersey Medical School (1983).

NPPES Registry Identity

NPI1730139619
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameDR. ROBERT L. MASCICredential: M.D.
Location Address222 HIGH ST, SUITE 205Newton, NJ 07860-9612
Mailing Address222 High St, Suite 205Newton, NJ 07860-9612 · (973) 579-2100 · Fax (973) 579-6638
Fax(973) 579-6638
Sole ProprietorNo
Medical School CMSRutgers New Jersey Medical SchoolGraduated 1983
Enumeration DateMay 11, 2006
Last NPPES UpdateNovember 27, 2012
NPI 1730139619 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in NJ · MA072673
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
222 HIGH ST, Newton, NJ 07860

Other Identifiers 6

Medicaid8621802NJ
OtherP00700130PA · Railroad Medicare
Medicare UPING11878NJ
Medicare PIN050300PXE
Other060067033NJ · Railroad Medicare
Medicare ID-Type Unspecified050300CNWNJ

Accepted 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. Robert L. Masci M.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 ID9739088758
PECOS Enrollment IDI20040108000090, I20101029000503
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 17

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.

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.
1,438 services734 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
823 services645 patients
Ultrasound of both sides of head and neck blood flow 93880
An ultrasound of the head and neck blood flow is a safe, non-invasive procedure that uses sound waves to create images of blood vessels. It helps detect abnormalities like blockages or clots, ensuring optimal blood flow.
182 services181 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
175 services169 patients
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.
112 services16 patients
Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439
Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.
111 services12 patients

Hospital Affiliations CMS Care Compare 4

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

Morristown Medical Center

Acute Care Hospitals · Morristown, NJ
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310015
Location100 Madison AveMorristown, NJ 07960 · Morris County
Emergency services Birthing friendly

Newton Medical Center

Acute Care Hospitals · Newton, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310028
Location175 High StNewton, NJ 07860 · Sussex County
Emergency services Birthing friendly

Bon Secours Community Hospital

Acute Care Hospitals · Port Jervis, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number330135
Location160 East Main StreetPort Jervis, NY 12771 · Orange County
Emergency services

Wayne Memorial Hospital

Acute Care Hospitals · Honesdale, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390125
Location601 Park StreetHonesdale, PA 18431 · Wayne County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07860 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
$144.86 typical visit price
range $63.84 – $190.92
Typical copayment $36.21 (range $15.96 – $47.73)
Most-billed visit code 99204
Established Patient
$79.09 typical visit price
range $20.97 – $155.92
Typical copayment $19.77 (range $5.24 – $38.98)
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.

91.53/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality91.69
Promoting Interoperability99
Improvement Activities40
Cost80.94

Reported Quality Measures

Advance Care Plan
100%1,138 patients5/55-star benchmark: 100%
Controlling High Blood Pressure
90%507 patients4/55-star benchmark: 98%
Coronary Artery Disease (CAD): Antiplatelet Therapy
83%657 patients4/55-star benchmark: 100%
Coronary Artery Disease (CAD): Beta-Blocker Therapy Prior Myocardial Infarction (MI) or Left Ventricular Systolic Dysfunction (LVEF <= 40%)
51%119 patients2/55-star benchmark: 99%
Documentation of Current Medications in the Medical Record
100%3,747 patients5/55-star benchmark: 100%
e-Prescribing
100%1,436 patients5/55-star benchmark: 100%
Heart Failure (HF): Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) or Angiotensin Receptor-Neprilysin Inhibitor (ARNI) Therapy for Left Ventricular Systolic Dysfunction (LVSD)
89%36 patients3/55-star benchmark: 100%
Heart Failure (HF): Beta-Blocker Therapy for Left Ventricular Systolic Dysfunction (LVSD)
84%38 patients2/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
100%1,693 patients5/55-star benchmark: 100%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
39%993 patients2/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 94% · 1,174 patients
Patients screened: 100% · 1,174 patients
8%76 patients1/55-star benchmark: 100%
Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling
Patients combinedPopulations: 100% · 1,174 patients
Patients screened: 100% · 1,174 patients
100%215 patients
Provide Patients Electronic Access to Their Health Information
97%811 patients4/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
79%949 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 1,156 patients
Patients totalRate: 0% · 1,156 patients
0%1,156 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Physical Therapist
222 HIGH ST, NORMAN SILBERT BUILDING, SUITE 203
NEWTON, NJ 07860
Podiatrist (Foot Surgery)
222 HIGH ST, STE 201
NEWTON, NJ 07860
Nurse Practitioner
222 HIGH ST, SUITE 205
NEWTON, NJ 07860
Internal Medicine
222 HIGH ST, SUITE 102
NEWTON, NJ 07860
Internal Medicine (Interventional Cardiology)
222 HIGH ST, SUITE 205
NEWTON, NJ 07860
Internal Medicine (Cardiovascular Disease)
222 HIGH ST, SUITE 205
NEWTON, NJ 07860
Internal Medicine (Pulmonary Disease)
222 HIGH ST, SUITE 102
NEWTON, NJ 07860
Clinic/Center (Medical Specialty)
222 HIGH ST, SUITE 201
NEWTON, NJ 07860

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 Robert Masci's NPI number?

The NPI number for Robert Masci is 1730139619. It was assigned to this individual provider in the NPPES registry on May 11, 2006.

Where is Robert Masci located?

Robert Masci practices at 222 High St Suite 205, Newton, NJ 07860. The listed phone number is (973) 579-2100.

What is Robert Masci's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Robert Masci enrolled in Medicare?

Yes. Robert Masci 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 Robert Masci accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Robert Masci 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 Robert Masci affiliated with any hospitals?

According to CMS data, Robert Masci is affiliated with Morristown Medical Center, Newton Medical Center, Bon Secours Community Hospital and Wayne Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Robert Masci was last updated on November 27, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.