CARL A MAZZOLA MD
NPI 1801967138
Radiology - Diagnostic Radiology in St Charles, MO
About Carl A Mazzola Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CARL A MAZZOLA MD (NPI 1801967138) is an individual diagnostic radiology provider in St Charles, Missouri, licensed in Missouri (2004001466) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, is affiliated with Ssm St Joseph Health Center, and is a graduate of Saint Louis University School Of Medicine (1999).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Carl A Mazzola 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.
Medicare Billing Reassignments
3Medicare enrollment records show Carl Mazzola reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
St Charles, MO 63301
- Reassigned Medicare billing, Missouri enrollment
- 21 clinicians in this Medicare group
Chesterfield, MO 63017
- Reassigned Medicare billing, Missouri enrollment
- 32 clinicians in this Medicare group
O Fallon, MO 63366
- Reassigned Medicare billing, Missouri enrollment
- 697 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 50
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.
Hospital Affiliations CMS Care Compare 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Ssm St Joseph Health Center
Acute Care Hospitals · Saint Charles, MOSsm Health Depaul Hospital St Louis
Acute Care Hospitals · Bridgeton, MOBarnes-Jewish St Peters Hospital
Acute Care Hospitals · Saint Peters, MOSsm St Joseph Hospital West
Acute Care Hospitals · Lake Saint Louis, MOPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 63301 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES 14
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ST. CHARLES, MO 63301
ST CHARLES, MO 63301
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 Carl Mazzola's NPI number?
The NPI number for Carl Mazzola is 1801967138. It was assigned to this individual provider in the NPPES registry on November 10, 2006.
Where is Carl Mazzola located?
Carl Mazzola practices at 300 First Capitol Drive, St Charles, MO 63301. The listed phone number is (636) 947-5444.
What is Carl Mazzola's specialty?
The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.
Is Carl Mazzola enrolled in Medicare?
Yes. Carl Mazzola 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.
Which organizations bill Medicare for Carl Mazzola's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Carl Mazzola reassigns Medicare benefits to 3 organizations: Radiologic Imaging Consultants, LLP (St Charles, MO), Diagnostic Imaging Associates Ltd (Chesterfield, MO) and Ssm Medical Group, Inc. (O Fallon, MO). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Carl Mazzola's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Carl Mazzola accept?
Health plans from Anthem Blue Cross and Blue Shield list Carl Mazzola 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 Carl Mazzola affiliated with any hospitals?
According to CMS data, Carl Mazzola is affiliated with Ssm St Joseph Health Center, Ssm Health Depaul Hospital St Louis, Barnes-Jewish St Peters Hospital and Ssm St Joseph Hospital West.
When was this NPI record last updated?
The NPPES record for Carl Mazzola was last updated on March 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.