CHARLES J. MASCIOLI M.D.
NPI 1891731915
Internal Medicine - Critical Care Medicine in Oak Ridge, TN

Q: What is Charles Mascioli's NPI number?

The NPI number for Charles Mascioli is 1891731915. It was assigned to this individual provider in the NPPES registry on June 20, 2006.

Q: What is Charles Mascioli's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Q: When was this NPI record last updated?

The NPPES record for Charles Mascioli was last updated on November 15, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.

Active since June 20, 2006PECOS Enrolled

100/100

CMS Quality Rating

990 OAK RIDGE TPKE, OAK RIDGE, TN 37830(865) 835-1000(865) 539-8008 Get Directions Write a Review

NPPES record last updated: November 15, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Charles J. Mascioli M.d. NPPES

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

CHARLES J. MASCIOLI M.D. (NPI 1891731915) is an individual critical care medicine provider in Oak Ridge, Tennessee, licensed in Tennessee (MD40673) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1891731915

Entity TypeIndividualMale

Primary Taxonomy207RC0200X

Provider Legal NameCHARLES J. MASCIOLICredential: M.D.

Location Address990 OAK RIDGE TPKEOak Ridge, TN 37830-6976

Mailing AddressPo Box 635134Cincinnati, OH 45263-0001

Phone(865) 835-1000

Fax(865) 539-8008

Sole ProprietorNo

Enumeration DateJune 20, 2006

Last NPPES UpdateNovember 15, 2007

✔ NPI 1891731915 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207RC0200X

License✔ Licensed in TN · MD40673

Definition

An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.

990 OAK RIDGE TPKE, Oak Ridge, TN 37830

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Other Identifiers 5

Medicaid3813856TN

OtherP00319878TN · Railroad Medicare

Other4125948TN · Blue Cross

Medicare UPINA59939TN

Medicare PIN3813856TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Charles J. Mascioli M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 3

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.

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

85 services33 patients

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.

20 services14 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

13 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37830 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

$121.80 typical visit price

range $52.64 – $160.89

Typical copayment $30.45 (range $13.16 – $40.22)

Most-billed visit code 99204

Established Patient

$93.60 typical visit price

range $16.72 – $131.41

Typical copayment $23.40 (range $4.18 – $32.85)

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.

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.

100/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

100

Improvement Activities

Reported Quality Measures

Care Plan

Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…

97%60 patients4/55-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.

MRS. LAUREN WALRAVEN HOWELL R.D.

Dietitian, Registered

990 OAK RIDGE TPKE, FOOD AND NUTRITION SERVICES
OAK RIDGE, TN 37830

Anderson County (865) 835-4109

CHUKWUMA UMUNAKWE M.D.

Emergency Medicine