MARVIN PHILLIP MASADA MD.
NPI 1891851929
Family Medicine in San Jose, CA

Active since January 01, 2007PECOS EnrolledAccepts Medicare Assignment
30.85/100
CMS Quality Rating
1569 LEXANN AVE, SUITE 128, SAN JOSE, CA 95121(408) 274-1654(408) 274-8021 Get Directions Write a Review

NPPES record last updated: May 20, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Marvin Phillip Masada Md. NPPES

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

MARVIN PHILLIP MASADA MD. (NPI 1891851929) is an individual family medicine provider in San Jose, California, licensed in California (A062906) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS and is a graduate of Medical College Of Wisconsin (1995).

NPPES Registry Identity

NPI1891851929
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMARVIN PHILLIP MASADACredential: MD.
Location Address1569 LEXANN AVE, SUITE 128San Jose, CA 95121-1794
Mailing Address1569 Lexann Ave, Suite 128San Jose, CA 95121-1794 · (408) 274-1654 · Fax (408) 274-8021
Fax(408) 274-8021
Sole ProprietorYes
Medical School CMSMedical College Of WisconsinGraduated 1995
Enumeration DateJanuary 1, 2007
Last NPPES UpdateMay 20, 2015
NPI 1891851929 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in CA · A062906
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1569 LEXANN AVE, San Jose, CA 95121

Other Identifiers 2

Medicare UPIN9351233CA
Medicare PINBF877ACA

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

Marvin Phillip Masada 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 ID1951461748
PECOS Enrollment IDI20090127000727
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 10

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, 20-29 minutes 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
499 services217 patients
Established patient office or other outpatient visit, 30-39 minutes 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.
165 services112 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
64 services64 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
63 services63 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
60 services60 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
35 services35 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95121 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
$106.47 typical visit price
range $70.37 – $206.04
Typical copayment $26.61 (range $17.59 – $51.51)
Most-billed visit code 99203
Established Patient
$121.77 typical visit price
range $23.96 – $169.60
Typical copayment $30.44 (range $5.99 – $42.40)
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.

30.85/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality20
Improvement Activities0
Cost76.17

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
16 suppliers39 claims88 services$5.65 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
7 suppliers14 claims18 services$0.99 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$13.62 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers20 claims20 services$58.89 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Pediatrics
1569 LEXANN AVE, SUITE 232
SAN JOSE, CA 95121
Pediatrics
1569 LEXANN AVE, SUITE # 230
SAN JOSE, CA 95121
Internal Medicine
1569 LEXANN AVE, SUITE 112
SAN JOSE, CA 95121
Dentist (General Practice)
1569 LEXANN AVE, SUITE 218
SAN JOSE, CA 95121
Dentist (General Practice)
1569 LEXANN AVE, SUITE 218
SAN JOSE, CA 95121
Specialist
1569 LEXANN AVE, SUITE 206
SAN JOSE, CA 95121
Dentist
1569 LEXANN AVE, SUITE 116
SAN JOSE, CA 95121
Internal Medicine
1569 LEXANN AVE, SUITE 112
SAN JOSE, CA 95121

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 Marvin Masada's NPI number?

The NPI number for Marvin Masada is 1891851929. It was assigned to this individual provider in the NPPES registry on January 1, 2007.

Where is Marvin Masada located?

Marvin Masada practices at 1569 Lexann Ave Suite 128, San Jose, CA 95121. The listed phone number is (408) 274-1654.

What is Marvin Masada's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Marvin Masada enrolled in Medicare?

Yes. Marvin Masada 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.

When was this NPI record last updated?

The NPPES record for Marvin Masada was last updated on May 20, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.