DR. MICHAEL WILLIAM MARISCALCO M.D.
NPI 1912176140
Orthopaedic Surgery in Prince George, VA

Q: What is Michael Mariscalco's NPI number?

The NPI number for Michael Mariscalco is 1912176140. It was assigned to this individual provider in the NPPES registry on February 21, 2008.

Q: What is Michael Mariscalco's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Active since February 21, 2008PECOS EnrolledAccepts Medicare Assignment

76.36/100

CMS Quality Rating

4710 PUDDLEDOCK RD, SUITE 100, PRINCE GEORGE, VA 23875(804) 732-0095(804) 732-0055 Get Directions Write a Review

NPPES record last updated: September 12, 2020. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Dr. Michael William Mariscalco M.d. NPPES

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

DR. MICHAEL WILLIAM MARISCALCO M.D. (NPI 1912176140) is an individual orthopaedic surgery provider in Prince George, Virginia, licensed in Virginia (0101254090) and active in the NPI registry since February 2008. He is enrolled in Medicare PECOS, is affiliated with John Randolph Medical Center, and is a graduate of Wright State University Boonshoft School Of Medicine (2007).

NPPES Registry Identity

NPI1912176140

Entity TypeIndividualMale

Primary Taxonomy207X00000X

Provider Legal NameDR. MICHAEL WILLIAM MARISCALCOCredential: M.D.

Location Address4710 PUDDLEDOCK RD, SUITE 100Prince George, VA 23875-1237

Mailing Address1115 Boulders Pkwy, Suite 200North Chesterfield, VA 23225-4067 · (804) 560-5595 · Fax (804) 560-9029

Phone(804) 732-0095

Fax(804) 732-0055

Sole ProprietorNo

Medical School CMSWright State University Boonshoft School Of MedicineGraduated 2007

Enumeration DateFebruary 21, 2008

Last NPPES UpdateSeptember 12, 2020

NPPES CertifiedSeptember 12, 2020

✔ NPI 1912176140 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207X00000X

Licenses✔ Licensed in VA · 0101254090✔ Licensed in OH · 57.012988

Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

4710 PUDDLEDOCK RD, Prince George, VA 23875

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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. Michael William Mariscalco 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 ID7618127267

PECOS Enrollment IDI20131011001645

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 16

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

996 services188 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 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.

379 services307 patients

X-ray of shoulder, minimum of 2 views 73030

An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.

350 services269 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

235 services191 patients

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.

145 services126 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

82 services82 patients

X-ray of knee, 4 or more views 73564

An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.

63 services53 patients

Shaving of part of shoulder bone and repair of ligament using an endoscope 29826

This procedure involves using a tiny camera, called an endoscope, to view and repair a damaged shoulder ligament. Simultaneously, a small portion of the shoulder bone is shaved to alleviate discomfort and improve movement. It's a minimally invasive technique that aids in a quicker recovery.

40 services40 patients

Removal of extensive shoulder joint tissue using an endoscope 29823

This procedure, known as arthroscopic debridement, involves using a small camera (endoscope) to view your shoulder joint. Damaged or unwanted tissue is then carefully removed. This minimally invasive technique aims to reduce pain and improve joint mobility.

35 services35 patients

Repair of shoulder rotator cuff using an endoscope 29827

This procedure, known as arthroscopic rotator cuff repair, helps fix tears in the shoulder's rotator cuff. An endoscope, a small camera, is used to view the shoulder inside. Using small tools, the surgeon repairs the torn tissue. This minimally invasive approach often leads to a quicker recovery.

31 services31 patients

Prosthetic repair of shoulder joint, total shoulder 23472

Total shoulder prosthetic repair is a surgical procedure to replace a damaged shoulder joint with artificial components. It aims to relieve pain and restore mobility. The procedure involves replacing the ball (humeral head) and socket (glenoid) of the shoulder joint.

29 services29 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

29 services29 patients

Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg J0702

This injection contains two medications, betamethasone acetate and betamethasone sodium phosphate. It is used to reduce inflammation and pain. It's given by a healthcare professional, often directly into the area causing discomfort.

26 services12 patients

Partial removal of collar bone at shoulder using an endoscope 29824

This procedure involves the partial removal of the collar bone at the shoulder using an endoscope, a tool with a light and camera. It's done to relieve pain or improve shoulder movement. The surgeon makes small incisions, then uses the endoscope to guide their work.

24 services24 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.

12 services12 patients

X-ray of upper spine, 2-3 views 72040

An X-ray of the upper spine, with 2-3 views, is a painless procedure that employs a small amount of radiation to capture images of your neck and upper back. It assists in diagnosing conditions like arthritis, fractures, or spinal deformities.

11 services11 patients

Hospital Affiliations CMS Care Compare 5

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

John Randolph Medical Center

Acute Care Hospitals · Hopewell, VA

3/5 CMS rating

OwnershipProprietary

CMS Certification Number490020

Location411 West Randolph RoadHopewell, VA 23860 · Hopewell City County

Emergency services

Bon Secours Southside Medical Center

Acute Care Hospitals · Petersburg, VA

2/5 CMS rating

OwnershipProprietary

CMS Certification Number490067

Location200 Medical Park BoulevardPetersburg, VA 23805 · Petersburg City County

Emergency services Birthing friendly

Cjw Medical Center

Acute Care Hospitals · Richmond, VA

4/5 CMS rating

OwnershipProprietary

CMS Certification Number490112

Location7101 Jahnke RoadRichmond, VA 23235 · Chesterfield County

Emergency services

Henrico Doctors' Hospital

Acute Care Hospitals · Richmond, VA

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number490118

Location1602 Skipwith RoadRichmond, VA 23229 · Henrico County

Emergency services

Bon Secours St Francis Medical Center

Acute Care Hospitals · Midlothian, VA

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number490136

Location13710 St Francis BoulevardMidlothian, VA 23114 · Chesterfield County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23875 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

$86.88 typical visit price

range $56.19 – $170.30

Typical copayment $21.72 (range $14.04 – $42.57)

Most-billed visit code 99203

Established Patient

$70.08 typical visit price

range $18.07 – $138.91

Typical copayment $17.52 (range $4.51 – $34.72)

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.

76.36/100

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

Scored as part of a group practice

Quality

67.16

Promoting Interoperability

100

Improvement Activities

Cost

54.07

Referred Medical Equipment & Supplies CMS DME claims 2

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

Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated, includes fitting and adjustment L1820

DME-Orthotic Devices · category DF011N

2 suppliers15 claims15 services$111.82 avg. paid by Medicare

Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf L3670

DME-Orthotic Devices · category DF000N

2 suppliers29 claims29 services$98.74 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 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BALJIT S SIDHU MD

Orthopaedic Surgery

4710 PUDDLEDOCK RD, SUITE 100
PRINCE GEORGE, VA 23875

Prince George County (804) 732-0095

MR. ROBERT ALEXANDER LEHNER D.P.T.

Physical Therapist

4710 PUDDLEDOCK RD, SUITE 100
PRINCE GEORGE, VA 23875

Prince George County (804) 732-0035

LAUREN JONES PT, DPT

Physical Therapist

4710 PUDDLEDOCK RD, SUITE 100
PRINCE GEORGE, VA 23875

Prince George County (804) 732-0035

GREGORY BANKS

Physical Therapist

4710 PUDDLEDOCK RD, STE 100
PRINCE GEORGE, VA 23875

Prince George County (804) 732-0035

AMANDA W SAYERS PT

Physical Therapist (Orthopedic)

4710 PUDDLEDOCK RD, SUITE 100
PRINCE GEORGE, VA 23875

Prince George County (804) 732-0055

MR. JOHN C DODD PT, ATC

Physical Therapist

4710 PUDDLEDOCK RD
PRINCE GEORGE, VA 23875

Prince George County (804) 285-2645

AMANDA L GARNETT DPT

Physical Therapist

4710 PUDDLEDOCK RD
PRINCE GEORGE, VA 23875

Prince George County (804) 285-2645

MARK B MCKINLEY DPT

Physical Therapist

4710 PUDDLEDOCK RD, STE 100
PRINCE GEORGE, VA 23875

Prince George County (804) 732-0035

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 Michael Mariscalco's NPI number?

The NPI number for Michael Mariscalco is 1912176140. It was assigned to this individual provider in the NPPES registry on February 21, 2008.

Where is Michael Mariscalco located?

Michael Mariscalco practices at 4710 Puddledock Rd Suite 100, Prince George, VA 23875. The listed phone number is (804) 732-0095.

What is Michael Mariscalco's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Michael Mariscalco enrolled in Medicare?

Yes. Michael Mariscalco 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.

Is Michael Mariscalco affiliated with any hospitals?

According to CMS data, Michael Mariscalco is affiliated with John Randolph Medical Center, Bon Secours Southside Medical Center, Cjw Medical Center, Henrico Doctors' Hospital and Bon Secours St Francis Medical Center.

When was this NPI record last updated?

The NPPES record for Michael Mariscalco was last updated on September 12, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.