SARAH ROSE MASCOLO (PA-C) – Physician Assistant, NPI 1316785165

SARAH ROSE MASCOLO (PA-C) is a healthcare provider. based in Glastonbury, Connecticut. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. The NPI Number for SARAH ROSE MASCOLO (PA-C) is 1316785165

Main info

Female
2 Years Of Experience
Accepts Medicare Assignment
Name
SARAH ROSE MASCOLO (PA-C)
NPI
1316785165
Phone
(860) 657-3376
Address
622 HEBRON AVE STE 107
Enumeration Date
16 July 2024
Last Update Date
16 July 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8606573376
Graduation Year
2024 (2 years ago)
PAC ID
9638619588
Group Practice PAC ID
8628020757
Professional Enrollment ID
I20240906001953
Address ID
CT060335003GL622XXAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience17
Completeness75
Years active:1State licenses:0Digital endpointsOther names

3,244 PHYSICIAN ASSISTANT in CT

Provider Addresses for SARAH ROSE MASCOLO (PA-C)

  • 622 HEBRON AVE STE 107

    GLASTONBURY, CT 060335003

    Phone: (860) 657-3376

    Type: Location

  • 6 COOT RD

    LOCUST VALLEY, NY 115602019

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 43 Open Payments records for all available years, with a total value of $1,214.

Total Amount is formed as General ($1,214) + Research ($0) + Ownership ($0) = $1,214.

Last reported payment date: 2024-12-23 • Largest payer in this snapshot: Incyte Corporation ($230).

Total Amount

$1,214

General + Research + Ownership

Payments

43

Total payment records

General Amount

$1,214

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-23

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-09-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240906001953IPhysician AssistantCTTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 06033)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8628020757View full group profile
NameSpecialtyState
Nurse PractitionerCT
Nurse PractitionerCT
Nurse PractitionerNH
Physician AssistantCT
-CT

Reviews

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Frequently asked questions

How do I look up SARAH ROSE MASCOLO (PA-C) by NPI?
Use NPI 1316785165 when you need to reference SARAH ROSE MASCOLO (PA-C) in forms, claims, or directories.
Is SARAH ROSE MASCOLO (PA-C) currently active in the NPI registry?
CMS-published data lists SARAH ROSE MASCOLO (PA-C) as an active registrant.
What does SARAH ROSE MASCOLO (PA-C) treat or focus on?
Patients typically see SARAH ROSE MASCOLO (PA-C) under the specialty Physician Assistant. Clinical services aligned with this taxonomy classification.
What location shows for SARAH ROSE MASCOLO (PA-C)?
We surface Glastonbury, Connecticut for SARAH ROSE MASCOLO (PA-C) based on available NPPES addresses.
How can I contact SARAH ROSE MASCOLO (PA-C)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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