ANDRES ANTONIO MASCARO PANKOVA (M.D.) – Plastic Surgery Physician, NPI 1922397116

ANDRES ANTONIO MASCARO PANKOVA (M.D.) is a healthcare provider. based in New haven, Connecticut. specializing in PLASTIC AND RECONSTRUCTIVE SURGERY. They hold the professional credentials M.D.. They hold a License No. 25MA08865700 (NJ). The NPI Number for ANDRES ANTONIO MASCARO PANKOVA (M.D.) is 1922397116

Main info

Male
Sole Proprietor
15 Years Of Experience
Accepts Medicare Assignment
Name
ANDRES ANTONIO MASCARO PANKOVA (M.D.)
NPI
1922397116
Phone
(215) 421-3494
Address
330 CEDAR ST FL 3
Enumeration Date
29 March 2011
Last Update Date
10 January 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9546595000
Graduation Year
2011 (15 years ago)
PAC ID
3779843347
Group Practice PAC ID
7911807128
Professional Enrollment ID
I20190219001655
Address ID
FL333313609WE2950XBLVD400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness75
Years active:15State licenses:3Digital endpointsOther names

394 PLASTIC AND RECONSTRUCTIVE SURGERY in PA

Provider Addresses for ANDRES ANTONIO MASCARO PANKOVA (M.D.)

  • 330 CEDAR ST FL 3

    DEPT. OF PLASTIC SURGERY

    NEW HAVEN, CT 065103218

    Phone: (215) 421-3494

    Type: Mailing

  • 1500 LANSDOWNE AVE

    DEPT. OF SURGERY

    DARBY, PA 190231291

    Phone: (215) 421-3494

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 19 Open Payments records for all available years, with a total value of $1,873.

Total Amount is formed as General ($1,873) + Research ($0) + Ownership ($0) = $1,873.

Last reported payment date: 2024-10-25 • Largest payer in this snapshot: Integra LifeSciences Corporation ($328).

Total Amount

$1,873

General + Research + Ownership

Payments

19

Total payment records

General Amount

$1,873

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-25

Latest reported date

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: 2019-02-19

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
I20190219001655IPlastic And Reconstructive SurgeryFLTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99204New patient office or other outpatient visit, 45-59 minutes5757$0
99214Established patient office or other outpatient visit, 30-39 minutes2319$0
99213Established patient office or other outpatient visit, 20-29 minutes1311$0
View full utilization report →

Insurance plans in this area (ZIP 06510)

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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: 7911807128View full group profile

Reviews

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Frequently asked questions

What number should I use to identify ANDRES ANTONIO MASCARO PANKOVA (M.D.) for billing?
Administrative and clinical systems typically use NPI 1922397116 for ANDRES ANTONIO MASCARO PANKOVA (M.D.).
Is ANDRES ANTONIO MASCARO PANKOVA (M.D.) currently accepting referrals based on NPI status?
Registry metadata lists ANDRES ANTONIO MASCARO PANKOVA (M.D.) as active.
What does the directory say ANDRES ANTONIO MASCARO PANKOVA (M.D.) does?
Insurance directories may phrase it differently, but here ANDRES ANTONIO MASCARO PANKOVA (M.D.) maps to Plastic Surgery Physician. Clinical services aligned with this taxonomy classification.
Is ANDRES ANTONIO MASCARO PANKOVA (M.D.) tied to New Haven, Connecticut?
If you are local to New Haven, Connecticut, ANDRES ANTONIO MASCARO PANKOVA (M.D.) may be relevant to your search.
Who maintains ANDRES ANTONIO MASCARO PANKOVA (M.D.)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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