DR. RALPH EUGENE JR. MASSULLO (MD) – MOHS-Micrographic Surgery Physician, NPI 1104810563
MOHS-Micrographic Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,366 DERMATOLOGY in FL
Provider Addresses for DR. RALPH EUGENE JR. MASSULLO (MD)
525 N DACIE PT
LECANTO, FL 344618399
Phone: (352) 746-2200
Fax: (352) 746-9320
Type: Mailing
4651 VAN DYKE RD
LUTZ, FL 335584880
Phone: (813) 321-1786
Fax: (813) 321-1787
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 20 Open Payments records for all available years, with a total value of $375.
Total Amount is formed as General ($375) + Research ($0) + Ownership ($0) = $375.
Last reported payment date: 2024-12-02 • Largest payer in this snapshot: ABBVIE INC. ($137).
Total Amount
$375
General + Research + Ownership
Payments
20
Total payment records
General Amount
$375
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-02
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $137 |
| E.R. Squibb & Sons, L.L.C. | $128 |
| LEO Pharma Inc. | $37 |
| Novartis Pharmaceuticals Corporation | $24 |
| Lilly USA, LLC | $21 |
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: 2010-07-09
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20100709000769 | I | Dermatology | FL | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 77401 | Superficial and/or low voltage radiation treatment delivery | 901 | 100 | $0 |
| 17003 | Destruction of precancer skin growth, 2-14 growths | 491 | 94 | $0 |
| 17311 | Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks | 438 | 357 | $0 |
| 14021 | Repair of wound of scalp, arms, or legs by transferring skin, 10.1-30.0 sq cm | 292 | 255 | $0 |
| 17312 | Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks | 259 | 199 | $0 |
Insurance plans in this area (ZIP 34461)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DERMATOLOGY | FL | 14060 | Tissue transfer repair of wound (10 sq centimeters or less) of eyelids, nose, ears, and/or lips | 38 | 36 |
| DERMATOLOGY | FL | 77300 | Calculation of radiation therapy dose | 22 | 22 |
| DERMATOLOGY | FL | 88304 | Pathology examination of tissue using a microscope, moderately low complexity | 42 | 40 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | FL | |
| Nurse Practitioner | FL | |
| D E R M A T O L O G Y | FL | |
| - | FL | |
| Physician Assistant | FL | |
| D E R M A T O L O G Y | FL | |
| Nurse Practitioner | FL | |
| Physician Assistant | FL | |
| Dermatology, Micrographic Dermatologic Surgery (Mds) | FL | |
| Physician Assistant | FL |
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