JIMMY R. MASCARO (D.O.) – Psychiatry Physician, NPI 1104998251

JIMMY R. MASCARO (D.O.) is a healthcare provider. based in Ottumwa, Iowa. specializing in PSYCHIATRY. They hold the professional credentials D.O.. They hold a License No. 3768 (IA). The NPI Number for JIMMY R. MASCARO (D.O.) is 1104998251

Main info

Male
25 Years Of Experience
Accepts Medicare Assignment
Name
JIMMY R. MASCARO (D.O.)
NPI
1104998251
Phone
(641) 683-4454
Address
312 E ALTA VISTA AVE
Enumeration Date
14 November 2006
Last Update Date
16 October 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6416828772
Graduation Year
2001 (25 years ago)
PAC ID
0042210973
Group Practice PAC ID
6002809647
Professional Enrollment ID
I20061228000077
Address ID
IA525013907OT1527XRDXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

304 PSYCHIATRY in IA

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Provider Addresses for JIMMY R. MASCARO (D.O.)

  • 312, East Alta Vista Avenue, Ottumwa, Wapello County, Iowa, 52501, United States

    OTTUMWA, IA 525011413

    Phone: (641) 683-4454

    Fax: (641) 683-4450

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 154 Open Payments records for all available years, with a total value of $81,617.

Total Amount is formed as General ($81,617) + Research ($0) + Ownership ($0) = $81,617.

Last reported payment date: 2024-12-23 • Largest payer in this snapshot: ABBVIE INC. ($66,939).

Total Amount

$81,617

General + Research + Ownership

Payments

154

Total payment records

General Amount

$81,617

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: 2006-12-28

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
I20061228000077IPsychiatryIATBD

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
Q3014Telehealth originating site facility fee34488$0
99213Established patient office or other outpatient visit, 20-29 minutes31282$0
99214Established patient office or other outpatient visit, 30-39 minutes8039$0
View full utilization report →

Insurance plans in this area (ZIP 52501)

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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: 6002809647View full group profile
NameSpecialtyState
Clinical Social WorkerIA
Nurse PractitionerIA
-IA
Clinical Social WorkerIA
Clinical Social WorkerIA
Clinical Social WorkerIA
Clinical Social WorkerIA
P S Y C H I A T R YNY
Clinical Social WorkerTX
-IA

Reviews

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Frequently asked questions

Does JIMMY R. MASCARO (D.O.) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — JIMMY R. MASCARO (D.O.) uses 1104998251.
Does CMS list JIMMY R. MASCARO (D.O.) as active?
Yes — JIMMY R. MASCARO (D.O.) is active in the NPI listing used on this page.
What healthcare role does JIMMY R. MASCARO (D.O.) hold?
Scheduling teams often label JIMMY R. MASCARO (D.O.) under Psychiatry Physician. Clinical services aligned with this taxonomy classification.
Does JIMMY R. MASCARO (D.O.) list a practice location?
Patients near Ottumwa, Iowa may find JIMMY R. MASCARO (D.O.) in results; validate coverage separately.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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