DR. JUSTIN LEE MASSENGALE (M.D.) – Neurological Surgery Physician, NPI 1003096736

DR. JUSTIN LEE MASSENGALE (M.D.) is a healthcare provider. based in Boston, Massachusetts. specializing in NEUROSURGERY. They hold the professional credentials M.D.. They hold a License No. 238944 (MA). The NPI Number for DR. JUSTIN LEE MASSENGALE (M.D.) is 1003096736

Main info

Male
25 Years Of Experience
Accepts Medicare Assignment
Name
DR. JUSTIN LEE MASSENGALE (M.D.)
NPI
1003096736
Phone
Not provided
Address
720 HARRISON AVE
Enumeration Date
9 November 2007
Last Update Date
5 March 2025

Doctor Profile

Medical School Name
STANFORD UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
5594484500
Graduation Year
2001 (25 years ago)
PAC ID
2769537042
Group Practice PAC ID
8921910225
Professional Enrollment ID
I20250314001140
Address ID
CA937202941FR7300XSTXX400

Contacts

SOAP Endpoint
https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness85
Years active:18State licenses:1Other namesUpdated within 12 months

223 NEUROSURGERY in MA

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Provider Addresses for DR. JUSTIN LEE MASSENGALE (M.D.)

  • Doctors Office Building, 720, Harrison Avenue, South End, Boston, Suffolk County, Massachusetts, 02118, United States

    DOB 503

    BOSTON, MA 021182371

    Phone:

    Type: Mailing

  • Shapiro Center, 725, Albany Street, South End, Boston, Suffolk County, Massachusetts, 02118, United States

    SHAPIRO 7, SUITE C

    BOSTON, MA 021182526

    Phone: (617) 638-8992

    Fax: (617) 638-8979

    Type: Location

  • 7300 N FRESNO ST

    FRESNO, CA 937202941

    Phone: (559) 448-4000

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 18 Open Payments records for all available years, with a total value of $1,437.

Total Amount is formed as General ($1,437) + Research ($0) + Ownership ($0) = $1,437.

Last reported payment date: 2024-06-18 • Largest payer in this snapshot: Relievant Medsystems, Inc. ($749).

Total Amount

$1,437

General + Research + Ownership

Payments

18

Total payment records

General Amount

$1,437

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-18

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: 2025-03-14

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20090910000316INeurosurgeryMATBD
I20250314001140INeurosurgeryCATBD

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
99213Established patient office or other outpatient visit, 20-29 minutes8856$0
99214Established patient office or other outpatient visit, 30-39 minutes7760$0
99212Established patient office or other outpatient visit, 10-19 minutes5034$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes4836$0
99221Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes4646$0
View full utilization report →

Insurance plans in this area (ZIP 02118)

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Provider's Procedures

DR. JUSTIN LEE MASSENGALE (M.D.) performs procedures in NEUROSURGERY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
NEUROSURGERYMA22842Insertion of posterior spinal instrumentation for spinal stabilization, 3 to 6 vertebral segments1212

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: 8921910225View full group profile
NameSpecialtyState
Emergency MedicineDC
Colorectal Surgery (Proctology), General SurgeryLA
-CA
Internal MedicineCA
Nurse PractitionerCA
Internal MedicineCA
Emergency MedicineCA
-MA
Emergency MedicineCA
-CA

Reviews

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Frequently asked questions

What federal number belongs to DR. JUSTIN LEE MASSENGALE (M.D.)?
The federal identifier for DR. JUSTIN LEE MASSENGALE (M.D.) is NPI 1003096736.
Is DR. JUSTIN LEE MASSENGALE (M.D.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize DR. JUSTIN LEE MASSENGALE (M.D.)'s specialty in plain language?
Clinically, the directory lists DR. JUSTIN LEE MASSENGALE (M.D.) with Neurological Surgery Physician. Clinical services aligned with this taxonomy classification.
What location shows for DR. JUSTIN LEE MASSENGALE (M.D.)?
We surface Boston, Massachusetts for DR. JUSTIN LEE MASSENGALE (M.D.) based on available NPPES addresses.
What if Boston, Massachusetts seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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