JOHN MICHAEL MASSARO (PA) – Physician Assistant, NPI 1376096602

JOHN MICHAEL MASSARO (PA) is a healthcare provider. based in Petersburg, Virginia. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. 0110005292 (VA). The NPI Number for JOHN MICHAEL MASSARO (PA) is 1376096602

Main info

Male
Sole Proprietor
11 Years Of Experience
Accepts Medicare Assignment
Name
JOHN MICHAEL MASSARO (PA)
NPI
1376096602
Phone
(804) 288-1953
Address
267 Medical Park Blvd
Enumeration Date
3 August 2016
Last Update Date
16 April 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8042881953
Graduation Year
2015 (11 years ago)
PAC ID
5890073548
Group Practice PAC ID
4385682590
Professional Enrollment ID
I20161031001887
Address ID
VA232944215HE7900XRDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness85
Years active:9State licenses:1Digital endpointsOther names

4,429 PHYSICIAN ASSISTANT in VA

Provider Addresses for JOHN MICHAEL MASSARO (PA)

  • 267 Medical Park Blvd

    Petersburg, VA 238059337

    Phone: (804) 288-1953

    Fax: (804) 282-1046

    Type: Location

  • 1396B Tappahannock Blvd

    Tappahannock, VA 225609309

    Phone: (804) 288-1953

    Fax: (804) 282-1046

    Type: Location

  • 6031 Staples Mill Rd

    Richmond, VA 232284923

    Phone: (804) 264-8782

    Fax: (804) 266-9214

    Type: Location

  • 8237 Meadowbridge Rd

    Mechanicsville, VA 231162329

    Phone: (804) 288-1953

    Fax: (804) 282-1046

    Type: Location

  • 7900 SHRADER RD

    HENRICO, VA 232944215

    Phone: (804) 288-1953

    Type: Mailing

  • 1339, Hilltop Road, Barracks / Rugby, Charlottesville, Virginia, 22903, United States

    CHARLOTTESVILLE, VA 229031224

    Phone:

    Type: Mailing

  • 51 WILLLIAM B. GRAHAM COURT

    KILMARNOCK, VA 22482

    Phone: (804) 435-0575

    Type: Location

  • 13460 Tredegar Lake Pkwy

    Midlothian, VA 231124070

    Phone: (804) 288-1953

    Type: Location

  • 8135 FOREST LN # 515057

    DALLAS, TX 752302472

    Phone: (804) 288-1953

    Fax: (804) 282-1046

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $91.

Total Amount is formed as General ($91) + Research ($0) + Ownership ($0) = $91.

Last reported payment date: 2024-08-07 • Largest payer in this snapshot: TACTILE SYSTEMS TECHNOLOGY INC ($69).

Total Amount

$91

General + Research + Ownership

Payments

2

Total payment records

General Amount

$91

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-07

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: 2016-10-31

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
I20161031001887IPhysician AssistantVATBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes242102$0
99239Hospital discharge day management, more than 30 minutes8282$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes5935$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes2121$0
View full utilization report →

Insurance plans in this area (ZIP 23805)

Loading plans...

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: 4385682590View full group profile
NameSpecialtyState
Vascular SurgeryVA
Nurse PractitionerVA
Vascular SurgeryVA
Nurse PractitionerVA
Nurse PractitionerVA
-VA
Vascular SurgeryVA
Physician AssistantVA
Physician AssistantVA
Physician AssistantVA

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Is JOHN MICHAEL MASSARO (PA) listed with a National Provider Identifier?
Yes — JOHN MICHAEL MASSARO (PA) has NPI 1376096602 on file in the registry.
Would JOHN MICHAEL MASSARO (PA) appear as active to a payer?
You can treat JOHN MICHAEL MASSARO (PA) as active for directory purposes; confirm clinical privileges separately.
How would a patient describe JOHN MICHAEL MASSARO (PA)'s focus?
For JOHN MICHAEL MASSARO (PA), the primary taxonomy reads as Physician Assistant. Clinical services aligned with this taxonomy classification.
What locale is associated with JOHN MICHAEL MASSARO (PA)?
Directory geography for JOHN MICHAEL MASSARO (PA) centers on Petersburg, Virginia.
Can I trust this NPI listing for JOHN MICHAEL MASSARO (PA)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

Similar Providers

7200 Glen Forest Dr Ste 106
NPI: 1235142795

MICHELLE A COOPER (PAC)

Physician Assistant
13916 HOWLETT LINE DR
NPI: 1073624888

BRIAN WAYNE MCCAULEY (PA-C)

Physician Assistant
9058 OLD SPRINGFIELD RD
NPI: 1073777306

KIMBERLY Y. FERGUSON (PA)

Physician Assistant
1260 Temple Ave
NPI: 1578899456

MRS. MARY E. BERGMAN (PA-C)

Physician Assistant
2580 FRONTAGE RD
NPI: 1497059729

IGNATIUS HALL

Physician Assistant
1090 RIVER RD
NPI: 1982979464

NICOLE M. KELLNER (PA)

Physician Assistant
9460 AMBERDALE DR STE D
NPI: 1245581677

MR. CHAD BELTOWSKI (PA)

Physician Assistant
1 LITTLE TRL
NPI: 1528303971

AMANDA CORNWELL (PA)

Physician Assistant
PO BOX 1722
NPI: 1780014233