JACOB ANGELO MASCARO (MD) – Ophthalmology Physician, NPI 1962084038

JACOB ANGELO MASCARO (MD) is a healthcare provider. based in Prince george, Virginia. specializing in OPHTHALMOLOGY. They hold the professional credentials MD. They hold a License No. 0101285276 (VA). The NPI Number for JACOB ANGELO MASCARO (MD) is 1962084038

Main info

Male
5 Years Of Experience
Accepts Medicare Assignment
Name
JACOB ANGELO MASCARO (MD)
NPI
1962084038
Phone
(804) 287-4216
Address
2015 WATERSIDE RD
Enumeration Date
27 April 2021
Last Update Date
26 June 2025

Doctor Profile

Medical School Name
WEST VIRGINIA UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
8042874200
Graduation Year
2021 (5 years ago)
PAC ID
2769885664
Group Practice PAC ID
5799778320
Professional Enrollment ID
I20250814003025
Address ID
VA232263330RI400XXSTAT300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness85
Years active:5State licenses:1Digital endpointsOther names

565 OPHTHALMOLOGY in VA

Provider Addresses for JACOB ANGELO MASCARO (MD)

  • 2015 WATERSIDE RD

    PRINCE GEORGE, VA 238751265

    Phone: (804) 287-4216

    Type: Mailing

  • 401 N 11TH ST

    RICHMOND, VA 232191901

    Phone: (804) 828-8643

    Type: Location

  • VCUHS GMEA

    BOX 980257

    RICHMOND, VA 232980257

    Phone: (804) 828-9783

    Type: Mailing

  • VCUHS DEPT OF OPHTHALMOLOGY RESIDENCY, 980438

    1250 E. MARSHALL STREET

    RICHMOND, VA 232980438

    Phone: (804) 828-9315

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $23.

Total Amount is formed as General ($23) + Research ($0) + Ownership ($0) = $23.

Last reported payment date: 2023-09-01 • Largest payer in this snapshot: Alcon Vision LLC ($23).

Total Amount

$23

General + Research + Ownership

Payments

1

Total payment records

General Amount

$23

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-09-01

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Alcon Vision LLC$23
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: 2025-08-14

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
I20250814003025IOphthalmologyVATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 23875)

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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: 5799778320View full group profile
NameSpecialtyState
O P H T H A L M O L O G YVA
O P T O M E T R YVA
O P H T H A L M O L O G YVA
O P H T H A L M O L O G YAZ
-VA
O P H T H A L M O L O G YVA
O P H T H A L M O L O G YTX
O P H T H A L M O L O G YVA
-VA
O P H T H A L M O L O G YVA

Reviews

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Frequently asked questions

What federal number belongs to JACOB ANGELO MASCARO (MD)?
The federal identifier for JACOB ANGELO MASCARO (MD) is NPI 1962084038.
Is JACOB ANGELO MASCARO (MD) active in the national directory?
JACOB ANGELO MASCARO (MD)'s public NPI profile is in an active state.
Does JACOB ANGELO MASCARO (MD) list a primary specialty?
If you are matching referrals, note Ophthalmology Physician for JACOB ANGELO MASCARO (MD). Clinical services aligned with this taxonomy classification.
Where is JACOB ANGELO MASCARO (MD)'s primary listing?
We display Prince George, Virginia because that is what the record indicates for JACOB ANGELO MASCARO (MD).
What if Prince George, Virginia seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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