Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1104810563 Individual Practitioner Male Practitioner

Dr. Ralph Eugene Massullo , MD

Dermatology - MOHS-Micrographic Surgery • Lecanto, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Ralph Massullo, MD is a certified Dermatology - MOHS-Micrographic Surgery practicing in Lecanto, FL. With approximately 41 years of clinical experience since graduating from West Virginia University School Of Medicine in 1985, Dr. Massullo delivers high-quality medical care to the local community at 525 N DACIE PT.

Dr. Massullo is affiliated with Suncoast Skin Solutions and accepts Medicare assignment.

Frequently performed procedures and clinical services include removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks, tissue transfer repair of wound (10.1 to 30.0 sq centimeters) of the scalp, arms, and/or legs, destruction of precancer skin growth, 2-14 growths. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

525 N Dacie Pt

Lecanto, FL 344618399

Telephone 3527462200
Fax 3527469320
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

West Virginia University School Of Medicine

Graduation Year

1985

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Dermatology - MOHS-Micrographic Surgery in Lecanto, FL

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
41 Yrs +3.0 yrs vs City Avg
City Avg: 38.0 Yrs
State Avg: 22.4 Yrs
Regional Practice Density
2 Specialists

Practicing in Lecanto, FL (163 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
57.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Massullo (41 Years) 41 Yrs
Lecanto Specialty Average (38.0 Years) 38.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks
511 407 $1324.58 $364.96
14021 Tissue transfer repair of wound (10.1 to 30.0 sq centimeters) of the scalp, arms, and/or legs
308 267 $1717.45 $843.36
17003 Destruction of precancer skin growth, 2-14 growths
283 46 $12.64 $6.14
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks
272 222 $800.73 $393.13
14041 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.1-30.0 sq cm
217 194 $1827.96 $888.40
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks
145 126 $1242.84 $375.65
13101 Complicated repair of wound of trunk, 2.6-7.5 cm
116 109 $770.68 $371.69
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs
104 100 $828.65 $404.50
99213 Established patient office or other outpatient visit, typically 15 minutes
98 82 $179.03 $86.93
14301 Repair of wound by transferring skin, 30.1-60.0 sq cm
83 76 $2155.58 $1062.16
17314 Removal and microscopic exam of growth of trunk, arms, or legs, each additional stage, 1-5 tissue blocks
81 76 $765.84 $377.02
14040 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less
80 77 $1505.85 $741.61
14001 Repair of wound of trunk by transferring skin, 10.1-30.0 sq cm
69 64 $1618.02 $780.87
15260 Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less)
67 66 $1975.16 $972.87
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm
66 65 $477.28 $119.43
17000 Destruction of skin growth
61 52 $131.81 $56.71
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm
54 51 $335.73 $81.47
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm
52 47 $547.90 $140.58
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm
44 44 $919.29 $437.21
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less
42 42 $1524.46 $589.76
14061 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.1-30.0 sq cm
34 33 $1971.88 $727.62
15220 Relocation of patient skin (20 sq centimeters or less) to scalp, arms, and/or legs
33 32 $1524.29 $511.72
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
33 28 $112.93 $54.67
11102 Tangential biopsy of single skin lesion
26 23 $193.23 $93.55
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
23 20 $253.34 $124.73
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg
19 13 $1.96 $0.97
11406 Removal of growth (4.0 centimeters) of the trunk, arms, or legs
19 18 $637.66 $157.00
14020 Repair of wound of scalp, arms, or legs by transferring skin, 10.0 sq cm or less
18 18 $1393.62 $685.87
11900 Injection into skin growth, 1-7 growths
17 14 $112.23 $48.76
11401 Removal of noncancer skin growth of body, arms, or legs, 0.6-1.0 cm
17 16 $304.31 $74.93
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
14 14 $221.64 $109.05
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm
14 14 $592.22 $291.37
11404 Removal of noncancer skin growth of body, arms, or legs, 3.1-4.0 cm
12 11 $441.36 $109.02
15240 Relocation of patient skin to forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet (20 sq centimeters or less)
11 11 $1844.98 $907.73

Medical Specialties & State Licenses

CMS Verified: 2022-11-12
Dermatology - MOHS-Micrographic Surgery Primary Specialty

NUCC Taxonomy Code: 207ND0101X

State License FL ME54469

The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.

Dermatology

NUCC Taxonomy Code: 207N00000X

State License FL ME54469

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Dermatology - Dermatopathology

NUCC Taxonomy Code: 207ND0900X

State License FL ME54469

A dermatopathologist has the expertise to diagnose and monitor diseases of the skin including infectious, immunologic, degenerative and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings and smears of skin lesions by means of routine and special (electron and fluorescent) microscopes.

Dermatology - Procedural Dermatology

NUCC Taxonomy Code: 207NS0135X

State License FL ME54469

Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers).

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
037329000 (FL)
Commercial Insurance / Payer ID Srrga
070002449 (FL)

Hospital & Practice Group Affiliations

Suncoast Skin Solutions

525 N Dacie Pt, Lecanto, FL 344618399

Phone: 8133211786

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

8 Associated Practitioners
Dr. William Welton , MD

Dermatology - MOHS-Micrographic Surgery

NPI 1043204365

Doctor of Medicine (M.D.)

NPI 1073507455

Doctor of Medicine (M.D.)

Ashton Wester , ARNP

Nurse Practitioner

NPI 1114461274

Advanced Registered Nurse Practitioner

Jason Sirel , APRN

Nurse Practitioner - Gerontology

NPI 1114643152

Advanced Practice Registered Nurse

Brian Bonomo , PA-C

Physician Assistant

NPI 1124012596

Physician Assistant (Certified)

Nancy Hindalong , APRN

Nurse Practitioner

NPI 1164075560

Advanced Practice Registered Nurse

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
📍
Updated Business Mailing Address November 12, 2022

Registered at 4651 VAN DYKE RD, LUTZ, FL 335584880 (Tel: 8133211786)

NPI Profile Active May 22, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location May 22, 2008

Registered at 525 N DACIE PT, LECANTO, FL 344618399 (Tel: 3527462200)

📍
Updated Business Mailing Address May 22, 2008

Registered at 525 N DACIE PT, LECANTO, FL 344618399 (Tel: 3527462200)

👤
Provider Name / Credentials Updated May 22, 2008

Recorded as RALPH MASSULLO, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 22, 2008

Dermatology (License #ME54469 in FL)

🟢
Initial NPI Registration & Enumeration August 31, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1104810563
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 31, 2005
Last Update: November 12, 2022
Sole Proprietor: No

Mailing Address

4651 Van Dyke Rd

Lutz, FL 335584880

Phone: 8133211786

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.