Active NPI 1649224643 Individual Practitioner Male Practitioner

Dr. Thomas M Masterson , MD

Internal Medicine • Clinton, MD

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Thomas Masterson, MD is a certified Internal Medicine practicing in Clinton, MD. With approximately 42 years of clinical experience since graduating from University Of Virginia School Of Medicine in 1984, Dr. Masterson delivers high-quality medical care to the local community at 9106 PINE VIEW LN.

Dr. Masterson is affiliated with M Medical Group, Inc. and accepts Medicare assignment.

Frequently performed procedures and clinical services include chronic care management services, first, subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least, initial nursing facility visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

9106 Pine View Ln

Clinton, MD 207353229

Telephone 7033562037

Fax 7037348987

Associated Practice Facility / Clinic

🏢 Pineview Extended Care Centre, Inc. Facility NPI 1245234939

Medicare Profile & Education

Medical School

University Of Virginia School Of Medicine

Graduation Year

1984

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Clinton, MD

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

42 Yrs +19.0 yrs vs City Avg

City Avg: 23.0 Yrs

State Avg: 28.1 Yrs

Regional Practice Density

26 Specialists

Practicing in Clinton, MD (4114 Statewide)

Telehealth Adoption Rate

30.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

49.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Masterson (42 Years) 42 Yrs

Clinton Specialty Average (23.0 Years) 23.0 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
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	1,779	492	$56.00	$53.70
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	571	244	$200.00	$80.22
99306 Initial nursing facility visit, typically 45 minutes per day	454	421	$400.00	$194.91
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	341	184	$250.00	$115.99
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	103	77	$300.00	$165.55
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	82	81	$300.00	$142.94
99316 Nursing facility discharge management, more than 30 minutes	68	67	$250.00	$140.88
99497 Advance care planning, first 30 minutes	58	55	$144.00	$79.98
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	48	34	$100.00	$43.64
99315 Nursing facility discharge day management, 30 minutes or less	32	30	$200.00	$87.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	1,198	339	$199.80	$81.71
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	933	353	$249.22	$116.39
99306 Initial nursing facility visit, typically 45 minutes per day	310	300	$400.00	$197.25
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	185	128	$298.42	$166.10
99316 Nursing facility discharge management, more than 30 minutes	78	73	$250.00	$140.05
99497 Advance care planning, first 30 minutes	51	48	$144.00	$81.88
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	46	39	$100.00	$42.67
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	37	37	$300.00	$146.02
99315 Nursing facility discharge day management, 30 minutes or less	31	31	$200.00	$88.40

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	1,144	336	$199.91	$76.84
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	910	395	$248.84	$100.63
99306 Initial nursing facility visit, typically 45 minutes per day	603	535	$394.44	$179.50
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	163	121	$297.46	$146.60
99316 Nursing facility discharge management, more than 30 minutes	111	109	$249.12	$113.44
99497 Advance care planning, first 30 minutes	71	60	$144.00	$83.43
99356 Prolonged inpatient or observation hospital service, first hour	49	39	$153.00	$99.02
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	37	36	$100.00	$47.21
99315 Nursing facility discharge day management, 30 minutes or less	30	30	$200.00	$78.04
99318 Nursing facility annual assessment, typically 30 minutes	23	23	$220.00	$99.75
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	17	17	$286.78	$142.14
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	12	12	$133.05	$103.93

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	1,847	394	$200.00	$78.21
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	1,725	414	$250.00	$102.92
99306 Initial nursing facility visit, typically 45 minutes per day	453	382	$398.94	$186.36
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	254	141	$300.00	$152.28
99316 Nursing facility discharge management, more than 30 minutes	203	185	$250.00	$118.01
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	25	22	$100.00	$49.62
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	22	19	$300.00	$145.38
99318 Nursing facility annual assessment, typically 30 minutes	15	15	$220.00	$107.53
99315 Nursing facility discharge day management, 30 minutes or less	13	13	$200.00	$82.19

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	2,020	286	$200.02	$78.55
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	1,539	300	$250.00	$103.33
99306 Initial nursing facility visit, typically 45 minutes per day	373	302	$400.00	$187.18
99316 Nursing facility discharge management, more than 30 minutes	212	183	$251.18	$117.39
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	103	65	$300.00	$152.11
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	88	30	$100.00	$49.83

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	1,499	350	$250.00	$101.70
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	1,324	356	$200.00	$76.49
99306 Initial nursing facility visit, typically 45 minutes per day	457	369	$399.53	$182.52
99316 Nursing facility discharge management, more than 30 minutes	232	202	$250.00	$116.84
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	130	91	$299.62	$150.23
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	59	28	$100.00	$48.79
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	24	21	$300.00	$141.10

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	981	234	$259.75	$101.27
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	813	217	$208.56	$76.82
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	359	102	$162.53	$49.18
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	294	121	$335.29	$150.22
99306 Initial nursing facility visit, typically 45 minutes per day	242	205	$435.73	$183.54
99316 Nursing facility discharge management, more than 30 minutes	130	123	$259.69	$114.86
99315 Nursing facility discharge day management, 30 minutes or less	33	33	$206.24	$80.62
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	21	18	$328.81	$138.80
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	15	15	$318.93	$100.89

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	1,302	233	$208.10	$74.31
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	525	176	$273.62	$98.24
99306 Initial nursing facility visit, typically 45 minutes per day	233	212	$492.21	$177.38
99315 Nursing facility discharge day management, 30 minutes or less	156	152	$183.81	$78.60
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	31	26	$400.58	$145.95
99316 Nursing facility discharge management, more than 30 minutes	26	25	$233.88	$113.32
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	26	25	$277.12	$97.73
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	21	19	$135.00	$47.95

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License MD D50534

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Internal Medicine

NUCC Taxonomy Code: 207R00000X

State License VA 0101038350

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Medical License

0101038350 (VA)

Hospital & Practice Group Affiliations

M Medical Group, Inc.

2131 O St Nw, Washington, DC 200371008

Phone: 2027852577

M Medical Group, Inc.

22 S Athol Ave, Baltimore, MD 212293405

Phone: 4109473052

M Medical Group, Inc.

11150 Resort Rd, Ellicott City, MD 210422050

Phone: 4108709380

M Medical Group, Inc.

22 S Athol Ave, Baltimore, MD 212293405

Phone: 4109473052

Practice Associates & Co-Workers

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

1 Associated Practitioners

Patricia Grimes , NP

Nurse Practitioner - Family

NPI 1396841730

Nurse Practitioner

Career & Practice History Timeline

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

11 Historical Events

✅

NPI Profile Active September 30, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location September 30, 2017

Registered at 9106 PINE VIEW LN, CLINTON, MD 207353229 (Tel: 7033562037)

📍

Updated Business Mailing Address September 30, 2017

Registered at 2100 POWELL ST, STE 900, EMERYVILLE, CA 946081844 (Tel: 5103502842)

👤

Provider Name / Credentials Updated September 30, 2017

Recorded as THOMAS MASTERSON, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 30, 2017

Internal Medicine (License #0101038350 in VA)

✅

NPI Profile Active December 08, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location December 08, 2016

Registered at 9106 PINE VIEW LN, CLINTON, MD 207353229 (Tel: 7033562037)

📍

Updated Business Mailing Address December 08, 2016

Registered at 2100 POWELL ST, STE 900, EMERYVILLE, CA 946081844 (Tel: 5108517423)

👤

Provider Name / Credentials Updated December 08, 2016

Recorded as THOMAS MASTERSON, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 08, 2016

Internal Medicine (License #D50534 in MD)

🟢

Initial NPI Registration & Enumeration May 22, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1649224643

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: May 22, 2006

Last Update: September 30, 2017

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

2100 Powell St, Ste 900

Emeryville, CA 946081844

Phone: 5103502842

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.