ETHAN J MUSGRAVE M.D.
NPI 1003023060
Psychiatry & Neurology - Child & Adolescent Psychiatry in Cincinnati, OH

Active since May 17, 2007Opted out of Medicare · through Oct 1, 2026
3333 BURNET AVE, ML 3014, CINCINNATI, OH 45229(513) 636-4788(513) 636-4283 Get Directions Write a Review

NPPES record last updated: April 28, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ethan J Musgrave M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ETHAN J MUSGRAVE M.D. (NPI 1003023060) is an individual child & adolescent psychiatry provider in Cincinnati, Ohio, licensed in Ohio (35.090109) and active in the NPI registry since May 2007. He has opted out of Medicare through October 1, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1003023060
Entity TypeIndividualMale
Primary Taxonomy2084P0804X
Provider Legal NameETHAN J MUSGRAVECredential: M.D.
Location Address3333 BURNET AVE, ML 3014Cincinnati, OH 45229-3039
Mailing Address3333 Burnet Ave, Ml 5012Cincinnati, OH 45229-3039 · (513) 636-8069 · Fax (513) 636-4272
Fax(513) 636-4283
Sole ProprietorNo
Enumeration DateMay 17, 2007
Last NPPES UpdateApril 28, 2008
NPI 1003023060 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
License Licensed in OH · 35.090109
Definition

Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

3333 BURNET AVE, Cincinnati, OH 45229

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Ethan J Musgrave M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 1, 2018 through October 1, 2026.

Opt-Out Effective DateOctober 1, 2018
Opt-Out In Effect ThroughOctober 1, 2026Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Radiology (Pediatric Radiology)
3333 BURNET AVE, ML 5031
CINCINNATI, OH 45229
Pediatrics (Pediatric Hematology-Oncology)
3333 BURNET AVE
CINCINNATI, OH 45229
Medical Genetics (Clinical Genetics (M.D.))
3333 BURNET AVE, ML 4006
CINCINNATI, OH 45229
Otolaryngology (Pediatric Otolaryngology)
3333 BURNET AVE, MLC 2018
CINCINNATI, OH 45229
Nurse Practitioner (Acute Care)
3333 BURNET AVE, ML 2003
CINCINNATI, OH 45229
Nurse Practitioner (Primary Care)
3333 BURNET AVE, ML 2018
CINCINNATI, OH 45229
Case Manager/Care Coordinator
3333 BURNET AVE
CINCINNATI, OH 45229
Pediatrics
3333 BURNET AVE, ML 2008
CINCINNATI, OH 45229

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ethan Musgrave's NPI number?

The NPI number for Ethan Musgrave is 1003023060. It was assigned to this individual provider in the NPPES registry on May 17, 2007.

Where is Ethan Musgrave located?

Ethan Musgrave practices at 3333 Burnet Ave Ml 3014, Cincinnati, OH 45229. The listed phone number is (513) 636-4788.

What is Ethan Musgrave's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Ethan Musgrave enrolled in Medicare?

No. Ethan Musgrave has opted out of Medicare through October 1, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Ethan Musgrave accept?

Health plans from Blue Cross and Blue Shield of NC list Ethan Musgrave as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ethan Musgrave was last updated on April 28, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.