DR. AUSTIN MCCUISTON M.D.
NPI 1003221607
Pathology - Anatomic Pathology & Clinical Pathology in Paducah, KY

Active since June 23, 2014PECOS EnrolledAccepts Medicare Assignment
76.82/100
CMS Quality Rating
2501 KENTUCKY AVE, PADUCAH, KY 42003(270) 575-2244(270) 575-8375 Get Directions Write a Review

NPPES record last updated: November 4, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 4, 2025, Apr 11, 2019 (2 updates tracked since 2019).

About Dr. Austin Mccuiston M.d. NPPES

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

DR. AUSTIN MCCUISTON M.D. (NPI 1003221607) is an individual anatomic pathology & clinical pathology provider in Paducah, Kentucky, licensed in Kentucky (52315) and active in the NPI registry since June 2014. He is enrolled in Medicare PECOS, is affiliated with Massac Memorial Hospital, and is a graduate of University Of Louisville School Of Medicine (2014).

NPPES Registry Identity

NPI1003221607
Entity TypeIndividualMale
Primary Taxonomy207ZP0102X
Provider Legal NameDR. AUSTIN MCCUISTONCredential: M.D.
Location Address2501 KENTUCKY AVEPaducah, KY 42003-3813
Mailing AddressPo Box 8317Paducah, KY 42002-8317 · (270) 575-2244 · Fax (270) 575-8375
Fax(270) 575-8375
Sole ProprietorNo
Medical School CMSUniversity Of Louisville School Of MedicineGraduated 2014
Enumeration DateJune 23, 2014
Last NPPES UpdateNovember 4, 20252 updates tracked since enumeration
NPPES CertifiedNovember 4, 2025
✔ NPI 1003221607 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
License✔ Licensed in KY · 52315
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
2501 KENTUCKY AVE, Paducah, KY 42003

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Austin Mccuiston M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6305062076
PECOS Enrollment IDI20190523002540
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Austin Mccuiston reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Anatomic Pathology & Clinical Pathology
2501 KENTUCKY AVE
Paducah, KY 42003
  • Reassigned Medicare billing, Kentucky enrollment
  • 7 clinicians in this Medicare group
Family Medicine
543 POWELL ST
Benton, KY 42025
  • Reassigned Medicare billing, Kentucky enrollment
  • 99 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 16

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
1,794 services852 patients
Cell examination of specimen, selective cellular enhancement technique 88112
Cell examination of a specimen using selective cellular enhancement technique is a lab process that improves the visibility of certain cells in a sample. It helps in identifying abnormalities or diseases. The process is non-invasive, safe, and aids in accurate diagnosis.
269 services220 patients
Special stained specimen slides to examine tissue, each additional procedure 88341
Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.
205 services46 patients
Pathology examination of tissue using a microscope, moderately low complexity 88304
A pathology examination of tissue, moderately low complexity, involves studying a small sample of your body tissue under a microscope. It helps to identify any abnormal cells or diseases. It's a routine procedure, not complex, and provides crucial insights for your diagnosis.
94 services93 patients
Pathology examination of tissue using a microscope, moderately high complexity 88307
A pathology examination of tissue with moderate complexity involves a detailed study of a small tissue sample from your body. Using a microscope, experts analyze the tissue's structure and cells to identify any abnormalities. This helps in diagnosing various health conditions accurately.
78 services55 patients
Special stained specimen slides to examine tissue, initial procedure 88342
This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.
69 services61 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Massac Memorial Hospital

Critical Access Hospitals · Metropolis, IL
OwnershipProprietary
CMS Certification Number141323
Location28 Chick Street, PO Box 850Metropolis, IL 62960 · Massac County
Emergency services

Mercy Health - Lourdes Hospital

Acute Care Hospitals · Paducah, KY
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number180102
Location1530 Lone Oak RoadPaducah, KY 42003 · Mc Cracken County
Emergency services Birthing friendly

Baptist Health Paducah

Acute Care Hospitals · Paducah, KY
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number180104
Location2501 Kentucky AvenuePaducah, KY 42003 · Mc Cracken County
Emergency services Birthing friendly

Livingston Hospital And Healthcare Services, Inc

Critical Access Hospitals · Salem, KY
OwnershipVoluntary non-profit - Private
CMS Certification Number181320
Location131 Hospital DriveSalem, KY 42078 · Livingston County
Emergency services

Caldwell Medical Center

Critical Access Hospitals · Princeton, KY
OwnershipVoluntary non-profit - Private
CMS Certification Number181322
Location100 Medical Center DrivePrinceton, KY 42445 · Caldwell County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42003 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

76.82/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.18
Promoting Interoperability99
Improvement Activities40
Cost49.4

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.

Pharmacist
2501 KENTUCKY AVE
PADUCAH, KY 42003
Nurse Practitioner
2501 KENTUCKY AVE
PADUCAH, KY 42003
Nurse Practitioner
2501 KENTUCKY AVE
PADUCAH, KY 42003
Physician Assistant (Surgical)
2501 KENTUCKY AVE
PADUCAH, KY 42003
Nurse Practitioner
2501 KENTUCKY AVE
PADUCAH, KY 42003
Registered Nurse (Emergency)
2501 KENTUCKY AVE
PADUCAH, KY 42003
Emergency Medicine
2501 KENTUCKY AVE
PADUCAH, KY 42003
Internal Medicine
2501 KENTUCKY AVE
PADUCAH, KY 42003

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 Austin Mccuiston's NPI number?

The NPI number for Austin Mccuiston is 1003221607. It was assigned to this individual provider in the NPPES registry on June 23, 2014.

Where is Austin Mccuiston located?

Austin Mccuiston practices at 2501 Kentucky Ave, Paducah, KY 42003. The listed phone number is (270) 575-2244.

What is Austin Mccuiston's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is Austin Mccuiston enrolled in Medicare?

Yes. Austin Mccuiston is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Austin Mccuiston's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Austin Mccuiston reassigns Medicare benefits to 2 organizations: Pathology Associates Of Paducah, Psc (Paducah, KY) and Murray-Calloway County Public Hospital Corporation (Benton, KY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Austin Mccuiston's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Austin Mccuiston affiliated with any hospitals?

According to CMS data, Austin Mccuiston is affiliated with Massac Memorial Hospital, Mercy Health - Lourdes Hospital, Baptist Health Paducah, Livingston Hospital And Healthcare Services, Inc and Caldwell Medical Center.

When was this NPI record last updated?

The NPPES record for Austin Mccuiston was last updated on November 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.