WILLIAM A CUSKELLY MD
NPI 1003882531
Family Medicine in Montezuma Creek, UT

Active since February 24, 2006PECOS EnrolledAccepts Medicare Assignment
1478 EAST HIGHWAY 162, MONTEZUMA CREEK, UT 84534(435) 651-3700(435) 678-0608 Get Directions Write a Review

NPPES record last updated: March 18, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About William A Cuskelly Md NPPES

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

WILLIAM A CUSKELLY MD (NPI 1003882531) is an individual family medicine provider in Montezuma Creek, Utah, licensed in Utah (181227-1205) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Blue Mountain Hospital, and is a graduate of University Of Washington School Of Medicine (1988).

NPPES Registry Identity

NPI1003882531
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameWILLIAM A CUSKELLYCredential: MD
Location Address1478 EAST HIGHWAY 162Montezuma Creek, UT 84534-0130
Mailing AddressPo Box 130Libby, MT 59923-0130 · (435) 651-3700 · Fax (435) 651-3376
Fax(435) 678-0608
Sole ProprietorNo
Medical School CMSUniversity Of Washington School Of MedicineGraduated 1988
Enumeration DateFebruary 24, 2006
Last NPPES UpdateMarch 18, 2022
NPPES CertifiedMarch 7, 2022
NPI 1003882531 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in UT · 181227-1205
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1478 EAST HIGHWAY 162, Montezuma Creek, UT 84534

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

William A Cuskelly Md 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 ID2668467390
PECOS Enrollment IDI20040420000794, I20150413002246
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.

Areas of Expertise CMS Part B claims 18

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.

Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
178 services87 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
170 services107 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
149 services103 patients
Blood test, lipids (cholesterol and triglycerides) 80061
A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.
66 services57 patients
Creatinine level to test for kidney function or muscle injury 82570
A creatinine level test measures the amount of creatinine in your blood. This substance is a waste product from normal muscle use. Higher levels can indicate possible kidney dysfunction or muscle injury. This test helps monitor kidney health.
43 services38 patients
Blood test, basic group of blood chemicals (calcium, total) 80048
A basic group blood test measures the levels of certain chemicals in your blood, including calcium. This helps assess your overall health and detect potential problems. The procedure involves drawing a small amount of blood from your arm, which is then analyzed in a lab.
39 services31 patients

Hospital Affiliations CMS Care Compare

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

Blue Mountain Hospital

Critical Access Hospitals · Blanding, UT
OwnershipVoluntary non-profit - Private
CMS Certification Number461310
Location802 South 200 WestBlanding, UT 84511 · San Juan County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84534 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
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
Established Patient
$96.35 typical visit price
range $17.23 – $135.20
Typical copayment $24.08 (range $4.30 – $33.80)
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.

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
29%289 patients2/55-star benchmark: 92%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
31%534 patients2/55-star benchmark: 85%
Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
20%359 patients1/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$91.12 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Physician Assistant
1478 EAST HIGHWAY 162
MONTEZUMA CREEK, UT 84534
Nurse Practitioner
1478 EAST HIGHWAY 162
MONTEZUMA CREEK, UT 84534
Counselor (Mental Health)
1478 EAST HIGHWAY 162
MONTEZUMA CREEK, UT 84534
Physician Assistant (Medical)
1478 EAST HIGHWAY 162
MONTEZUMA CREEK, UT 84534
Non-emergency Medical Transport (VAN)
1478 EAST HIGHWAY 162
MONTEZUMA CREEK, UT 84534
Nurse Practitioner (Family)
1478 EAST HIGHWAY 162
MONTEZUMA CREEK, UT 84534
Nurse Practitioner (Family)
1478 EAST HIGHWAY 162
MONTEZUMA CREEK, UT 84534
Dietitian, Registered
1478 EAST HIGHWAY 162
MONTEZUMA CREEK, UT 84534

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 William Cuskelly's NPI number?

The NPI number for William Cuskelly is 1003882531. It was assigned to this individual provider in the NPPES registry on February 24, 2006.

Where is William Cuskelly located?

William Cuskelly practices at 1478 East Highway 162, Montezuma Creek, UT 84534. The listed phone number is (435) 651-3700.

What is William Cuskelly's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is William Cuskelly enrolled in Medicare?

Yes. William Cuskelly 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.

What insurance does William Cuskelly accept?

Health plans from BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and University of Utah Health Plans list William Cuskelly 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.

Is William Cuskelly affiliated with any hospitals?

According to CMS data, William Cuskelly is affiliated with Blue Mountain Hospital.

When was this NPI record last updated?

The NPPES record for William Cuskelly was last updated on March 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.