DR. DELENE PRENITA MUSIELAK M.D.
NPI 1033348057
Internal Medicine in Saint Louis, MO

Active since July 12, 2009PECOS Enrolled
8857B LADUE RD, SAINT LOUIS, MO 63124(314) 682-3626(314) 590-5954 Get Directions Write a Review

NPPES record last updated: February 17, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 17, 2023, Feb 11, 2021, May 10, 2019 and 1 more (4 updates tracked since 2017).

About Dr. Delene Prenita Musielak M.d. NPPES

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

DR. DELENE PRENITA MUSIELAK M.D. (NPI 1033348057) is an individual internal medicine provider in Saint Louis, Missouri, licensed in Missouri (2019012317) and active in the NPI registry since July 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1033348057
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. DELENE PRENITA MUSIELAKCredential: M.D.
Location Address8857B LADUE RDSaint Louis, MO 63124-2058
Mailing Address8857b Ladue RdSaint Louis, MO 63124-2058 · (146) 823-6263 · Fax (314) 590-5933
Fax(314) 590-5954
Sole ProprietorYes
Enumeration DateJuly 12, 2009
Last NPPES UpdateFebruary 17, 20234 updates tracked since enumeration
NPPES CertifiedFebruary 17, 2023
NPI 1033348057 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses Licensed in MO · 2019012317 Licensed in KY · 46271
Definition
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.
Also ListedPediatricsTaxonomy 208000000X · License 2019012317 (MO)
8857B LADUE RD, Saint Louis, MO 63124

Other Names 1

Former Name (1)Delene Prenita Etwaru Md

Other Identifiers 2

Other1033348057GA · Bcbs-ga
Medicaid003159470AGA

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 (PECOS)

Dr. Delene Prenita Musielak M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63124 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
$128.28 typical visit price
range $55.65 – $169.38
Typical copayment $32.07 (range $13.91 – $42.34)
Most-billed visit code 99204
Established Patient
$98.37 typical visit price
range $17.76 – $137.92
Typical copayment $24.59 (range $4.44 – $34.48)
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
69%112 patients4/55-star benchmark: 92%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
72%153 patients4/55-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
43%77 patients2/55-star benchmark: 100%
Diabetes: Medical Attention for Nephropathy
The percentage of patients 18-75 years of age with diabetes who had a nephropathy screening test or evidence of nephropathy during the measurement period
84%77 patients4/55-star benchmark: 99%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%1,278 patients5/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
64%538 patients3/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 100% · 397 patients
Patients tobacco: 20% · 30 patients
91%397 patients4/55-star benchmark: 98%
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.

Other Providers at the Same Location NPPES 2

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

Internal Medicine
8857B LADUE RD
SAINT LOUIS, MO 63124
Internal Medicine
8857B LADUE RD
SAINT LOUIS, MO 63124

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 Delene Musielak's NPI number?

The NPI number for Delene Musielak is 1033348057. It was assigned to this individual provider in the NPPES registry on July 12, 2009. The provider is also known as Delene Prenita Etwaru MD.

Where is Delene Musielak located?

Delene Musielak practices at 8857B Ladue Rd, Saint Louis, MO 63124. The listed phone number is (314) 682-3626.

What is Delene Musielak's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Delene Musielak enrolled in Medicare?

Yes. Delene Musielak is registered in the Medicare PECOS enrollment system.

What insurance does Delene Musielak accept?

Health plans from CareSource list Delene Musielak 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 Delene Musielak was last updated on February 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.