DR. MUSTASIM N. RUMI M.D.
NPI 1043323926
Orthopaedic Surgery - Orthopaedic Surgery of the Spine in Round Rock, TX

Active since August 16, 2006PECOS EnrolledAccepts Medicare Assignment
72.52/100
CMS Quality Rating
16020 PARK VALLEY DR, ROUND ROCK, TX 78681(512) 244-0766(512) 244-0766 Get Directions Write a Review

NPPES record last updated: November 18, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Mustasim N. Rumi M.d. NPPES

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

DR. MUSTASIM N. RUMI M.D. (NPI 1043323926) is an individual orthopaedic surgery of the spine provider in Round Rock, Texas, licensed in Texas (M2061) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Bon Secours Southside Medical Center, and is a graduate of Other (1995).

NPPES Registry Identity

NPI1043323926
Entity TypeIndividualMale
Primary Taxonomy207XS0117X
Provider Legal NameDR. MUSTASIM N. RUMICredential: M.D.
Location Address16020 PARK VALLEY DRRound Rock, TX 78681-3573
Mailing Address16020 Park Valley DrRound Rock, TX 78681-3573 · (512) 244-0766 · Fax (512) 244-1013
Fax(512) 244-0766
Sole ProprietorNo
Medical School CMSOtherGraduated 1995
Enumeration DateAugust 16, 2006
Last NPPES UpdateNovember 18, 2016
NPI 1043323926 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic Surgery · Orthopaedic Surgery of the SpineAllopathic & Osteopathic Physicians
Taxonomy Code207XS0117X
License Licensed in TX · M2061
Definition

Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.

16020 PARK VALLEY DR, Round Rock, TX 78681

Other Identifiers 2

Medicare ID-Type Unspecified8G0442TX
Medicare UPINH90328TX

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

Dr. Mustasim N. Rumi 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 ID3173594124
PECOS Enrollment IDI20051128000407
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 9

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
132 services98 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
64 services64 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
35 services34 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
33 services30 patients
Closed treatment of broken spine bone with cast or brace 22310
This procedure involves treating a fractured spine bone without surgery. A cast or brace is used to stabilize the bone, allowing it to heal naturally. This method can limit movement, reduce pain, and promote recovery.
17 services17 patients
Treatment of broken middle spine bone with placement of stabilizing device using imaging guidance 22513
This procedure treats a broken bone in the middle of your spine. A stabilizing device is placed to support the damaged area. Imaging guidance, like X-rays, is used to ensure precise placement of the device. This aids in your recovery and helps maintain spine stability.
17 services12 patients

Hospital Affiliations CMS Care Compare 4

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

Bon Secours Southside Medical Center

Acute Care Hospitals · Petersburg, VA
2/5 CMS rating
OwnershipProprietary
CMS Certification Number490067
Location200 Medical Park BoulevardPetersburg, VA 23805 · Petersburg City County
Emergency services Birthing friendly

Bon Secours St Francis Medical Center

Acute Care Hospitals · Midlothian, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number490136
Location13710 St Francis BoulevardMidlothian, VA 23114 · Chesterfield County
Emergency services Birthing friendly

Ascension Seton Williamson

Acute Care Hospitals · Round Rock, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number670041
Location201 Seton ParkwayRound Rock, TX 78664 · Williamson County
Emergency services Birthing friendly

Cedar Park Regional Medical Center

Acute Care Hospitals · Cedar Park, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number670043
Location1401 Medical ParkwayCedar Park, TX 78613 · Williamson County
Emergency services Birthing friendly

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.

72.52/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality61.27
Promoting Interoperability100
Improvement Activities40
Cost47.12

Reported Quality Measures

Diabetes: Foot Exam
The percentage of patients 18-75 years of age with diabetes (type 1 and type 2) who received a foot exam (visual inspection and sensory exam with mono filament and a pulse exam) during the measurement year
57%21 patients3/55-star benchmark: 98%
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.
93%1,288 patients4/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
100%102 patients5/55-star benchmark: 99%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
91%118 patients3/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
95%553 patients4/55-star benchmark: 97%
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…
22%1,150 patients1/55-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: 14% · 58 patients
Patients tobacco: 88% · 518 patients
100%518 patients5/55-star benchmark: 98%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
63%553 patients3/55-star benchmark: 100%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
1%553 patients
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 20

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

Physical Therapist (Orthopedic)
16020 PARK VALLEY DR
ROUND ROCK, TX 78681
Orthopaedic Surgery (Hand Surgery)
16020 PARK VALLEY DR
ROUND ROCK, TX 78681
Physician Assistant
16020 PARK VALLEY DR
ROUND ROCK, TX 78681
Physical Therapist
16020 PARK VALLEY DR
ROUND ROCK, TX 78681
Orthopaedic Surgery (Foot and Ankle Surgery)
16020 PARK VALLEY DR
ROUND ROCK, TX 78681
Physician Assistant
16020 PARK VALLEY DR
ROUND ROCK, TX 78681
Physical Therapist
16020 PARK VALLEY DR
ROUND ROCK, TX 78681
Physician Assistant
16020 PARK VALLEY DR
ROUND ROCK, TX 78681

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 Mustasim Rumi's NPI number?

The NPI number for Mustasim Rumi is 1043323926. It was assigned to this individual provider in the NPPES registry on August 16, 2006.

Where is Mustasim Rumi located?

Mustasim Rumi practices at 16020 Park Valley Dr, Round Rock, TX 78681. The listed phone number is (512) 244-0766.

What is Mustasim Rumi's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Orthopaedic Surgery of the Spine, with taxonomy code 207XS0117X.

Is Mustasim Rumi enrolled in Medicare?

Yes. Mustasim Rumi 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 Mustasim Rumi accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Mustasim Rumi 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 Mustasim Rumi affiliated with any hospitals?

According to CMS data, Mustasim Rumi is affiliated with Bon Secours Southside Medical Center, Bon Secours St Francis Medical Center, Ascension Seton Williamson and Cedar Park Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Mustasim Rumi was last updated on November 18, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.