PAUL S MUSCO M.D.
NPI 1063579886
Ophthalmology in Plymouth, NH

Active since January 02, 2007PECOS EnrolledAccepts Medicare Assignment
84.7/100
CMS Quality Rating
103 BOULDER POINT DRIVE, PLYMOUTH, NH 03264(603) 536-1284(603) 536-3136 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 7, 2023, Dec 28, 2015 (2 updates tracked since 2015).

About Paul S Musco M.d. NPPES

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

PAUL S MUSCO M.D. (NPI 1063579886) is an individual ophthalmology provider in Plymouth, New Hampshire, licensed in New Hampshire (17272) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, is affiliated with Speare Memorial Hospital, and is a graduate of Georgetown University School Of Medicine (1982).

NPPES Registry Identity

NPI1063579886
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NamePAUL S MUSCOCredential: M.D.
Location Address103 BOULDER POINT DRIVEPlymouth, NH 03264-3168
Mailing AddressPo Box 706Plymouth, NH 03264-0706 · (314) 989-0300 · Fax (603) 238-2163
Fax(603) 536-3136
Sole ProprietorNo
Medical School CMSGeorgetown University School Of MedicineGraduated 1982
Enumeration DateJanuary 2, 2007
Last NPPES UpdateMarch 7, 20232 updates tracked since enumeration
NPI 1063579886 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Licenses Licensed in NH · 17272 Licensed in RI · MD07090
Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

103 BOULDER POINT DRIVE, Plymouth, NH 03264

Other Identifiers 6

Other180005429Railroad Medicare
Other2443-5RI · Blue Cross Blue Shield
Other202101RI · Bluechip
Other08-001055United Healthcare
OtherMD07090RI · Ri Medical License
Medicaid9002443RI

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

Paul S Musco 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 ID7214065143
PECOS Enrollment IDI20100513000255, I20160106001845
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 20

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.

Injection, faricimab-svoa, 0.1 mg J2777
Faricimab-svoa is a medication given through an injection into the eye to treat certain eye conditions. The 0.1 mg dosage helps control disease progression, improving vision and eye health. The procedure is done by a healthcare professional.
6,360 services27 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
1,242 services1,192 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
1,059 services1,016 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
696 services409 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
327 services185 patients
Ultrasound scan of cornea to determine thickness 76514
An ultrasound scan of the cornea is a non-invasive procedure that uses sound waves to measure the thickness of your cornea. This helps in diagnosing certain eye conditions and planning treatments. No discomfort or pain is typically experienced.
211 services208 patients

Hospital Affiliations CMS Care Compare

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

Speare Memorial Hospital

Critical Access Hospitals · Plymouth, NH
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number301311
Location16 Hospital RoadPlymouth, NH 03264 · Grafton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 03264 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
$132.09 typical visit price
range $57.75 – $174.26
Typical copayment $33.02 (range $14.43 – $43.56)
Most-billed visit code 99204
Established Patient
$71.85 typical visit price
range $18.70 – $142.15
Typical copayment $17.96 (range $4.67 – $35.53)
Most-billed visit code 99213
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.

84.7/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability82
Improvement Activities40

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.

Frames, purchases V2020
Other-Vision, Hearing, and Speech Services · category OC000N
2 suppliers11 claims11 services$35.57 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 6

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

Ophthalmology
103 BOULDER POINT DRIVE
PLYMOUTH, NH 03264
Ophthalmology
103 BOULDER POINT DRIVE
PLYMOUTH, NH 03264
Orthopaedic Surgery
103 BOULDER POINT DRIVE, PLYMOUTH ORTHOPEDICS AND SPORTS MEDICINE CLINIC
PLYMOUTH, NH 03264
Clinic/Center (Rural Health)
103 BOULDER POINT DRIVE
PLYMOUTH, NH 03264
Internal Medicine
103 BOULDER POINT DRIVE
PLYMOUTH, NH 03264
Nurse Practitioner (Family)
103 BOULDER POINT DRIVE, SPEARE PRIMARY CARE
PLYMOUTH, NH 03264

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 Paul Musco's NPI number?

The NPI number for Paul Musco is 1063579886. It was assigned to this individual provider in the NPPES registry on January 2, 2007.

Where is Paul Musco located?

Paul Musco practices at 103 Boulder Point Drive, Plymouth, NH 03264. The listed phone number is (603) 536-1284.

What is Paul Musco's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Paul Musco enrolled in Medicare?

Yes. Paul Musco 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 Paul Musco accept?

Health plans from Ambetter from NH Healthy Families, Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Paul Musco 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 Paul Musco affiliated with any hospitals?

According to CMS data, Paul Musco is affiliated with Speare Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Paul Musco was last updated on March 7, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.