ANDREW N MUSITS MD
NPI 1104117860
Emergency Medicine in Providence, RI

Active since April 28, 2011PECOS Enrolled
97.91/100
CMS Quality Rating
593 EDDY ST, PROVIDENCE, RI 02903(401) 444-4000 Get Directions Write a Review

NPPES record last updated: December 1, 2023. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Mar 17, 2018, Feb 13, 2018, Aug 30, 2017 (3 updates tracked since 2017).

About Andrew N Musits Md NPPES

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

ANDREW N MUSITS MD (NPI 1104117860) is an individual emergency medicine provider in Providence, Rhode Island, licensed in Rhode Island (MD15748) and active in the NPI registry since April 2011. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1104117860
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameANDREW N MUSITSCredential: MD
Location Address593 EDDY STProvidence, RI 02903-4923
Mailing AddressPo Box 9484Providence, RI 02940-9484 · (401) 854-2500 · Fax (401) 854-2519
Sole ProprietorNo
Enumeration DateApril 28, 2011
Last NPPES UpdateDecember 1, 20233 updates tracked since enumeration
NPPES CertifiedDecember 1, 2023
NPI 1104117860 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses Licensed in RI · MD15748 Licensed in PA · MD451160
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
593 EDDY ST, Providence, RI 02903

Secondary Practice Locations 2

Location 12 Hot Metal St, ERMI, 2nd Floor, Quantum One BuildingPittsburgh, PA 15203-2348 · Phone (412) 432-7400 · Fax (412) 432-7480
Location 2101 Dudley StProvidence, RI 02905-2401 · Phone (401) 453-7950 · Fax (401) 453-7658

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Andrew N Musits Md 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.

Areas of Expertise CMS Part B claims 2

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
65 services65 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02903 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
$90.48 typical visit price
range $58.57 – $177.03
Typical copayment $22.62 (range $14.64 – $44.25)
Most-billed visit code 99203
Established Patient
$103.10 typical visit price
range $18.92 – $144.38
Typical copayment $25.77 (range $4.73 – $36.09)
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.

97.91/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality87.97
Promoting Interoperability100
Improvement Activities40

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.

Anesthesiology
593 EDDY ST, APC 6
PROVIDENCE, RI 02903
Surgery
593 EDDY ST
PROVIDENCE, RI 02903
General Acute Care Hospital
593 EDDY ST, MAIN 4
PROVIDENCE, RI 02903
Pathology (Anatomic Pathology & Clinical Pathology)
593 EDDY ST
PROVIDENCE, RI 02903
Psychiatry & Neurology (Neurology)
593 EDDY ST
PROVIDENCE, RI 02903
Student in an Organized Health Care Education/Training Program
593 EDDY ST
PROVIDENCE, RI 02903
Physician Assistant
593 EDDY ST
PROVIDENCE, RI 02903
Student in an Organized Health Care Education/Training Program
593 EDDY ST
PROVIDENCE, RI 02903

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 Andrew Musits's NPI number?

The NPI number for Andrew Musits is 1104117860. It was assigned to this individual provider in the NPPES registry on April 28, 2011.

Where is Andrew Musits located?

Andrew Musits practices at 593 Eddy St, Providence, RI 02903. The listed phone number is (401) 444-4000.

What is Andrew Musits's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Andrew Musits enrolled in Medicare?

Yes. Andrew Musits is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Andrew Musits was last updated on December 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.