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JOSEPH MUSIAL PA
NPI 1154860831
Physician Assistant in Columbus, OH

Active since February 15, 2017PECOS EnrolledAccepts Medicare Assignment
3535 OLENTANGY RIVER RD, COLUMBUS, OH 43214(614) 566-4579(614) 566-1864 Get Directions Write a Review

NPPES record last updated: August 25, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 25, 2022, Jan 25, 2022, Feb 15, 2017 (3 updates tracked since 2017).

About Joseph Musial Pa NPPES

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

JOSEPH MUSIAL PA (NPI 1154860831) is an individual physician assistant in Columbus, Ohio, licensed in Ohio (50.004756RX) and active in the NPI registry since February 2017. He is enrolled in Medicare PECOS, is affiliated with Christus St Vincent Regional Medical Center, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1154860831
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameJOSEPH MUSIALCredential: PA
Location Address3535 OLENTANGY RIVER RDColumbus, OH 43214-3908
Mailing Address5450 Frantz Rd Ste 360Dublin, OH 43016-4141
Phone(614) 566-4579
Fax(614) 566-1864
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateFebruary 15, 2017
Last NPPES UpdateAugust 25, 20223 updates tracked since enumeration
NPPES CertifiedAugust 25, 2022
✔ NPI 1154860831 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in OH · 50.004756RX
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
3535 OLENTANGY RIVER RD, Columbus, OH 43214
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Superior HealthPlan, Ambetter of Oklahoma.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

Joseph Musial Pa 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 ID3173809779
PECOS Enrollment IDI20220930001961
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 7

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.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
75 services75 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
58 services38 patients
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.
38 services36 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
26 services25 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.
17 services17 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

Christus St Vincent Regional Medical Center

Acute Care Hospitals · Santa Fe, NM
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number320002
Location455 St Michael's DriveSanta Fe, NM 87505 · Santa Fe County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43214 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

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.

DR. ROBERT BRIGDEN HALPIN D.O.
Obstetrics & Gynecology (Maternal & Fetal Medicine)
3535 OLENTANGY RIVER RD
COLUMBUS, OH 43214
Franklin County (614) 566-4378
PAYTON JOY
Physician Assistant
3535 OLENTANGY RIVER RD
COLUMBUS, OH 43214
Franklin County (614) 566-5000
BRENNON PINION DNP, CRNA
Nurse Anesthetist, Certified Registered
3535 OLENTANGY RIVER RD
COLUMBUS, OH 43214
Franklin County (614) 566-5000
CATHERINE LEE PELFREY PA-C
Physician Assistant
3535 OLENTANGY RIVER RD
COLUMBUS, OH 43214
Franklin County (614) 566-5000
NICHOLAS T WONGCHAOWART M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
3535 OLENTANGY RIVER RD, RMH PATHOLOGY DEPT
COLUMBUS, OH 43214
Franklin County (614) 566-4945
LISA CHRISTINE NOVAK CRNA
Nurse Anesthetist, Certified Registered
3535 OLENTANGY RIVER RD
COLUMBUS, OH 43214
Franklin County (614) 566-4919
KAITLYN N NEWKIRK CRNA
Nurse Anesthetist, Certified Registered
3535 OLENTANGY RIVER RD
COLUMBUS, OH 43214
Franklin County (614) 566-4919
RIVERSIDE METHODIST HOSPITAL
Medicare Defined Swing Bed Unit
3535 OLENTANGY RIVER RD
COLUMBUS, OH 43214
Franklin County (614) 322-3202

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 Joseph Musial's NPI number?

The NPI number for Joseph Musial is 1154860831. It was assigned to this individual provider in the NPPES registry on February 15, 2017.

Where is Joseph Musial located?

Joseph Musial practices at 3535 Olentangy River Rd, Columbus, OH 43214. The listed phone number is (614) 566-4579.

What is Joseph Musial's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Joseph Musial enrolled in Medicare?

Yes. Joseph Musial 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 Joseph Musial accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Superior HealthPlan and Ambetter of Oklahoma list Joseph Musial 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 Joseph Musial affiliated with any hospitals?

According to CMS data, Joseph Musial is affiliated with Christus St Vincent Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Joseph Musial was last updated on August 25, 2022. 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.