NICOLE MUSCATO MD
NPI 1164579041
Pathology - Anatomic Pathology & Clinical Pathology in New London, CT

Q: What is Nicole Muscato's NPI number?

The NPI number for Nicole Muscato is 1164579041. It was assigned to this individual provider in the NPPES registry on January 4, 2007.

Q: What is Nicole Muscato's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Q: When was this NPI record last updated?

The NPPES record for Nicole Muscato was last updated on October 24, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since January 04, 2007PECOS EnrolledAccepts Medicare Assignment

99.26/100

CMS Quality Rating

365 MONTAUK AVE, NEW LONDON, CT 06320(860) 444-5100(860) 444-3709 Get Directions Write a Review

NPPES record last updated: October 24, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Nicole Muscato Md NPPES

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

NICOLE MUSCATO MD (NPI 1164579041) is an individual anatomic pathology & clinical pathology provider in New London, Connecticut, licensed in Connecticut (046266) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS, is affiliated with Westerly Hospital, and is a graduate of Vanderbilt University School Of Medicine (2002).

NPPES Registry Identity

NPI1164579041

Entity TypeIndividualFemale

Primary Taxonomy207ZP0102X

Provider Legal NameNICOLE MUSCATOCredential: MD

Location Address365 MONTAUK AVENew London, CT 06320-4700

Mailing AddressPo Box 902New Haven, CT 06504-0902 · (203) 397-8000 · Fax (203) 389-1540

Phone(860) 444-5100

Fax(860) 444-3709

Sole ProprietorNo

Medical School CMSVanderbilt University School Of MedicineGraduated 2002

Enumeration DateJanuary 4, 2007

Last NPPES UpdateOctober 24, 2014

✔ NPI 1164579041 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians

Taxonomy Code207ZP0102X

License✔ Licensed in CT · 046266

Definition

A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

365 MONTAUK AVE, New London, CT 06320

Open in Google Maps ↗

Other Identifiers 2

Medicaid004121133CT

Medicare PIN220000719CT

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

Nicole Muscato Md 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 ID4587757828

PECOS Enrollment IDI20080519000607, I20130627000849

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 23

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.

Pathology examination of tissue using a microscope, intermediate complexity 88305

A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.

1,013 services390 patients

Special stained specimen slides to examine tissue, each additional procedure 88341

Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.

304 services72 patients

Pathology examination of tissue using a microscope, intermediate complexity 88305

206 services122 patients

Special stained specimen slides to examine tissue, initial procedure 88342

This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.

93 services83 patients

Pathology examination of tissue using a microscope, moderately high complexity 88307

A pathology examination of tissue with moderate complexity involves a detailed study of a small tissue sample from your body. Using a microscope, experts analyze the tissue's structure and cells to identify any abnormalities. This helps in diagnosing various health conditions accurately.

87 services57 patients

Microscopic genetic analysis of tumor, manual 88360

Microscopic genetic analysis of a tumor involves examining your tumor's genes under a microscope. This helps identify specific genetic changes in the tumor cells. This information can aid in diagnosing, predicting disease progression, and determining the most effective treatment options.

86 services39 patients

Cell examination of specimen, selective cellular enhancement technique 88112

Cell examination of a specimen using selective cellular enhancement technique is a lab process that improves the visibility of certain cells in a sample. It helps in identifying abnormalities or diseases. The process is non-invasive, safe, and aids in accurate diagnosis.

83 services63 patients

Preparation of tissue for examination by removing any calcium present 88311

This procedure involves treating tissue samples to remove any calcium, which can interfere with the examination. The tissue is soaked in a special solution that safely dissolves the calcium, leaving the tissue intact for accurate analysis. This helps in making precise diagnoses.

61 services55 patients

Special stained specimen slides to identify organisms including interpretation and report 88312

This service involves coloring specimen slides in a special way to help identify organisms. The colors make different parts of the organism stand out. Afterward, a detailed interpretation and report on the findings are provided.

57 services45 patients

Special stained specimen slides to examine tissue including interpretation and report 88313

Special stained specimen slides are used to examine tissue samples. This involves applying special dyes to the tissue, which helps to highlight certain features under a microscope. The findings are then interpreted and a report is provided. This can aid in diagnosing various health conditions.

51 services32 patients

Cell examination of specimen, selective cellular enhancement technique 88112

49 services46 patients

Cell examination of specimen, concentration technique 88108

Cell examination of a specimen using a concentration technique is a lab process that enhances the detection of cells in a sample. This method helps to focus on key areas of the sample, making it easier to spot abnormalities or changes. It's a crucial part of diagnosing and monitoring certain health conditions.

48 services43 patients

Blood smear interpretation by physician with written report 85060

Blood smear interpretation is a lab test where your doctor examines a sample of your blood under a microscope. They look for abnormalities in your blood cells which can help diagnose various conditions. You'll receive a written report of the findings.

45 services40 patients

Pathology examination of tissue using a microscope, moderately low complexity 88304

A pathology examination of tissue, moderately low complexity, involves studying a small sample of your body tissue under a microscope. It helps to identify any abnormal cells or diseases. It's a routine procedure, not complex, and provides crucial insights for your diagnosis.

43 services38 patients

Special stained specimen slides to examine tissue, each multiplex procedure 88344

Special stained specimen slides are used to study tissue in detail. This multiplex procedure involves applying different dyes to the tissue sample on a slide to highlight specific elements. These colors help identify any abnormalities in the tissue, aiding in accurate diagnosis and treatment planning.

43 services14 patients

Special stained specimen slides to examine tissue, each multiplex procedure 88344

39 services11 patients

Evaluation of fine needle aspirate with interpretation and report 88173

This procedure involves using a thin needle to collect a small sample from an abnormal area or lump. The sample is then examined under a microscope to identify any potential issues. A report of the findings is provided for further analysis.

29 services22 patients

Bone marrow, smear interpretation 85097

Bone marrow smear interpretation is a procedure where a small sample of your bone marrow is taken and examined under a microscope. This helps doctors identify any abnormal cells or signs of diseases such as anemia, leukemia, or infections. It's a crucial step in diagnosing various blood disorders.

26 services25 patients

Examination of archival tissue for genetic analysis 88363

Examination of archival tissue for genetic analysis involves studying previously collected tissue samples. This process helps detect any genetic alterations that may be linked to certain diseases. It's a crucial step in understanding your health and planning appropriate treatments.

24 services20 patients

Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method G0416

This procedure involves taking a small tissue sample from your gland located beneath your bladder. The sample is then examined under a microscope by a pathologist to check for any abnormalities or diseases. This is a standard method to ensure your well-being.

24 services24 patients

Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method G0416

15 services15 patients

Pathology examination of tissue using a microscope, moderately low complexity 88304

13 services13 patients

Examination of archival tissue for genetic analysis 88363

11 services11 patients

Hospital Affiliations CMS Care Compare

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

Westerly Hospital

Acute Care Hospitals · Westerly, RI

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number410013

Location25 Wells StreetWesterly, RI 02891 · Washington County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06320 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

$138.84 typical visit price

range $60.82 – $183.10

Typical copayment $34.71 (range $15.20 – $45.77)

Most-billed visit code 99204

Established Patient

$106.68 typical visit price

range $19.76 – $149.26

Typical copayment $26.67 (range $4.94 – $37.31)

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.

99.26/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

100

Improvement Activities

Cost

97.55

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.

KATHLEEN M PACHECO RN, CDE

Registered Nurse (Diabetes Educator)

365 MONTAUK AVE
NEW LONDON, CT 06320

Southeastern Connecticut Planning Region (860) 444-4737

THERESA M. BONANOMI

Social Worker (Clinical)

365 MONTAUK AVE
NEW LONDON, CT 06320

Southeastern Connecticut Planning Region (860) 444-5141

AMIT KHANNA MD

Family Medicine (Sleep Medicine)

365 MONTAUK AVE
NEW LONDON, CT 06320

Southeastern Connecticut Planning Region (860) 442-0711

JOANN DONNEL LNM

Advanced Practice Midwife

365 MONTAUK AVE
NEW LONDON, CT 06320

Southeastern Connecticut Planning Region (860) 442-0711

SAMUEL MARYLES MD

Emergency Medicine

365 MONTAUK AVE
NEW LONDON, CT 06320

Southeastern Connecticut Planning Region (330) 493-4443

DR. PAUL CASINELLI M.D

Anesthesiology

365 MONTAUK AVE
NEW LONDON, CT 06320

Southeastern Connecticut Planning Region (860) 442-0711

MARIAM F. ABOUKAR D.O.

Psychiatry & Neurology (Psychiatry)

365 MONTAUK AVE
NEW LONDON, CT 06320

Southeastern Connecticut Planning Region (860) 442-0711

MR. STEPHEN DANIEL SOCHA FNP-C

Nurse Practitioner (Family)

365 MONTAUK AVE
NEW LONDON, CT 06320

Southeastern Connecticut Planning Region (860) 442-0711

SYDNEY HOWE

Physician Assistant

365 MONTAUK AVE
NEW LONDON, CT 06320

Southeastern Connecticut Planning Region (860) 442-0711

ANDREW POSTLER

Physician Assistant

365 MONTAUK AVE
NEW LONDON, CT 06320

Southeastern Connecticut Planning Region (860) 442-0711

ERIC BALCH M.D.

Anesthesiology

365 MONTAUK AVE, ANESTHESIA DEPARTMENT
NEW LONDON, CT 06320

Southeastern Connecticut Planning Region (860) 442-0711

LABORATORY MEDICINE CONSULTANTS, LLC

Pathology (Anatomic Pathology & Clinical Pathology)

365 MONTAUK AVE
NEW LONDON, CT 06320

Southeastern Connecticut Planning Region (860) 444-5100

MICHAEL JAMES DRECHSLER DO

Emergency Medicine

365 MONTAUK AVE
NEW LONDON, CT 06320

Southeastern Connecticut Planning Region (860) 442-0711

YARDLEY BRICE DO

Internal Medicine (Infectious Disease)

365 MONTAUK AVE
NEW LONDON, CT 06320

Southeastern Connecticut Planning Region (860) 442-0711

MICHAEL W JOSEPH M.D.

Emergency Medicine

365 MONTAUK AVE
NEW LONDON, CT 06320

Southeastern Connecticut Planning Region (860) 442-0711

SYEDA KANZA AFZAL

Internal Medicine

365 MONTAUK AVE
NEW LONDON, CT 06320

Southeastern Connecticut Planning Region (860) 442-0711

MELISSA HOGAN RPH

Pharmacist

365 MONTAUK AVE
NEW LONDON, CT 06320

Southeastern Connecticut Planning Region (860) 442-0711

CURT WILSON GRAMLICH MD

Anesthesiology

365 MONTAUK AVE
NEW LONDON, CT 06320

Southeastern Connecticut Planning Region (860) 442-0711

KATHERINE JOANNE LUTHER APRN

Nurse Practitioner (Family)

365 MONTAUK AVE
NEW LONDON, CT 06320

Southeastern Connecticut Planning Region (860) 442-0711

DR. PRADNYA VELANKAR M.D.

Internal Medicine (Cardiovascular Disease)

365 MONTAUK AVE
NEW LONDON, CT 06320

Southeastern Connecticut Planning Region (860) 442-0711

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 Nicole Muscato's NPI number?

The NPI number for Nicole Muscato is 1164579041. It was assigned to this individual provider in the NPPES registry on January 4, 2007.

Where is Nicole Muscato located?

Nicole Muscato practices at 365 Montauk Ave, New London, CT 06320. The listed phone number is (860) 444-5100.

What is Nicole Muscato's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is Nicole Muscato enrolled in Medicare?

Yes. Nicole Muscato 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.

Is Nicole Muscato affiliated with any hospitals?

According to CMS data, Nicole Muscato is affiliated with Westerly Hospital.

When was this NPI record last updated?

The NPPES record for Nicole Muscato was last updated on October 24, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.