RICHARD S. MUSIALOWSKI JR. MD
NPI 1194737296
Internal Medicine - Cardiovascular Disease in Charlotte, NC

Active since August 13, 2006PECOS EnrolledAccepts Medicare Assignment
95.35/100
CMS Quality Rating
1237 HARDING PL, STE 3100, CHARLOTTE, NC 28204(704) 373-0212 Get Directions Write a Review

NPPES record last updated: July 23, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 23, 2024, May 15, 2023, Mar 16, 2023 and 47 more (50 updates tracked since 2018).

About Richard S. Musialowski Jr. Md NPPES

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

RICHARD S. MUSIALOWSKI JR. MD (NPI 1194737296) is an individual cardiovascular disease provider in Charlotte, North Carolina, licensed in North Carolina (200100434) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Atrium Health Pineville, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1194737296
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameRICHARD S. MUSIALOWSKI JR.Credential: MD
Location Address1237 HARDING PL, STE 3100Charlotte, NC 28204
Mailing AddressPo Box 19305Charlotte, NC 28219-9305
Sole ProprietorNo
Medical School CMSState University Of New York At Buffalo School Of MedicineGraduated 1991
Enumeration DateAugust 13, 2006
Last NPPES UpdateJuly 23, 202450 updates tracked since enumeration
NPI 1194737296 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in NC · 200100434
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Also ListedInternal MedicineTaxonomy 207R00000X · License 200100434 (NC)
1237 HARDING PL, Charlotte, NC 28204

Secondary Practice Locations 4

Location 1447 McAlister Rd, STE 3200Lincolnton, NC 28092-4114 · Phone (980) 212-6300
Location 2101 E W T Harris Blvd, Ste 1213Charlotte, NC 28262-3485 · Phone (704) 863-1950
Location 3134 Medical Park Rd, Ste 111 - Adult CardiologyMooresville, NC 28117-8526 · Phone (704) 801-9100
Location 410650 Park RdCharlotte, NC 28210-8538 · Phone (704) 667-3840

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

Richard S. Musialowski Jr. 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 ID6901850585
PECOS Enrollment IDI20050307000365, I20050315000061
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 16

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.

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
392 services381 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.
191 services170 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
188 services187 patients
Ultrasound of heart with color-depicted blood flow, rate and valve function 93325
An ultrasound of the heart, also known as an echocardiogram, uses sound waves to create pictures of your heart. It shows the structure, movement, and blood flow within your heart. This helps assess the heart's health and function, including the valves and rate.
94 services90 patients
Ultrasound of heart, follow-up 93308
A follow-up ultrasound of the heart, also known as an echocardiogram, is a non-invasive test that uses sound waves to create images of your heart. It helps doctors monitor your heart's function and structures after initial assessment or treatment.
93 services89 patients
Ultrasound of heart blood flow, valves and chambers, follow-up 93321
This procedure, an echocardiogram, uses sound waves to create images of your heart. It aids in assessing your heart's blood flow, chambers, and valves. It's a follow-up procedure, ensuring that your heart is functioning properly post-treatment.
90 services87 patients

Hospital Affiliations CMS Care Compare 2

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

Atrium Health Pineville

Acute Care Hospitals · Charlotte, NC
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340098
Location10628 Park RdCharlotte, NC 28210 · Mecklenburg County
Emergency services Birthing friendly

Carolinas Medical Center/Behav Health

Acute Care Hospitals · Charlotte, NC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340113
Location1000 Blythe BlvdCharlotte, NC 28203 · Mecklenburg County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28204 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

95.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.22
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.

Physician Assistant
1237 HARDING PL, STE 4300
CHARLOTTE, NC 28204
Internal Medicine (Cardiovascular Disease)
1237 HARDING PL, STE 3100
CHARLOTTE, NC 28204
Nurse Practitioner (Family)
1237 HARDING PL, STE 3100
CHARLOTTE, NC 28204
Nurse Practitioner
1237 HARDING PL, STE 3100
CHARLOTTE, NC 28204
Internal Medicine (Cardiovascular Disease)
1237 HARDING PL, STE 3100
CHARLOTTE, NC 28204
Internal Medicine (Cardiovascular Disease)
1237 HARDING PL, STE 3100
CHARLOTTE, NC 28204
Thoracic Surgery (Cardiothoracic Vascular Surgery)
1237 HARDING PL, STE 3100
CHARLOTTE, NC 28204
Internal Medicine (Cardiovascular Disease)
1237 HARDING PL, STE 3100
CHARLOTTE, NC 28204

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 Richard Musialowski's NPI number?

The NPI number for Richard Musialowski is 1194737296. It was assigned to this individual provider in the NPPES registry on August 13, 2006.

Where is Richard Musialowski located?

Richard Musialowski practices at 1237 Harding Pl Ste 3100, Charlotte, NC 28204. The listed phone number is (704) 373-0212.

What is Richard Musialowski's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Richard Musialowski enrolled in Medicare?

Yes. Richard Musialowski 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 Richard Musialowski accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, Blue Cross and Blue Shield of NC and BlueCross BlueShield of South Carolina and 3 other insurers list Richard Musialowski 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 Richard Musialowski affiliated with any hospitals?

According to CMS data, Richard Musialowski is affiliated with Atrium Health Pineville and Carolinas Medical Center/Behav Health.

When was this NPI record last updated?

The NPPES record for Richard Musialowski was last updated on July 23, 2024. 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.