DR. MOHAMMAD ELMUSA M.D.
NPI 1215227541
Family Medicine in Union City, PA

Active since April 07, 2011PECOS EnrolledAccepts Medicare Assignment
79.25/100
CMS Quality Rating
130 N MAIN ST, UNION CITY, PA 16438(814) 665-8288 Get Directions Write a Review

NPPES record last updated: October 5, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 5, 2020, Mar 30, 2017 (2 updates tracked since 2017).

About Dr. Mohammad Elmusa M.d. NPPES

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

DR. MOHAMMAD ELMUSA M.D. (NPI 1215227541) is an individual family medicine provider in Union City, Pennsylvania, licensed in Pennsylvania (MD443372) and active in the NPI registry since April 2011. He is enrolled in Medicare PECOS, is affiliated with Lehigh Valley Hospital - Hazleton, and is a graduate of Other (1987).

NPPES Registry Identity

NPI1215227541
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. MOHAMMAD ELMUSACredential: M.D.
Location Address130 N MAIN STUnion City, PA 16438-1068
Mailing Address130 N Main StUnion City, PA 16438-1068 · (814) 665-8288
Sole ProprietorNo
Medical School CMSOtherGraduated 1987
Enumeration DateApril 7, 2011
Last NPPES UpdateOctober 5, 20202 updates tracked since enumeration
NPPES CertifiedOctober 5, 2020
NPI 1215227541 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in PA · MD443372
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
130 N MAIN ST, Union City, PA 16438

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

Dr. Mohammad Elmusa 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 ID2264603034
PECOS Enrollment IDI20120510000036
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 4

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.

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.
92 services60 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.
51 services44 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
32 services32 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
21 services17 patients

Hospital Affiliations CMS Care Compare 2

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

Lehigh Valley Hospital - Hazleton

Acute Care Hospitals · Hazleton, PA
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number390185
Location700 East Broad StreetHazleton, PA 18201 · Luzerne County
Emergency services Birthing friendly

Geisinger Wyoming Valley Medical Center

Acute Care Hospitals · Wilkes Barre, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390270
Location1000 East Mountain BoulevardWilkes Barre, PA 18711 · Luzerne County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16438 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

79.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality75.35
Promoting Interoperability87
Improvement Activities40
Cost62.21

Other Providers at the Same Location NPPES 7

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

Family Medicine
130 N MAIN ST
UNION CITY, PA 16438
Family Medicine
130 N MAIN ST
UNION CITY, PA 16438
Family Medicine
130 N MAIN ST
UNION CITY, PA 16438
Nurse Practitioner
130 N MAIN ST
UNION CITY, PA 16438
Non-Pharmacy Dispensing Site
130 N MAIN ST, 2ND FLOOR
UNION CITY, PA 16438
General Acute Care Hospital
130 N MAIN ST
UNION CITY, PA 16438
Durable Medical Equipment & Medical Supplies
130 N MAIN ST
UNION CITY, PA 16438

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 Mohammad Elmusa's NPI number?

The NPI number for Mohammad Elmusa is 1215227541. It was assigned to this individual provider in the NPPES registry on April 7, 2011.

Where is Mohammad Elmusa located?

Mohammad Elmusa practices at 130 N Main St, Union City, PA 16438. The listed phone number is (814) 665-8288.

What is Mohammad Elmusa's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Mohammad Elmusa enrolled in Medicare?

Yes. Mohammad Elmusa 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 Mohammad Elmusa affiliated with any hospitals?

According to CMS data, Mohammad Elmusa is affiliated with Lehigh Valley Hospital - Hazleton and Geisinger Wyoming Valley Medical Center.

When was this NPI record last updated?

The NPPES record for Mohammad Elmusa was last updated on October 5, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.