DR. MARK M MUSGRAVE M.D.
NPI 1235236209
Orthopaedic Surgery in Medina, OH

Active since September 20, 2006PECOS EnrolledAccepts Medicare Assignment
4975 FOOTE RD, SUITE 100, MEDINA, OH 44256(330) 721-8232 Get Directions Write a Review

NPPES record last updated: May 28, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Mark M Musgrave M.d. NPPES

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

DR. MARK M MUSGRAVE M.D. (NPI 1235236209) is an individual orthopaedic surgery provider in Medina, Ohio, licensed in Ohio (35.069174) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Crystal Clinic Orthopaedic Center, and is a graduate of Ohio State University College Of Medicine (1994).

NPPES Registry Identity

NPI1235236209
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. MARK M MUSGRAVECredential: M.D.
Location Address4975 FOOTE RD, SUITE 100Medina, OH 44256-8748
Mailing Address4975 Foote Rd Ste 100Medina, OH 44256-8748 · (330) 721-8232 · Fax (330) 721-8403
Sole ProprietorNo
Medical School CMSOhio State University College Of MedicineGraduated 1994
Enumeration DateSeptember 20, 2006
Last NPPES UpdateMay 28, 2021
NPPES CertifiedMay 28, 2021
NPI 1235236209 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in OH · 35.069174
Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

4975 FOOTE RD, Medina, OH 44256

Other Identifiers 2

OtherP00144816OH · Railroad Medicare
Medicaid2100989OH

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

Dr. Mark M Musgrave 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 ID941274005
PECOS Enrollment IDI20100311000264
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 19

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

X-ray of knee, 3 views 73562
An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.
166 services122 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
156 services120 patients
Established patient office or other outpatient visit, 10-19 minutes 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
128 services98 patients
Established patient office or other outpatient visit, 20-29 minutes 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.
106 services95 patients
Established patient office or other outpatient visit, 30-39 minutes 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.
81 services76 patients
New patient office or other outpatient visit, 30-44 minutes 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
53 services53 patients

Hospital Affiliations CMS Care Compare

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

Crystal Clinic Orthopaedic Center

Acute Care Hospitals · Akron, OH
5/5 CMS rating
OwnershipProprietary
CMS Certification Number360351
Location3557 Embassy ParkwayAkron, OH 44333 · Summit County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44256 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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf L3670
DME-Orthotic Devices · category DF000N
2 suppliers11 claims11 services$86.22 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

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

Physical Therapist (Orthopedic)
4975 FOOTE RD, SUITE 200
MEDINA, OH 44256
Special Hospital
4975 FOOTE RD, SUITE 100
MEDINA, OH 44256
Special Hospital
4975 FOOTE RD, SUITE 200
MEDINA, OH 44256
Physician Assistant
4975 FOOTE RD, STE 400
MEDINA, OH 44256

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1235236209, enumerated as an "individual" on September 20, 2006.

The provider is located at 4975 FOOTE RD SUITE 100 MEDINA, OH 44256 and the phone number is (330) 721-8232.

Orthopaedic Surgery with taxonomy code 207X00000X.

The provider might be accepting Accepts: Ambetter from Buckeye Health Plan, Ambetter from. Please consult your insurance carrier or call the provider to verify.

Mark Musgrave is affiliated with: CRYSTAL CLINIC ORTHOPAEDIC CENTER.