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BENNIE WILLIAM MUSCHA MD
NPI 1255369104
Family Medicine in Mesa, AZ

Active since June 29, 2006PECOS Enrolled
89.02/100
CMS Quality Rating
1917 SOUTH CRISMON ROAD, MESA, AZ 85206(480) 610-7100(480) 610-7115 Get Directions Write a Review

NPPES record last updated: September 9, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Bennie William Muscha Md NPPES

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

BENNIE WILLIAM MUSCHA MD (NPI 1255369104) is an individual family medicine provider in Mesa, Arizona, licensed in Arizona (42575) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255369104
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameBENNIE WILLIAM MUSCHACredential: MD
Location Address1917 SOUTH CRISMON ROADMesa, AZ 85206
Mailing Address1917 South Crismon RoadMesa, AZ 85206 · (480) 610-7100 · Fax (480) 610-7115
Phone(480) 610-7100
Fax(480) 610-7115
Sole ProprietorNo
Enumeration DateJune 29, 2006
Last NPPES UpdateSeptember 9, 2013
✔ NPI 1255369104 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in AZ · 42575✔ Licensed in ND · 6633
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.
1917 SOUTH CRISMON ROAD, Mesa, AZ 85206
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Other Names 1

Other Name (5)Ben W Muscha Md

Other Identifiers 4

Medicare UPINF58903
Other11681ND · Bcbs
Medicaid17619ND
Medicare ID-Type UnspecifiedN11681ND

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of North Dakota, Sanford Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bennie William Muscha Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Bennie Muscha reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Lutheran Charity Association
1,151 mi
Multi-Specialty
2422 20TH ST SW
Jamestown, ND 58401
  • Reassigned Medicare billing, North Dakota enrollment
  • Also billed through NPI 1548256753 (North Dakota)
  • 95 clinicians in this Medicare group
NPI 1073569794 (701) 252-1050

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85206 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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.

89.02/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.58
Promoting Interoperability99
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

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

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier38 claims38 services$115.90 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier18 claims18 services$38.30 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Bennie Muscha's NPI number?

The NPI number for Bennie Muscha is 1255369104. It was assigned to this individual provider in the NPPES registry on June 29, 2006. The provider is also known as Ben W Muscha MD.

Where is Bennie Muscha located?

Bennie Muscha practices at 1917 South Crismon Road, Mesa, AZ 85206. The listed phone number is (480) 610-7100.

What is Bennie Muscha's specialty?

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

Is Bennie Muscha enrolled in Medicare?

Yes. Bennie Muscha is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Bennie Muscha's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Bennie Muscha reassigns Medicare benefits to Lutheran Charity Association (Jamestown, ND). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Bennie Muscha's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Bennie Muscha accept?

Health plans from Blue Cross Blue Shield of North Dakota and Sanford Health Plan list Bennie Muscha 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.

When was this NPI record last updated?

The NPPES record for Bennie Muscha was last updated on September 9, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.