MICHAEL MUSSO D.O.
NPI 1275973752
Surgery in West Reading, PA
About Michael Musso D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MICHAEL MUSSO D.O. (NPI 1275973752) is an individual surgery provider in West Reading, Pennsylvania, licensed in Pennsylvania (OS019756) and active in the NPI registry since June 2013. He is enrolled in Medicare PECOS, is affiliated with Reading Hospital, and maintains a secondary practice location in Massillon.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Michael Musso D.o. 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.
Medicare Billing Reassignments
7Medicare enrollment records show Michael Musso reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
West Reading, PA 19611
- Reassigned Medicare billing, Pennsylvania enrollment
- 399 clinicians in this Medicare group
West Reading, PA 19611
- Reassigned Medicare billing, Pennsylvania enrollment
- 1,473 clinicians in this Medicare group
Pottstown, PA 19465
- Reassigned Medicare billing, Pennsylvania enrollment
- 474 clinicians in this Medicare group
Limerick, PA 19468
- Reassigned Medicare billing, Pennsylvania enrollment
- 529 clinicians in this Medicare group
Berwyn, PA 19312
- Reassigned Medicare billing, Pennsylvania enrollment
- 3,488 clinicians in this Medicare group
West Grove, PA 19390
- Reassigned Medicare billing, Pennsylvania enrollment
- 106 clinicians in this Medicare group
Philadelphia, PA 19118
- Reassigned Medicare billing, Pennsylvania enrollment
- 176 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 3
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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Reading Hospital
Acute Care Hospitals · West Reading, PAPottstown Hospital
Acute Care Hospitals · Pottstown, PAPhoenixville Hospital
Acute Care Hospitals · Phoenixville, PAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 19611 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
WEST READING, PA 19611
WEST READING, PA 19611
WEST READING, PA 19611
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 Michael Musso's NPI number?
The NPI number for Michael Musso is 1275973752. It was assigned to this individual provider in the NPPES registry on June 28, 2013.
Where is Michael Musso located?
Michael Musso practices at 420 S 5th Ave, West Reading, PA 19611. The listed phone number is (484) 628-4879.
What is Michael Musso's specialty?
The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.
Is Michael Musso enrolled in Medicare?
Yes. Michael Musso 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.
Which organizations bill Medicare for Michael Musso's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Michael Musso reassigns Medicare benefits to 7 organizations: Reading Hospital (West Reading, PA), Tower Health Medical Group (West Reading, PA), Pottstown Clinic Company LLC (Pottstown, PA), Phoenixville Clinic Company LLC (Limerick, PA), University Of Penn-Medical Group (Berwyn, PA) and 2 more organizations, listed in the Medicare section above. Each 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 Michael Musso's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Michael Musso accept?
Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Michael Musso 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 Michael Musso affiliated with any hospitals?
According to CMS data, Michael Musso is affiliated with Reading Hospital, Pottstown Hospital and Phoenixville Hospital.
When was this NPI record last updated?
The NPPES record for Michael Musso was last updated on March 29, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Michael Musso, D.O. · NPI 1275973752
Surgery physician in West Reading, Pennsylvania. Individual provider, active in the CMS NPPES registry since June 28, 2013.
## Identity
- **NPI:** 1275973752 (Entity type: Individual)
- **Enumerated:** June 28, 2013
- **Primary specialty:** Surgery · taxonomy 208600000X
- **State license:** OS019756 (Pennsylvania)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 420 S 5TH AVE, West Reading, PA 19611
- **Phone:** (484) 628-4879
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 7 organizations under Medicare reassignment (form CMS-855R): Reading Hospital (NPI 1780913145, West Reading, PA); Tower Health Medical Group (NPI 1063589273, West Reading, PA); Pottstown Clinic Company LLC (NPI 1649341934, Pottstown, PA); Phoenixville Clinic Company LLC (NPI 1790746345, Limerick, PA); University Of Penn-Medical Group (NPI 1396133559, Berwyn, PA); and 2 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** At Still University Of Health Sciences, College Of Osteo Med, Kirksville, class of 2013
## Record status
- **NPPES last updated:** March 29, 2019
---
Source: [NPI Profile](https://npiprofile.com/npi/1275973752) · Data from the CMS NPPES public registry.