MICHAEL MUSSO D.O.
NPI 1275973752
Surgery in West Reading, PA

Q: 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.

Q: What is Michael Musso's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Q: 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.

Active since June 28, 2013PECOS EnrolledAccepts Medicare Assignment

420 S 5TH AVE, WEST READING, PA 19611(484) 628-4879 Get Directions Write a Review

NPPES record last updated: March 29, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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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

NPI1275973752

Entity TypeIndividualMale

Primary Taxonomy208600000X

Provider Legal NameMICHAEL MUSSOCredential: D.O.

Location Address420 S 5TH AVEWest Reading, PA 19611

Mailing AddressPo Box 13579Reading, PA 19612-3579 · (484) 628-0799

Phone(484) 628-4879

Sole ProprietorYes

Medical School CMSAt Still University Of Health Sciences, College Of Osteo Med, KirksvilleGraduated 2013

Enumeration DateJune 28, 2013

Last NPPES UpdateMarch 29, 2019

✔ NPI 1275973752 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

License✔ Licensed in PA · OS019756

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Also ListedGeneral Acute Care HospitalTaxonomy 282N00000X

420 S 5TH AVE, West Reading, PA 19611

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Secondary Practice Location 1

Location 1875 8th St NEMassillon, OH 44646-8503 · Phone (330) 834-4785

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.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

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.

PECOS PAC ID4284937061

PECOS Enrollment IDI20190129002586

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 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.

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

100 services59 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

94 services93 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

93 services64 patients

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, PA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390044

Location420 S 5th AvenueWest Reading, PA 19611 · Berks County

Emergency services Birthing friendly

Pottstown Hospital

Acute Care Hospitals · Pottstown, PA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390123

Location1600 East High StreetPottstown, PA 19464 · Montgomery County

Emergency services

Phoenixville Hospital

Acute Care Hospitals · Phoenixville, PA

3/5 CMS rating

OwnershipProprietary

CMS Certification Number390127

Location140 Nutt RoadPhoenixville, PA 19460 · Chester County

Emergency services Birthing friendly

Physician 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.

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

$68.36 typical visit price

range $17.33 – $135.84

Typical copayment $17.09 (range $4.33 – $33.96)

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.

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.

TOLUWANIMI OGBONMIDE

Student in an Organized Health Care Education/Training Program

420 S 5TH AVE
WEST READING, PA 19611

Berks County (484) 628-8000

URVASHI SARKAR

Student in an Organized Health Care Education/Training Program

420 S 5TH AVE
WEST READING, PA 19611

Berks County (484) 628-8000

MADISON HECK

Student in an Organized Health Care Education/Training Program

420 S 5TH AVE
WEST READING, PA 19611

Berks County (484) 628-8000

NEIL HOFFMAN M.D.

Pathology (Forensic Pathology)

420 S 5TH AVE
WEST READING, PA 19611

Berks County (484) 628-8615

MS. LANE ROSCOE PA- C

Physician Assistant

420 S 5TH AVE
WEST READING, PA 19611

Berks County (610) 568-3637

ALICE LEE DO

Surgery

420 S 5TH AVE
WEST READING, PA 19611

Berks County (484) 628-4879

KYLE ROMPALA

Nurse Practitioner (Family)

420 S 5TH AVE
READING, PA 19611

Berks County (267) 280-7615

MATTHEW CRYER

Student in an Organized Health Care Education/Training Program

420 S 5TH AVE
WEST READING, PA 19611

Berks County (484) 628-1324

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.

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.