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DR. PAUL JAMES MUSTACCHIA M.D.
NPI 1285693820
Internal Medicine - Gastroenterology in East Meadow, NY

Active since March 22, 2006PECOS EnrolledAccepts Medicare Assignment
79.83/100
CMS Quality Rating
2201 HEMPSTEAD TPKE, EAST MEADOW, NY 11554(516) 572-6501(516) 572-5609 Get Directions Write a Review

NPPES record last updated: April 29, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Paul James Mustacchia M.d. NPPES

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

DR. PAUL JAMES MUSTACCHIA M.D. (NPI 1285693820) is an individual gastroenterology provider in East Meadow, New York, licensed in New York (204876) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Nassau University Medical Center, and is a graduate of State University Of New York At Buffalo School Of Medicine (1994).

NPPES Registry Identity

NPI1285693820
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDR. PAUL JAMES MUSTACCHIACredential: M.D.
Location Address2201 HEMPSTEAD TPKEEast Meadow, NY 11554-1859
Mailing Address2201 Hempstead TpkeEast Meadow, NY 11554-1859 · (516) 572-6501 · Fax (516) 572-5609
Phone(516) 572-6501
Fax(516) 572-5609
Sole ProprietorYes
Medical School CMSState University Of New York At Buffalo School Of MedicineGraduated 1994
Enumeration DateMarch 22, 2006
Last NPPES UpdateApril 29, 2014
✔ NPI 1285693820 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in NY · 204876
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Also ListedInternal MedicineTaxonomy 207R00000X · License 204876 (NY)
2201 HEMPSTEAD TPKE, East Meadow, NY 11554
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Other Identifiers 3

Medicare PIN26N231NY
Medicare UPING55127NY
Medicaid01765439NY

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. Paul James Mustacchia 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 ID8921080656
PECOS Enrollment IDI20050811000634
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 12

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
323 services105 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
120 services113 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.
101 services60 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
67 services64 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.
30 services24 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
22 services22 patients

Hospital Affiliations CMS Care Compare

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

Nassau University Medical Center

Acute Care Hospitals · East Meadow, NY
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number330027
Location2201 Hempstead TurnpikeEast Meadow, NY 11554 · Nassau County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11554 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

79.83/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality51.8
Promoting Interoperability86
Improvement Activities40
Cost64.21

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.

ROSITA BERNADOTTE R.N.
Registered Nurse
2201 HEMPSTEAD TPKE, NASSAU UNIVERSITY MEDICAL CENTER
EAST MEADOW, NY 11554
Nassau County (516) 572-6131
KENICE E. DALTON JR. O.T.
Occupational Therapist
2201 HEMPSTEAD TPKE, NASSAU UNIVERSITY MEDICAL CENTER
EAST MEADOW, NY 11554
Nassau County (516) 572-6131
VIVIAN LYNN POLLOCK M.S.W.
Social Worker
2201 HEMPSTEAD TPKE
EAST MEADOW, NY 11554
Nassau County (516) 572-6131
CICILY BROWN R.N.
Registered Nurse
2201 HEMPSTEAD TPKE
EAST MEADOW, NY 11554
Nassau County (516) 572-6131
SHAMAILA IDREES M.D.
Psychiatry & Neurology (Psychiatry)
2201 HEMPSTEAD TPKE
EAST MEADOW, NY 11554
Nassau County (516) 572-6171
DR. SARAH ROSE STEVENS DO
Student in an Organized Health Care Education/Training Program
2201 HEMPSTEAD TPKE
EAST MEADOW, NY 11554
Nassau County (516) 572-0123
WEI LEONG DO
Student in an Organized Health Care Education/Training Program
2201 HEMPSTEAD TPKE
EAST MEADOW, NY 11554
Nassau County (516) 572-6177
KONSTANTINOS IOANNIS FORTOUNAS MD
Student in an Organized Health Care Education/Training Program
2201 HEMPSTEAD TPKE
EAST MEADOW, NY 11554
Nassau County (516) 572-6637

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 Paul Mustacchia's NPI number?

The NPI number for Paul Mustacchia is 1285693820. It was assigned to this individual provider in the NPPES registry on March 22, 2006.

Where is Paul Mustacchia located?

Paul Mustacchia practices at 2201 Hempstead Tpke, East Meadow, NY 11554. The listed phone number is (516) 572-6501.

What is Paul Mustacchia's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Paul Mustacchia enrolled in Medicare?

Yes. Paul Mustacchia 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 Paul Mustacchia affiliated with any hospitals?

According to CMS data, Paul Mustacchia is affiliated with Nassau University Medical Center.

When was this NPI record last updated?

The NPPES record for Paul Mustacchia was last updated on April 29, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.