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PRANEETHA MUSTY MBBS/MD
NPI 1306191820
Internal Medicine - Rheumatology in Smyrna, GA

Active since July 20, 2012PECOS EnrolledAccepts Medicare Assignment
92.93/100
CMS Quality Rating
4441 ATLANTA RD SE STE 315, SMYRNA, GA 30080(770) 333-2035 Get Directions Write a Review

NPPES record last updated: July 12, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 12, 2023, Mar 19, 2019, Jun 23, 2017 (3 updates tracked since 2017).

About Praneetha Musty Mbbs/md NPPES

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

PRANEETHA MUSTY MBBS/MD (NPI 1306191820) is an individual rheumatology provider in Smyrna, Georgia, licensed in Georgia (95355) and active in the NPI registry since July 2012. She is enrolled in Medicare PECOS, is affiliated with Wellstar Kennestone Regional Medical Center, and maintains a secondary practice location in Monroe.

NPPES Registry Identity

NPI1306191820
Entity TypeIndividualFemale
Primary Taxonomy207RR0500X
Provider Legal NamePRANEETHA MUSTYCredential: MBBS/MD
Location Address4441 ATLANTA RD SE STE 315Smyrna, GA 30080-6443
Mailing Address4441 Atlanta Rd Se Ste 315Smyrna, GA 30080-6443 · (770) 333-2035
Phone(770) 333-2035
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateJuly 20, 2012
Last NPPES UpdateJuly 12, 20233 updates tracked since enumeration
NPPES CertifiedJuly 12, 2023
✔ NPI 1306191820 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
Licenses✔ Licensed in GA · 95355✔ Licensed in LA · 308167
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
4441 ATLANTA RD SE STE 315, Smyrna, GA 30080
Open in Google Maps ↗

Secondary Practice Location 1

Location 13402 Magnolia CvMonroe, LA 71203-2374 · Phone (318) 388-5830

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health and more.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

Praneetha Musty Mbbs/md 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 ID8426313974
PECOS Enrollment IDI20230522002878
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 5

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 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.
161 services89 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
48 services48 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
42 services25 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
11 services11 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
11 services11 patients

Hospital Affiliations CMS Care Compare 4

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

Wellstar Kennestone Regional Medical Center

Acute Care Hospitals · Marietta, GA
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110035
Location677 Church StreetMarietta, GA 30060 · Cobb County
Emergency services Birthing friendly

Wellstar Paulding Medical Center

Acute Care Hospitals · Hiram, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110042
Location2518 Jimmy Lee Smith ParkwayHiram, GA 30141 · Paulding County

Wellstar Cobb Medical Center

Acute Care Hospitals · Austell, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110143
Location3950 Austell RdAustell, GA 30106 · Cobb County
Birthing friendly

Wellstar Douglas Medical Center

Acute Care Hospitals · Douglasville, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110184
Location8954 Hospital DriveDouglasville, GA 30134 · Douglas County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30080 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
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
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.

92.93/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.38
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 3

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

SAEYOUNG LEE
Nurse Practitioner (Adult Health)
4441 ATLANTA RD SE STE 315
SMYRNA, GA 30080
Cobb County (770) 333-2035
BIJAL VASHI M.D.
Internal Medicine (Rheumatology)
4441 ATLANTA RD SE STE 315
SMYRNA, GA 30080
Cobb County (770) 333-2035
KEITH T ROTT M.D.
Internal Medicine (Rheumatology)
4441 ATLANTA RD SE STE 315
SMYRNA, GA 30080
Cobb County (770) 333-2035

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 Praneetha Musty's NPI number?

The NPI number for Praneetha Musty is 1306191820. It was assigned to this individual provider in the NPPES registry on July 20, 2012.

Where is Praneetha Musty located?

Praneetha Musty practices at 4441 Atlanta Rd SE Ste 315, Smyrna, GA 30080. The listed phone number is (770) 333-2035.

What is Praneetha Musty's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Praneetha Musty enrolled in Medicare?

Yes. Praneetha Musty 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 Praneetha Musty accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 2 other insurers list Praneetha Musty 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 Praneetha Musty affiliated with any hospitals?

According to CMS data, Praneetha Musty is affiliated with Wellstar Kennestone Regional Medical Center, Wellstar Paulding Medical Center, Wellstar Cobb Medical Center and Wellstar Douglas Medical Center.

When was this NPI record last updated?

The NPPES record for Praneetha Musty was last updated on July 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.