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THERESA LYNN MUSGRAVE PA-C
NPI 1356651558
Physician Assistant in Toledo, OH

Active since October 21, 2010PECOS EnrolledAccepts Medicare Assignment
2865 N REYNOLDS RD BLDG A, TOLEDO, OH 43615(419) 578-7200(419) 537-5600 Get Directions Write a Review

NPPES record last updated: November 3, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 3, 2023, Dec 17, 2020 (2 updates tracked since 2020).

About Theresa Lynn Musgrave Pa-c NPPES

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

THERESA LYNN MUSGRAVE PA-C (NPI 1356651558) is an individual physician assistant in Toledo, Ohio, licensed in Ohio (50.003101) and active in the NPI registry since October 2010. She is enrolled in Medicare PECOS, is affiliated with Promedica Toledo Hospital, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1356651558
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameTHERESA LYNN MUSGRAVECredential: PA-C
Location Address2865 N REYNOLDS RD BLDG AToledo, OH 43615-2100
Mailing Address333 N Summit St Fl 7Toledo, OH 43604-1531 · (419) 578-7200 · Fax (419) 537-5600
Phone(419) 578-7200
Fax(419) 537-5600
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateOctober 21, 2010
Last NPPES UpdateNovember 3, 20232 updates tracked since enumeration
NPPES CertifiedDecember 17, 2020
✔ NPI 1356651558 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in OH · 50.003101
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
2865 N REYNOLDS RD BLDG A, Toledo, OH 43615
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Accepted Insurance

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

Theresa Lynn Musgrave Pa-c 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 ID3476740432
PECOS Enrollment IDI20101203000408
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 8

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.

Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment 63047
This procedure involves removing part of a spine bone to alleviate pressure on the lower spinal cord and/or nerves. It targets a single segment of the spine, improving mobility and reducing pain. It's a common treatment for conditions like herniated discs or spinal stenosis.
40 services40 patients
Placement of stabilizing device to back of 1 spine bone in neck 22840
This procedure involves positioning a stabilizing device onto a single spinal bone in the neck. The goal is to provide support and prevent movement that could cause discomfort or further injury. It's performed by trained specialists under anesthesia.
27 services27 patients
Insertion of cage or mesh device to spine bone and disc space during spine fusion 22853
Spine fusion is a procedure to join two or more vertebrae. During this process, a cage or mesh device is inserted into the spine bone and disc space. This helps to stabilize the spine, reduce pain, and improve functionality. The device acts as a bridge for new bone to grow on.
27 services23 patients
Partial removal of spine bone with release of spinal cord and/or nerves, each additional segment 63048
This procedure involves the partial removal of a bone in your spine to alleviate pressure on your spinal cord or nerves. It may be performed on multiple spine segments depending on your condition. The aim is to improve mobility and reduce pain or discomfort.
27 services24 patients
Fusion of additional segment of spine 22614
Fusion of an additional segment of the spine is a surgical procedure to join two or more vertebrae together. This is done to stabilize the spine and reduce pain or correct a deformity. The procedure involves using bone grafts, rods, or screws to secure the spine.
25 services23 patients
Fusion of spine in lower back 22612
Fusion of the spine in the lower back, also known as lumbar spinal fusion, is a surgery aimed to join, or fuse, two or more vertebrae in your lower back. This procedure can help alleviate pain and improve stability by reducing movement between the vertebrae.
23 services23 patients

Hospital Affiliations CMS Care Compare

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

Promedica Toledo Hospital

Acute Care Hospitals · Toledo, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360068
Location2142 North Cove BoulevardToledo, OH 43606 · Lucas County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43615 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

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.

Reported Quality Measures

Perioperative Care: Selection of Prophylactic Antibiotic - First OR Second Generation Cephalosporin
Percentage of surgical patients aged 18 years and older undergoing procedures with the indications for a first OR second generation cephalosporin prophylactic antibiotic, who had an order for a first OR second generation cephalosporin for antimicrobial…
100%87 patients
Perioperative Care: Venous Thromboembolism (VTE) Prophylaxis (When Indicated in ALL Patients)
Percentage of surgical patients aged 18 years and older undergoing procedures for which venous thromboembolism (VTE) prophylaxis is indicated in all patients, who had an order for Low Molecular Weight Heparin (LMWH), Low- Dose Unfractionated Heparin (LDUH)…
100%87 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 14

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

ZEFIRYN BRYAN PA-S
Physician Assistant
2865 N REYNOLDS RD BLDG A
TOLEDO, OH 43615
Lucas County (419) 578-7571
MRS. MEGHAN DIER PA-S
Physician Assistant
2865 N REYNOLDS RD BLDG A
TOLEDO, OH 43615
Lucas County (419) 578-7200
ASHER O SMITH M.D.
Orthopaedic Surgery (Hand Surgery)
2865 N REYNOLDS RD BLDG A
TOLEDO, OH 43615
Lucas County (419) 578-7200
PAIGE ONWELLER PA-C
Physician Assistant
2865 N REYNOLDS RD BLDG A
TOLEDO, OH 43615
Lucas County (419) 578-7571
CAITLIN CEGLAREK
Physician Assistant
2865 N REYNOLDS RD BLDG A
TOLEDO, OH 43615
Lucas County (419) 578-7200
RYAN ROTH PA
Physician Assistant (Medical)
2865 N REYNOLDS RD BLDG A
TOLEDO, OH 43615
Lucas County (419) 578-7200
ARIELLE DESIRAE FRAME
Physician Assistant
2865 N REYNOLDS RD BLDG A
TOLEDO, OH 43615
Lucas County (419) 578-7200
MEREDITH STANFORD
Physician Assistant
2865 N REYNOLDS RD BLDG A
TOLEDO, OH 43615
Lucas County (419) 578-7551

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 Theresa Musgrave's NPI number?

The NPI number for Theresa Musgrave is 1356651558. It was assigned to this individual provider in the NPPES registry on October 21, 2010.

Where is Theresa Musgrave located?

Theresa Musgrave practices at 2865 N Reynolds Rd Bldg A, Toledo, OH 43615. The listed phone number is (419) 578-7200.

What is Theresa Musgrave's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Theresa Musgrave enrolled in Medicare?

Yes. Theresa Musgrave 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 Theresa Musgrave accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and CareSource and 1 other insurer list Theresa Musgrave 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 Theresa Musgrave affiliated with any hospitals?

According to CMS data, Theresa Musgrave is affiliated with Promedica Toledo Hospital.

When was this NPI record last updated?

The NPPES record for Theresa Musgrave was last updated on November 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.