PAUL L MUSCAT MD
NPI 1366442923
Psychiatry & Neurology - Neurology in Scarborough, ME

Active since July 26, 2005PECOS EnrolledAccepts Medicare Assignment
98.06/100
CMS Quality Rating
49 SPRING ST, 2ND FLOOR, SCARBOROUGH, ME 04074(207) 883-1414(207) 883-1010 Get Directions Write a Review

NPPES record last updated: October 23, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Paul L Muscat Md NPPES

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

PAUL L MUSCAT MD (NPI 1366442923) is an individual neurology provider in Scarborough, Maine, licensed in Maine (MD15405) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with Maine Medical Center, and is a graduate of Columbia University College Of Physicians And Surgeons (1986).

NPPES Registry Identity

NPI1366442923
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NamePAUL L MUSCATCredential: MD
Location Address49 SPRING ST, 2ND FLOORScarborough, ME 04074-8926
Mailing Address301c Us Route 1Scarborough, ME 04074-9701 · (207) 396-8600 · Fax (207) 396-8632
Fax(207) 883-1010
Sole ProprietorNo
Medical School CMSColumbia University College Of Physicians And SurgeonsGraduated 1986
Enumeration DateJuly 26, 2005
Last NPPES UpdateOctober 23, 2012
NPI 1366442923 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License Licensed in ME · MD15405
Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

Also ListedPsychiatry & Neurology · Pain MedicineTaxonomy 2084P2900X · License MD15405 (ME)
49 SPRING ST, Scarborough, ME 04074

Other Identifiers 7

Medicare PINMM8481ME
Medicare PINMM848102ME
Medicare UPINE82752
Medicaid297210099ME
Medicare PINMM848101ME
Medicare PINP01079474ME
Medicaid30209408NH

Accepted 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

Paul L Muscat 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 ID2961435128
PECOS Enrollment IDI20050917000030
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.

Established patient office or other outpatient visit, 20-29 minutes 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.
42 services36 patients
Established patient office or other outpatient visit, 30-39 minutes 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.
42 services37 patients
Injection of chemical for paralysis of facial and neck nerve muscles on both sides of face 64615
This procedure involves injecting a chemical into specific facial and neck muscles, causing temporary paralysis. This helps reduce muscle activity and can alleviate certain medical conditions. Both sides of the face are treated for a balanced result.
34 services11 patients
Mri scan of brain without contrast 70551
An MRI scan of the brain without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to create detailed images of your brain. It helps in detecting abnormalities like tumors, stroke, inflammation, or infection.
32 services32 patients
New patient office or other outpatient visit, 45-59 minutes 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.
28 services28 patients
Established patient office or other outpatient visit, 40-54 minutes 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.
24 services20 patients

Hospital Affiliations CMS Care Compare

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

Maine Medical Center

Acute Care Hospitals · Portland, ME
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number200009
Location22 Bramhall StPortland, ME 04102 · Cumberland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04074 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
$128.83 typical visit price
range $56.28 – $169.96
Typical copayment $32.20 (range $14.07 – $42.49)
Most-billed visit code 99204
Established Patient
$99.18 typical visit price
range $18.22 – $138.92
Typical copayment $24.79 (range $4.55 – $34.73)
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.

98.06/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.13
Promoting Interoperability100
Improvement Activities40

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.

Nurse Practitioner
49 SPRING ST
SCARBOROUGH, ME 04074
Neurological Surgery
49 SPRING ST, 1ST FLOOR
SCARBOROUGH, ME 04074
Neurological Surgery
49 SPRING ST, 1ST FLOOR
SCARBOROUGH, ME 04074
Orthopaedic Surgery
49 SPRING ST, 1ST FLOOR
SCARBOROUGH, ME 04074
Physical Medicine & Rehabilitation
49 SPRING ST, 1ST FLOOR
SCARBOROUGH, ME 04074
Specialist/Technologist (Athletic Trainer)
49 SPRING ST
SCARBOROUGH, ME 04074
Physician Assistant (Surgical)
49 SPRING ST
SCARBOROUGH, ME 04074
Physician Assistant (Surgical)
49 SPRING ST, 1ST FLOOR
SCARBOROUGH, ME 04074

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 Muscat's NPI number?

The NPI number for Paul Muscat is 1366442923. It was assigned to this individual provider in the NPPES registry on July 26, 2005.

Where is Paul Muscat located?

Paul Muscat practices at 49 Spring St 2nd Floor, Scarborough, ME 04074. The listed phone number is (207) 883-1414.

What is Paul Muscat's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Paul Muscat enrolled in Medicare?

Yes. Paul Muscat 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 Paul Muscat accept?

Health plans from Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Paul Muscat 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 Paul Muscat affiliated with any hospitals?

According to CMS data, Paul Muscat is affiliated with Maine Medical Center.

When was this NPI record last updated?

The NPPES record for Paul Muscat was last updated on October 23, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.