DR. LYDIA MUSTAFIC M.D.
NPI 1386879724
Family Medicine in Waterloo, IA

Q: What is Lydia Mustafic's NPI number?

The NPI number for Lydia Mustafic is 1386879724. It was assigned to this individual provider in the NPPES registry on May 28, 2009.

Q: What is Lydia Mustafic's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Lydia Mustafic was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 May 28, 2009PECOS EnrolledAccepts Medicare Assignment

2710 SAINT FRANCIS DR STE 210, WATERLOO, IA 50702(319) 272-5000 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 21, 2022, Jun 26, 2017 (2 updates tracked since 2017).

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About Dr. Lydia Mustafic M.d. NPPES

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

DR. LYDIA MUSTAFIC M.D. (NPI 1386879724) is an individual family medicine provider in Waterloo, Iowa, licensed in Kentucky (44461) and active in the NPI registry since May 2009. She is enrolled in Medicare PECOS, is affiliated with Sartori Memorial Hospital, Inc, and maintains a secondary practice location in Lexington.

NPPES Registry Identity

NPI1386879724

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameDR. LYDIA MUSTAFICCredential: M.D.

Location Address2710 SAINT FRANCIS DR STE 210Waterloo, IA 50702-5664

Mailing Address1306 Versailles Rd, Ste 120Lexington, KY 40504-1796 · (859) 259-0717 · Fax (859) 254-7874

Phone(319) 272-5000

Sole ProprietorNo

Medical School CMSUniversity Of Kentucky College Of MedicineGraduated 2009

Enumeration DateMay 28, 2009

Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration

✔ NPI 1386879724 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in KY · 44461

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

2710 SAINT FRANCIS DR STE 210, Waterloo, IA 50702

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Secondary Practice Location 1

Location 11306 Versailles Rd, Ste 120Lexington, KY 40504-1796 · Phone (859) 259-0717 · Fax (859) 254-7874

Other Identifiers 1

Medicaid7100179770KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Lydia Mustafic 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 ID9335311182

PECOS Enrollment IDI20131023001057

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.

Medicare Billing Reassignment

Medicare enrollment records show Lydia Mustafic reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Covenant Medical Center Inc

0.1 mi

Emergency Medicine

3421 W 9TH ST
Waterloo, IA 50702

Reassigned Medicare billing, Iowa enrollment
271 clinicians in this Medicare group

NPI 1528009545 (319) 272-7600

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 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.

367 services203 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

134 services134 patients

Annual depression screening, 5 to 15 minutes G0444

An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.

100 services100 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.

64 services53 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.

37 services32 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

15 services15 patients

Hospital Affiliations CMS Care Compare 3

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

Sartori Memorial Hospital, Inc

Acute Care Hospitals · Cedar Falls, IA

OwnershipVoluntary non-profit - Church

CMS Certification Number160040

Location515 College StreetCedar Falls, IA 50613 · Black Hawk County

Emergency services

Mercyone Waterloo Medical Center

Acute Care Hospitals · Waterloo, IA

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number160067

Location3421 West Ninth StreetWaterloo, IA 50702 · Black Hawk County

Emergency services Birthing friendly

Allen Hospital

Acute Care Hospitals · Waterloo, IA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number160110

Location1825 Logan AvenueWaterloo, IA 50703 · Black Hawk County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 50702 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

$81.84 typical visit price

range $52.96 – $161.40

Typical copayment $20.46 (range $13.24 – $40.35)

Most-billed visit code 99203

Established Patient

$94.05 typical visit price

range $16.91 – $131.98

Typical copayment $23.51 (range $4.22 – $32.99)

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.

Referred Medical Equipment & Supplies CMS DME claims 13

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

10 suppliers41 claims85 services$5.59 avg. paid by Medicare

Full face mask used with positive airway pressure device, each A7030

DME-Other DME · category DE001N

3 suppliers11 claims11 services$88.59 avg. paid by Medicare

Face mask interface, replacement for full face mask, each A7031

DME-Other DME · category DE001N

3 suppliers13 claims20 services$34.87 avg. paid by Medicare

Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034

DME-Other DME · category DE001N

4 suppliers14 claims14 services$53.42 avg. paid by Medicare

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

6 suppliers21 claims21 services$17.68 avg. paid by Medicare

Tubing used with positive airway pressure device A7037

DME-Other DME · category DE001N

3 suppliers16 claims16 services$15.02 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 9

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

NICOLE ROSE MENUEY ARNP

Nurse Practitioner (Family)