1. Home
  2. Directory
  3. Pennsylvania
  4. Forty Fort
  5. Dentist
  6. NPI Profile

DR. CHARLES JOSEPH MUSTO DMD
NPI 1417059148
Dentist - Periodontics in Forty Fort, PA

Active since September 02, 2006PECOS Enrolled
920 WYOMING AVE, STE 104, FORTY FORT, PA 18704(570) 283-3611(570) 283-3396 Get Directions Write a Review

NPPES record last updated: May 30, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 30, 2023, Mar 7, 2023 (2 updates tracked since 2023).

About Dr. Charles Joseph Musto Dmd NPPES

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

DR. CHARLES JOSEPH MUSTO DMD (NPI 1417059148) is an individual periodontics provider in Forty Fort, Pennsylvania, licensed in Pennsylvania (DS027522L) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417059148
Entity TypeIndividualMale
Primary Taxonomy1223P0300X
Provider Legal NameDR. CHARLES JOSEPH MUSTOCredential: DMD
Location Address920 WYOMING AVE, STE 104Forty Fort, PA 18704-3970
Mailing Address920 Wyoming Ave Ste 203Forty Fort, PA 18704-3999 · (570) 283-3611 · Fax (570) 283-3396
Phone(570) 283-3611
Fax(570) 283-3396
Sole ProprietorNo
Enumeration DateSeptember 2, 2006
Last NPPES UpdateMay 30, 20232 updates tracked since enumeration
NPPES CertifiedMay 30, 2023
✔ NPI 1417059148 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in PA · DS027522L
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
Also ListedAnesthesiologyTaxonomy 207L00000X · License DP027522A (PA)
920 WYOMING AVE, Forty Fort, PA 18704
Open in Google Maps ↗

Other Identifiers 3

Other727338PA · Pa Blue Shield
Other808758PA · First Priority Health Bc
Other727338PA · United Concordia

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Charles Joseph Musto Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18704 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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.

Other Providers at the Same Location NPPES 5

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

TAYLOR LYNN BUDWASH
Audiologist
920 WYOMING AVE
FORTY FORT, PA 18704
Luzerne County (570) 714-2656
DR. SANDRA LEE PACURARIU O.D.
Optometrist
920 WYOMING AVE
KINGSTON, PA 18704
Luzerne County (570) 288-6115
DR. ERIC FRUSCIANTE D.M.D.
Dentist
920 WYOMING AVE, SUITE 104
FORTY FORT, PA 18704
Luzerne County (570) 283-2422
KAREN COOPER MD
Internal Medicine (Medical Oncology)
920 WYOMING AVE, SUITE 204
FORTY FORT, PA 18704
Luzerne County (570) 288-4595
DR. RADU I PACURARIU MD
Ophthalmology
920 WYOMING AVE, STE # 201
FORTY FORT, PA 18704
Luzerne County (570) 288-6115

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 Charles Musto's NPI number?

The NPI number for Charles Musto is 1417059148. It was assigned to this individual provider in the NPPES registry on September 2, 2006.

Where is Charles Musto located?

Charles Musto practices at 920 Wyoming Ave Ste 104, Forty Fort, PA 18704. The listed phone number is (570) 283-3611.

What is Charles Musto's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Is Charles Musto enrolled in Medicare?

Yes. Charles Musto is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Charles Musto was last updated on May 30, 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.