MARY S MUSCATO MD
NPI 1427045053
Internal Medicine - Hematology & Oncology in Columbia, MO
NPI Status: Active since September 29, 2005
Contact Information
1705 E BROADWAY
SUITE 100
COLUMBIA, MO
ZIP 65201
Phone: (573) 874-7800
Fax: (573) 443-3627
- Individual
- Female
- Internal Medicine
- Hematology & Oncology
- Medicare Quality Reporting
About MARY MUSCATO
This page provides the complete NPI Profile along with additional information for Mary Muscato, an internist established in Columbia, Missouri with a medical specialization in Internal Medicine, focusing in hematology & oncology . The healthcare provider is registered in the NPI registry with number 1427045053 assigned on September 2005. The practitioner's primary taxonomy code is 207RH0003X with license number R7B63 (MO). The provider is registered as an individual and her NPI record was last updated 18 years ago.
- NPI
- 1427045053
- Provider Name
- MARY S MUSCATO MD
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1705 E BROADWAY SUITE 100 COLUMBIA, MO 65201
- Location Phone
- (573) 874-7800
- Location Fax
- (573) 443-3627
- Mailing Address
- 1705 E BROADWAY SUITE 100 COLUMBIA, MO 65201
- Mailing Phone
- (573) 874-7800
- Mailing Fax
- (573) 443-3627
- Is Sole Proprietor?
- No
- Enumeration Date
- 09-29-2005
- Last Update Date
- 10-10-2008
- Code Navigator
An internist like Mary Muscato is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Internal Medicine Hematology & Oncology
- Taxonomy Code
- 207RH0003X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- R7B63
- License State
- MO
- Taxonomy Description
- An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| A13424 | OTHER (01) | MERCY HEALTH PLANS | |
| 006012700 | MEDICARE PIN (08) | MO | |
| 27355 | OTHER (01) | GHP | |
| 118061 | OTHER (01) | HEALTHLINK | |
| 3000018 | OTHER (01) | UNITED HEALTHCARE | |
| 65201A006 | OTHER (01) | TRICARE | |
| 201595618 | MEDICAID (05) | MO | |
| 900001419 | MEDICARE PIN (08) | MO | |
| MA1231013 | MEDICARE PIN (08) | MO | |
| 5132415 | OTHER (01) | AETNA | |
| 106097 | OTHER (01) | BCBS OF MO | |
| A13424 | MEDICARE UPIN (02) |
Quality Reporting
The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.
| Quality Measure | Performance | Number of Patients |
|---|---|---|
| Care Plan | 90% | 232 |
| Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker or provide an advance care plan | ||
| Documentation of Current Medications in the Medical Record | 87% | 630 |
| Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter. This list must include ALL known prescriptions, over-the-counters, herbals, and vitamin/mineral/dietary (nutritional) supplements AND must contain the medications' name, dosage, frequency and route of administration | ||
| Engagement of patients through implementation of improvements in patient portal | Yes | N/A |
| Access to an enhanced patient portal that provides up to date information related to relevant chronic disease health or blood pressure control, and includes interactive features allowing patients to enter health information and/or enables bidirectional communication about medication changes and adherence. | ||
| Engagement of Patients, Family, and Caregivers in Developing a Plan of Care | Yes | N/A |
| Engage patients, family, and caregivers in developing a plan of care and prioritizing their goals for action, documented in the electronic health record (EHR) technology. | ||
| Implementation of improvements that contribute to more timely communication of test results | Yes | N/A |
| Timely communication of test results defined as timely identification of abnormal test results with timely follow-up. | ||
| Implementation of medication management practice improvements | Yes | N/A |
| Manage medications to maximize efficiency, effectiveness and safety that could include one or more of the following: Reconcile and coordinate medications and provide medication management across transitions of care settings and eligible clinicians or groups; Integrate a pharmacist into the care team; and/or Conduct periodic, structured medication reviews. | ||
| Oncology: Medical and Radiation - Pain Intensity Quantified | 99% | 69 |
| Percentage of patient visits, regardless of patient age, with a diagnosis of cancer currently receiving chemotherapy or radiation therapy in which pain intensity is quantified | ||
| Oncology: Medical and Radiation - Plan of Care for Pain | 77% | 35 |
| Percentage of visits for patients, regardless of age, with a diagnosis of cancer currently receiving chemotherapy or radiation therapy who report having pain with a documented plan of care to address pain | ||
| Preventive Care and Screening: Influenza Immunization | 84% | 232 |
| Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization | ||
| Provide 24/7 Access to MIPS Eligible Clinicians or Groups Who Have Real-Time Access to Patient's Medical Record | Yes | N/A |
| • Provide 24/7 access to MIPS eligible clinicians, groups, or care teams for advice about urgent and emergent care (e.g., MIPS eligible clinician and care team access to medical record, cross-coverage with access to medical record, or protocol-driven nurse line with access to medical record) that could include one or more of the following: • Expanded hours in evenings and weekends with access to the patient medical record (e.g., coordinate with small practices to provide alternate hour office visits and urgent care); • Use of alternatives to increase access to care team by MIPS eligible clinicians and groups, such as e-visits, phone visits, group visits, home visits and alternate locations (e.g., senior centers and assisted living centers); and/or Provision of same-day or next-day access to a consistent MIPS eligible clinician, group or care team when needed for urgent care or transition management. | ||
| Use evidence-based decision aids to support shared decision-making. | Yes | N/A |
| Use evidence-based decision aids to support shared decision-making. | ||
| Use of High-Risk Medications in the Elderly | 8% "Inverse Quality Measure" This is an inverse quality measure, a lower rate means the provider is rated better. | 232 |
| Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication. 2) Percentage of patients who were ordered at least two of the same high-risk medication | ||
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1427045053, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 47. The final step is to find the difference between that total and the next multiple of ten (50 - 47 = 3).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 47 is 50. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
COLUMBIA, MO 65201
COLUMBIA, MO 65201
COLUMBIA, MO 65201
COLUMBIA, MO 65201
COLUMBIA, MO 65201
COLUMBIA, MO 65201
COLUMBIA, MO 65201
COLUMBIA, MO 65201
COLUMBIA, MO 65201
COLUMBIA, MO 65201
COLUMBIA, MO 65201
COLUMBIA, MO 65201
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1427045053, enumerated as an "individual" on September 29, 2005.
The provider is located at 1705 E BROADWAY SUITE 100 COLUMBIA, MO 65201 and the phone number is (573) 874-7800.
Internal Medicine with taxonomy code 207RH0003X and a focus in Hematology & Oncology.
The provider might be accepting Accepts: Medicare, Medicaid, Tricare, Aetna and Blue Cross. Please consult your insurance carrier or call the provider to verify.
