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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. ANTHONY THOMAS MUSTOVICH III D.O.
NPI 1437590759
Orthopaedic Surgery in Butler, PA

Active since July 15, 2013PECOS EnrolledAccepts Medicare Assignment
480 E JEFFERSON ST STE B, BUTLER, PA 16001(833) 604-7214(724) 431-1098 Get Directions Write a Review

NPPES record last updated: September 17, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 17, 2026, Feb 2, 2026, Nov 29, 2021 (3 updates tracked since 2021).

About Dr. Anthony Thomas Mustovich Iii D.o. NPPES

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

DR. ANTHONY THOMAS MUSTOVICH III D.O. (NPI 1437590759) is an individual orthopaedic surgery provider in Butler, Pennsylvania, licensed in Pennsylvania (OS023415) and active in the NPI registry since July 2013. He is enrolled in Medicare PECOS, is affiliated with Allegheny General Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1437590759
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. ANTHONY THOMAS MUSTOVICH IIICredential: D.O.
Location Address480 E JEFFERSON ST STE BButler, PA 16001-4780
Mailing Address480 E Jefferson St Ste BButler, PA 16001-4780 · (833) 604-7214 · Fax (724) 431-1097
Phone(833) 604-7214
Fax(724) 431-1098
Sole ProprietorNo
Medical School CMSLake Erie Col Of Osteo Med At Seton Hill UnivGraduated 2013
Enumeration DateJuly 15, 2013
Last NPPES UpdateSeptember 17, 20263 updates tracked since enumeration
NPPES CertifiedSeptember 17, 2026
✔ NPI 1437590759 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in PA · OS023415
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
480 E JEFFERSON ST STE B, Butler, PA 16001
Open in Google Maps ↗

Secondary Practice Locations 3

Location 1802 Warrendale Village Dr Fl 1Warrendale, PA 15086-7589 · Phone (412) 207-9780 · Fax (412) 207-9782
Location 2345 Mount Lebanon BlvdPittsburgh, PA 15234-1504 · Phone (412) 207-9780 · Fax (412) 207-9782
Location 3542 Rugh St Ste 2000Greensburg, PA 15601-5623 · Phone (412) 207-9780 · Fax (412) 207-9782

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware 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. Anthony Thomas Mustovich Iii D.o. 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 ID5092009241
PECOS Enrollment IDI20240723001667
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 Reassignments

4

Medicare enrollment records show Anthony Mustovich reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Butler Medical Providers
Same address
Orthopaedic Surgery
480 E JEFFERSON ST, SUITE B
Butler, PA 16001
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 482 clinicians in this Medicare group
NPI 1245629617 (833) 604-7214
Sports Medicine & Joint Replacement Specialists Corporation
35 mi
Orthopaedic Surgery
345 MOUNT LEBANON BLVD
Pittsburgh, PA 15234
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 3 clinicians in this Medicare group
NPI 1447423843 (412) 207-9780
Fayette Physician Network Inc
59 mi
Family Medicine
111B ROBERTS RD
Grindstone, PA 15442
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 398 clinicians in this Medicare group
NPI 1710389994 (724) 785-2286
Mckinley Orthopedic And Sports Medicine, LLC
3,083 mi
Orthopaedic Surgery
3745 GEIST RD
Fairbanks, AK 99709
  • Reassigned Medicare billing, Alaska enrollment
  • 14 clinicians in this Medicare group
NPI 1760938021 (907) 456-3387

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

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 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.
22 services14 patients

Hospital Affiliations CMS Care Compare 3

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

Allegheny General Hospital

Acute Care Hospitals · Pittsburgh, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390050
Location320 East North AvenuePittsburgh, PA 15212 · Allegheny County
Emergency services

Butler Memorial Hospital

Acute Care Hospitals · Butler, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390168
LocationOne Hospital WayButler, PA 16001 · Butler County
Emergency services Birthing friendly

Advanced Surgical Hospital

Acute Care Hospitals · Washington, PA
OwnershipPhysician
CMS Certification Number390323
Location100 Trich DriveWashington, PA 15301 · Washington County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16001 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 3

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

JASON D CLARK D.O.
Orthopaedic Surgery
480 E JEFFERSON ST STE B
BUTLER, PA 16001
Butler County (724) 968-5337
ANNA GRZEGORCZYK PA-C
Physician Assistant
480 E JEFFERSON ST STE B
BUTLER, PA 16001
Butler County (833) 604-7214
WILLIAM PAUL LAPSLEY CRNP
Nurse Practitioner (Adult Health)
480 E JEFFERSON ST STE B
BUTLER, PA 16001
Butler County (833) 604-7214

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 Anthony Mustovich's NPI number?

The NPI number for Anthony Mustovich is 1437590759. It was assigned to this individual provider in the NPPES registry on July 15, 2013.

Where is Anthony Mustovich located?

Anthony Mustovich practices at 480 E Jefferson St Ste B, Butler, PA 16001. The listed phone number is (833) 604-7214.

What is Anthony Mustovich's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Anthony Mustovich enrolled in Medicare?

Yes. Anthony Mustovich 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.

Which organizations bill Medicare for Anthony Mustovich's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Anthony Mustovich reassigns Medicare benefits to 4 organizations: Butler Medical Providers (Butler, PA), Sports Medicine & Joint Replacement Specialists Corporation (Pittsburgh, PA), Fayette Physician Network Inc (Grindstone, PA) and Mckinley Orthopedic And Sports Medicine, LLC (Fairbanks, AK). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Anthony Mustovich's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Anthony Mustovich accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan and Moda Health Plan, Inc. list Anthony Mustovich 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 Anthony Mustovich affiliated with any hospitals?

According to CMS data, Anthony Mustovich is affiliated with Allegheny General Hospital, Butler Memorial Hospital and Advanced Surgical Hospital.

When was this NPI record last updated?

The NPPES record for Anthony Mustovich was last updated on September 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 41 days 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.