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PAULA M MUTO MD
NPI 1447258363
Surgery in Lawrence, MA

Active since July 13, 2005PECOS EnrolledAccepts Medicare Assignment
100 AMESBURY ST, SUITE 113, LAWRENCE, MA 01840(978) 685-5474(978) 689-0493 Get Directions Write a Review

NPPES record last updated: July 3, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Paula M Muto Md NPPES

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

PAULA M MUTO MD (NPI 1447258363) is an individual surgery provider in Lawrence, Massachusetts, licensed in Massachusetts (81002) and active in the NPI registry since July 2005. She is enrolled in Medicare PECOS, is affiliated with Holy Family Hospital, and is a graduate of New York Medical College (1989).

NPPES Registry Identity

NPI1447258363
Entity TypeIndividualFemale
Primary Taxonomy208600000X
Provider Legal NamePAULA M MUTOCredential: MD
Location Address100 AMESBURY ST, SUITE 113Lawrence, MA 01840
Mailing Address198 Massachussetts Avenue, Suite 100North Andover, MA 01845 · (978) 685-5474 · Fax (788) 820-2369
Phone(978) 685-5474
Fax(978) 689-0493
Sole ProprietorYes
Medical School CMSNew York Medical CollegeGraduated 1989
Enumeration DateJuly 13, 2005
Last NPPES UpdateJuly 3, 2019
✔ NPI 1447258363 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in MA · 81002
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Also ListedSurgery · Vascular SurgeryTaxonomy 2086S0129X · License 81002 (MA)
100 AMESBURY ST, Lawrence, MA 01840
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Other Identifiers 1

Medicaid3152464MA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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

Paula M Muto 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 ID7618071002
PECOS Enrollment IDI20070323000335
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 9

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 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.
145 services91 patients
Ultrasound study of arm or leg veins with compression and maneuvers 93970
An ultrasound study of arm or leg veins with compression and maneuvers is a non-invasive procedure that uses sound waves to create images of your veins. This helps identify blood clots or other vein problems. During the procedure, pressure is applied to the veins and certain movements are performed to assess blood flow.
79 services72 patients
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.
61 services44 patients
Ultrasound study of one arm or leg veins with compression and maneuvers 93971
This is a non-invasive procedure using sound waves to visualize veins in an arm or leg. It involves applying gentle pressure and performing certain movements. It helps identify any abnormal blood flow or clots, ensuring vascular health.
41 services33 patients
Injection of chemical agent into multiple incompetent veins of leg 36471
This procedure involves injecting a special chemical into problematic veins in the leg. The chemical helps to close off these veins, rerouting blood through healthier veins. This can alleviate discomfort and improve the appearance of the treated area.
38 services21 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
28 services28 patients

Hospital Affiliations CMS Care Compare

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

Holy Family Hospital

Acute Care Hospitals · Methuen, MA
2/5 CMS rating
OwnershipProprietary
CMS Certification Number220080
Location70 East StreetMethuen, MA 01844 · Essex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01840 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
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$73.22 typical visit price
range $19.11 – $144.84
Typical copayment $18.30 (range $4.77 – $36.21)
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 20

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

DR. NGUYET M TAU D.M.D.
Dentist
100 AMESBURY ST, SUITE 203
LAWRENCE, MA 01840
Essex County (978) 686-8500
DRS GIORDANO AND LEM PC
Dentist (Orthodontics and Dentofacial Orthopedics)
100 AMESBURY ST, #110
LAWRENCE, MA 01840
Essex County (978) 686-3838
DR. JOHN B.C. LEM DMD
Dentist (Orthodontics and Dentofacial Orthopedics)
100 AMESBURY ST
LAWRENCE, MA 01840
Essex County (978) 686-3838
MERRIMACK VALLEY ORTHODONTICS LLC
Dentist (Orthodontics and Dentofacial Orthopedics)
100 AMESBURY ST, SUITE 110
LAWRENCE, MA 01840
Essex County (978) 686-3838
DR. AUDRA BUCKLEY REYNOSO D.M.D.
Dentist (Orthodontics and Dentofacial Orthopedics)
100 AMESBURY ST, SUITE 110
LAWRENCE, MA 01840
Essex County (978) 686-3838
DR. SANDRA AMERI D.M.D.
Dentist
100 AMESBURY ST, SUITE 203
LAWRENCE, MA 01840
Essex County (978) 686-8500
DR. HYUNG CHAN CHO DDS
Dentist (General Practice)
100 AMESBURY ST, 203
LAWRENCE, MA 01840
Essex County (978) 686-8500
CATHLEEN E. WALLENT, DMD, PC
Dentist (General Practice)
100 AMESBURY ST, SUITE 202
LAWRENCE, MA 01840
Essex County (978) 682-2276

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 Paula Muto's NPI number?

The NPI number for Paula Muto is 1447258363. It was assigned to this individual provider in the NPPES registry on July 13, 2005.

Where is Paula Muto located?

Paula Muto practices at 100 Amesbury St Suite 113, Lawrence, MA 01840. The listed phone number is (978) 685-5474.

What is Paula Muto's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Paula Muto enrolled in Medicare?

Yes. Paula Muto 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 Paula Muto accept?

Health plans from Anthem Blue Cross and Blue Shield list Paula Muto 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 Paula Muto affiliated with any hospitals?

According to CMS data, Paula Muto is affiliated with Holy Family Hospital.

When was this NPI record last updated?

The NPPES record for Paula Muto was last updated on July 3, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.