EVAN MUSMAN D.O.
NPI 1467598441
Anesthesiology - Pain Medicine in South Burlington, VT
NPI Status: Active since January 29, 2007
Contact Information
ONE KENNEDY DRIVE, SUITE U-1
SOUTH BURLINGTON, VT
ZIP 05403
Phone: (802) 861-6100
Fax: (802) 861-6101
- Individual
- Male
- Anesthesiology
- Pain Medicine
- Opted-Out Medicare
- Medicare Quality Reporting
About EVAN MUSMAN
This page provides the complete NPI Profile along with additional information for Evan Musman, a provider established in South Burlington, Vermont with a medical specialization in Anesthesiology, focusing in pain medicine . The healthcare provider is registered in the NPI registry with number 1467598441 assigned on January 2007. The practitioner's primary taxonomy code is 207LP2900X with license number 032-0000427 (VT). The provider is registered as an individual and his NPI record was last updated 18 years ago.
- NPI
- 1467598441
- Provider Name
- EVAN MUSMAN D.O.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- ONE KENNEDY DRIVE, SUITE U-1 SOUTH BURLINGTON, VT 05403
- Location Phone
- (802) 861-6100
- Location Fax
- (802) 861-6101
- Mailing Address
- ONE KENNEDY DRIVE, SUITE U-1 SOUTH BURLINGTON, VT 05403
- Mailing Phone
- (802) 861-6100
- Mailing Fax
- (802) 861-6101
- Is Sole Proprietor?
- No
- Enumeration Date
- 01-29-2007
- Last Update Date
- 03-05-2008
- Code Navigator
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Evan Musman opted out of Medicare effective on 07-01-2023 until 07-01-2027. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare and cannot order and refer services to other healthcare providers.
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
Anesthesiology Pain Medicine
- Taxonomy Code
- 207LP2900X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 032-0000427
- License State
- VT
- Taxonomy Description
- An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 174400000X | Other Service Providers | Specialist | 032-0000427 (VT) |
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.
*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 |
|---|---|---|---|
| VN2090 | MEDICARE ID-TYPE UNSPECIFIED (04) | ||
| 39879 | OTHER (01) | VT | BC BS OF VT |
| F79878 | MEDICARE UPIN (02) | ||
| 364858 | OTHER (01) | VT | MVP |
| P00301582 | OTHER (01) | VT | RR MEDICARE |
Medicare Participation & PECOS Enrollment Status
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 07-01-2023
Opt-Out End Date: 07-01-2027
Eligible to Order and Refer? No
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 |
|---|---|---|
| Consultation of the Prescription Drug Monitoring Program | Yes | N/A |
| Clinicians would attest to reviewing the patients’ history of controlled substance prescription using state prescription drug monitoring program (PDMP) data prior to the issuance of a Controlled Substance Schedule II (CSII) opioid prescription lasting longer than 3 days. For the transition year, clinicians would attest to 60 percent review of applicable patient’s history. For the Quality Payment Program Year 2 and future years, clinicians would attest to 75 percent review of applicable patient’s history performance. | ||
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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 1467598441, we treat the final digit (1) 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 69. The final step is to find the difference between that total and the next multiple of ten (70 - 69 = 1).
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 69 is 70. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1467598441, enumerated as an "individual" on January 29, 2007.
The provider is located at ONE KENNEDY DRIVE, SUITE U-1 SOUTH BURLINGTON, VT 05403 and the phone number is (802) 861-6100.
Anesthesiology with taxonomy code 207LP2900X and a focus in Pain Medicine.
The provider might be accepting Accepts: Medicare, Medicaid and Railroad Medicare. Please consult your insurance carrier or call the provider to verify.
