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AMY LYNN MUSIAL MD
NPI 1477174811
Internal Medicine - Infectious Disease in Edgewood, KY

Active since April 27, 2020PECOS EnrolledAccepts Medicare Assignment
20 MEDICAL VILLAGE DR, EDGEWOOD, KY 41017(859) 344-1512(859) 331-3698 Get Directions Write a Review

NPPES record last updated: February 26, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 3, 2025, May 1, 2024 (2 updates tracked since 2024).

About Amy Lynn Musial Md NPPES

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

AMY LYNN MUSIAL MD (NPI 1477174811) is an individual infectious disease provider in Edgewood, Kentucky, licensed in Kentucky (61300) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS, is affiliated with St Elizabeth Edgewood, and is a graduate of Central Michigan College Of Medicine (2020).

NPPES Registry Identity

NPI1477174811
Entity TypeIndividualFemale
Primary Taxonomy207RI0200X
Provider Legal NameAMY LYNN MUSIALCredential: MD
Location Address20 MEDICAL VILLAGE DREdgewood, KY 41017-5401
Mailing AddressPo Box 635283Cincinnati, OH 45263-5283 · (859) 344-1512 · Fax (859) 331-3698
Phone(859) 344-1512
Fax(859) 331-3698
Sole ProprietorNo
Medical School CMSCentral Michigan College Of MedicineGraduated 2020
Enumeration DateApril 27, 2020
Last NPPES UpdateFebruary 26, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 26, 2026
✔ NPI 1477174811 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
License✔ Licensed in KY · 61300
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
20 MEDICAL VILLAGE DR, Edgewood, KY 41017
Open in Google Maps ↗

Other Names 1

Former Name (1)Amy Lynn Hecht

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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Amy Lynn Musial 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 ID345744413
PECOS Enrollment IDI20250920000536
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 Reassignment

Medicare enrollment records show Amy Musial reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Summit Medical Group, Inc
3.9 mi
Psychiatry
1360 DOLWICK DRIVE
Erlanger, KY 41018
  • Reassigned Medicare billing, Kentucky enrollment
  • 946 clinicians in this Medicare group
NPI 1508287640 (859) 344-5555

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

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

St Elizabeth Edgewood

Acute Care Hospitals · Edgewood, KY
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number180035
Location1 Medical Village DriveEdgewood, KY 41017 · Kenton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41017 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
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
Most-billed visit code 99214
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.

INFECTIOUS DISEASE CONSULTANTS INC
Internal Medicine (Infectious Disease)
20 MEDICAL VILLAGE DR, SUITE 355
EDGEWOOD, KY 41017
Kenton County (859) 344-1512
DAVID THOMAS TACKETT APRN
Nurse Practitioner
20 MEDICAL VILLAGE DR
EDGEWOOD, KY 41017
Kenton County (859) 578-5880
DEBORAH JOY BARNETT PA-C
Physician Assistant
20 MEDICAL VILLAGE DR
EDGEWOOD, KY 41017
Kenton County (859) 578-5880
VINCENT E ZIEGLER, PSC
Psychiatry & Neurology (Psychiatry)
20 MEDICAL VILLAGE DR, SUITE 301
EDGEWOOD, KY 41017
Kenton County (859) 341-5074
DR. MICHEAL LINK ROBINSON MD, DMD
Dentist (Oral and Maxillofacial Surgery)
20 MEDICAL VILLAGE DR, SUITE 196
EDGEWOOD, KY 41017
Kenton County (859) 331-2100
VIDYA RAJARAM DEVARAJAN M.D.
Internal Medicine (Infectious Disease)
20 MEDICAL VILLAGE DR
EDGEWOOD, KY 41017
Kenton County (859) 344-1512
THE CRANLEY SURGICAL ASSOC,INC.
Surgery
20 MEDICAL VILLAGE DR, SUITE 394
EDGEWOOD, KY 41017
Kenton County (859) 578-0442
ANNA MORIAH GROTE CRNA
Nurse Anesthetist, Certified Registered
20 MEDICAL VILLAGE DR
EDGEWOOD, KY 41017
Kenton County (859) 341-7246

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 Amy Musial's NPI number?

The NPI number for Amy Musial is 1477174811. It was assigned to this individual provider in the NPPES registry on April 27, 2020. The provider is also known as Amy Lynn Hecht.

Where is Amy Musial located?

Amy Musial practices at 20 Medical Village Dr, Edgewood, KY 41017. The listed phone number is (859) 344-1512.

What is Amy Musial's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Amy Musial enrolled in Medicare?

Yes. Amy Musial 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 organization bills Medicare for Amy Musial's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amy Musial reassigns Medicare benefits to Summit Medical Group, Inc (Erlanger, KY). The 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 Amy Musial's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Amy Musial accept?

Health plans from Anthem Blue Cross and Blue Shield list Amy Musial 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 Amy Musial affiliated with any hospitals?

According to CMS data, Amy Musial is affiliated with St Elizabeth Edgewood.

When was this NPI record last updated?

The NPPES record for Amy Musial was last updated on February 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.