DR. JOSEPH O MUSCAT
NPI 1497743835
Orthopaedic Surgery in Kingwood, TX

Active since October 10, 2005PECOS EnrolledAccepts Medicare Assignment
82.38/100
CMS Quality Rating
601 ROCKMEAD DR, KINGWOOD, TX 77339(281) 359-5115(281) 359-2835 Get Directions Write a Review

NPPES record last updated: July 26, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 26, 2022, Jul 21, 2022, Nov 16, 2017 (3 updates tracked since 2017).

About Dr. Joseph O Muscat NPPES

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

DR. JOSEPH O MUSCAT (NPI 1497743835) is an individual orthopaedic surgery provider in Kingwood, Texas, licensed in Texas (H8276) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with Memorial Hermann Hospital System, and is a graduate of University Of Texas Medical School At San Antonio (1989).

NPPES Registry Identity

NPI1497743835
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. JOSEPH O MUSCAT
Location Address601 ROCKMEAD DRKingwood, TX 77339-2107
Mailing Address7401 Main StHouston, TX 77030-4509 · (713) 486-7500 · Fax (713) 794-3380
Fax(281) 359-2835
Sole ProprietorYes
Medical School CMSUniversity Of Texas Medical School At San AntonioGraduated 1989
Enumeration DateOctober 10, 2005
Last NPPES UpdateJuly 26, 20223 updates tracked since enumeration
NPPES CertifiedJuly 26, 2022
NPI 1497743835 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in TX · H8276
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.
601 ROCKMEAD DR, Kingwood, TX 77339

Other Identifiers 1

Medicaid124612603TX

Accepted 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

Dr. Joseph O Muscat 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 ID7517155674
PECOS Enrollment IDI20101216000586
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 14

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
1,078 services155 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
679 services217 patients
Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose J7323
Hyaluronan or Euflexxa is a substance similar to a natural substance in your joints. It's injected into the joint space to treat pain from osteoarthritis, especially in the knee. It helps to lubricate the joint, reducing pain and improving mobility.
666 services130 patients
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.
355 services246 patients
X-ray of knee, 1-2 views 73560
An X-ray of the knee with 1-2 views is a quick, painless test that produces images of the knee bones. It helps identify fractures, infections, or changes in the knee joint. During the procedure, you'll be asked to stay still while the X-ray machine captures the images.
153 services124 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
128 services128 patients

Hospital Affiliations CMS Care Compare 3

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

Memorial Hermann Hospital System

Acute Care Hospitals · Houston, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450184
Location1635 North Loop WestHouston, TX 77008 · Harris County
Emergency services Birthing friendly

Memorial Hermann Northeast Hospital

Acute Care Hospitals · Humble, TX
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450684
Location18951 Memorial NorthHumble, TX 77338 · Harris County
Emergency services Birthing friendly

Memorial Hermann Surgical Hospital Kingwood

Acute Care Hospitals · Kingwood, TX
OwnershipProprietary
CMS Certification Number670005
Location300 Kingwood Medical DriveKingwood, TX 77339 · Harris County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77339 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
$90.40 typical visit price
range $58.24 – $176.98
Typical copayment $22.60 (range $14.56 – $44.24)
Most-billed visit code 99203
Established Patient
$72.62 typical visit price
range $18.60 – $143.93
Typical copayment $18.15 (range $4.65 – $35.98)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

82.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.23
Promoting Interoperability100
Improvement Activities40
Cost58.5

Other Providers at the Same Location NPPES 9

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

Specialist/Technologist, Other (Surgical Assistant)
601 ROCKMEAD DR
KINGWOOD, TX 77339
Specialist/Technologist, Other (Surgical Assistant)
601 ROCKMEAD DR
KINGWOOD, TX 77339
Physical Therapist
601 ROCKMEAD DR
KINGWOOD, TX 77339
Physical Therapist
601 ROCKMEAD DR
KINGWOOD, TX 77339
Physical Therapist
601 ROCKMEAD DR
KINGWOOD, TX 77339
Physical Therapist (Hand)
601 ROCKMEAD DR
KINGWOOD, TX 77339
Orthopaedic Surgery
601 ROCKMEAD DR
KINGWOOD, TX 77339
Orthopaedic Surgery
601 ROCKMEAD DR
KINGWOOD, TX 77339

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 Joseph Muscat's NPI number?

The NPI number for Joseph Muscat is 1497743835. It was assigned to this individual provider in the NPPES registry on October 10, 2005.

Where is Joseph Muscat located?

Joseph Muscat practices at 601 Rockmead Dr, Kingwood, TX 77339. The listed phone number is (281) 359-5115.

What is Joseph Muscat's specialty?

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

Is Joseph Muscat enrolled in Medicare?

Yes. Joseph Muscat 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 Joseph Muscat accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Joseph Muscat 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 Joseph Muscat affiliated with any hospitals?

According to CMS data, Joseph Muscat is affiliated with Memorial Hermann Hospital System, Memorial Hermann Northeast Hospital and Memorial Hermann Surgical Hospital Kingwood.

When was this NPI record last updated?

The NPPES record for Joseph Muscat was last updated on July 26, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.