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DR. FRANCO MUSIO MD
NPI 1639177215
Internal Medicine - Nephrology in Fairfax, VA

Active since July 08, 2005PECOS EnrolledAccepts Medicare Assignment
13135 LEE JACKSON MEMORIAL HWY, 135, FAIRFAX, VA 22033(703) 961-0488(703) 961-0480 Get Directions Write a Review

NPPES record last updated: February 6, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 6, 2017, Aug 11, 2016 (2 updates tracked since 2016).

About Dr. Franco Musio Md NPPES

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

DR. FRANCO MUSIO MD (NPI 1639177215) is an individual nephrology provider in Fairfax, Virginia, licensed in Virginia (0101057017) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with Chi St Alexius Health, and is a graduate of George Washington University School Of Medicine (1985).

NPPES Registry Identity

NPI1639177215
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameDR. FRANCO MUSIOCredential: MD
Location Address13135 LEE JACKSON MEMORIAL HWY, 135Fairfax, VA 22033-1907
Mailing Address13135 Lee Jackson Memorial Hwy, Suite 135Fairfax, VA 22033-1907 · (703) 961-0488 · Fax (703) 961-0480
Phone(703) 961-0488
Fax(703) 961-0480
Sole ProprietorNo
Medical School CMSGeorge Washington University School Of MedicineGraduated 1985
Enumeration DateJuly 8, 2005
Last NPPES UpdateFebruary 6, 20172 updates tracked since enumeration
✔ NPI 1639177215 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in VA · 0101057017
Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

13135 LEE JACKSON MEMORIAL HWY, Fairfax, VA 22033
Open in Google Maps ↗

Other Identifiers 4

Medicaid005810809VA
Medicare PIN000778N18DC
Medicare UPING67814VA
Medicare PIN390000216VA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Sanford Health Plan.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. Franco Musio 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 ID3274710199
PECOS Enrollment IDI20230523002492
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 6

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
73 services36 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
46 services25 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
35 services19 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.
26 services25 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.
18 services15 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
16 services16 patients

Hospital Affiliations CMS Care Compare

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

Chi St Alexius Health

Acute Care Hospitals · Bismarck, ND
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number350002
Location900 E BroadwayBismarck, ND 58501 · Burleigh County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22033 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
$147.85 typical visit price
range $65.18 – $194.86
Typical copayment $36.96 (range $16.29 – $48.71)
Most-billed visit code 99204
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Mycophenolate mofetil, oral, 250 mg J7517
Treatment-Treatment - Miscellaneous · category RX029N
2 suppliers18 claims2,700 services$0.19 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
2 suppliers19 claims19 services$17.97 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
3 suppliers19 claims19 services$11.97 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

TRUSTED DOCTORS LLC
Pediatrics
13135 LEE JACKSON MEMORIAL HWY, SUITE 201
FAIRFAX, VA 22033
Fairfax County (703) 391-0900
ELIZABETH SUZANNE RELLIS CPNP
Nurse Practitioner (Pediatrics)
13135 LEE JACKSON MEMORIAL HWY
FAIRFAX, VA 22033
Fairfax County (703) 391-0900
PATRICIA A MCDADE CPNP
Nurse Practitioner (Pediatrics)
13135 LEE JACKSON MEMORIAL HWY, SUITE 201
FAIRFAX, VA 22033
Fairfax County (703) 391-0900
NEPHROLOGY ASSOCIATES OF NORTHERN VIRGINIA, INC
Internal Medicine (Nephrology)
13135 LEE JACKSON MEMORIAL HWY, #135
FAIRFAX, VA 22033
Fairfax County (703) 961-0488
WELLNESS AND PREVENTATIVE CARE CENTERS LLC
Internal Medicine
13135 LEE JACKSON MEMORIAL HWY
FAIRFAX, VA 22033
Fairfax County (703) 648-0015
JOANNA L CASEY FNP-BC
Nurse Practitioner (Family)
13135 LEE JACKSON MEMORIAL HWY, SUITE 201
FAIRFAX, VA 22033
Fairfax County (703) 391-0900
DR. ALI REZA ASSEFI MD
Internal Medicine (Nephrology)
13135 LEE JACKSON MEMORIAL HWY, 135
FAIRFAX, VA 22033
Fairfax County (703) 961-0488
JOCELYN MARIE SMITH FNP
Nurse Practitioner (Family)
13135 LEE JACKSON MEMORIAL HWY
FAIRFAX, VA 22033
Fairfax County (703) 961-0488

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 Franco Musio's NPI number?

The NPI number for Franco Musio is 1639177215. It was assigned to this individual provider in the NPPES registry on July 8, 2005.

Where is Franco Musio located?

Franco Musio practices at 13135 Lee Jackson Memorial Hwy 135, Fairfax, VA 22033. The listed phone number is (703) 961-0488.

What is Franco Musio's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Franco Musio enrolled in Medicare?

Yes. Franco Musio 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 Franco Musio accept?

Health plans from Medica and Sanford Health Plan list Franco Musio 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 Franco Musio affiliated with any hospitals?

According to CMS data, Franco Musio is affiliated with Chi St Alexius Health.

When was this NPI record last updated?

The NPPES record for Franco Musio was last updated on February 6, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.