CARRIE ANN R CUSACK M.D.
NPI 1649238775
Dermatology in Philadelphia, PA

Active since May 01, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
219 N BROAD ST, 4TH FLOOR, PHILADELPHIA, PA 19107(215) 762-5550(215) 762-5570 Get Directions Write a Review

NPPES record last updated: August 31, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Carrie Ann R Cusack M.d. NPPES

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

CARRIE ANN R CUSACK M.D. (NPI 1649238775) is an individual dermatology provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD422137) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS, is affiliated with West Jersey Hospital, and is a graduate of Jefferson Medical College Of Thomas Jefferson University (1999).

NPPES Registry Identity

NPI1649238775
Entity TypeIndividualFemale
Primary Taxonomy207N00000X
Provider Legal NameCARRIE ANN R CUSACKCredential: M.D.
Location Address219 N BROAD ST, 4TH FLOORPhiladelphia, PA 19107-1519
Mailing Address1601 Cherry St, Suite 11511Philadelphia, PA 19102-1320 · (215) 255-7822 · Fax (215) 255-7825
Fax(215) 762-5570
Sole ProprietorNo
Medical School CMSJefferson Medical College Of Thomas Jefferson UniversityGraduated 1999
Enumeration DateMay 1, 2006
Last NPPES UpdateAugust 31, 2016
NPI 1649238775 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
Licenses Licensed in PA · MD422137 Licensed in NJ · 25MA07815500
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Also ListedDermatology · DermatopathologyTaxonomy 207ND0900X · License 25MA07815500 (NJ), MD422137 (PA)
219 N BROAD ST, Philadelphia, PA 19107

Other Identifiers 2

Medicaid001967148PA
Medicare UPINH93194PA

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

Carrie Ann R Cusack M.d. 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 ID3779568035
PECOS Enrollment IDI20050901000431
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 28

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 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.
1,327 services730 patients
Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
1,100 services233 patients
Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
956 services560 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.
599 services420 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
451 services340 patients
Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm 11301
This procedure involves the careful removal of a small skin growth on the body, arms, or legs. It's done by shaving off the growth that's 0.6-1.0 cm in size. It's a common, safe method to treat non-cancerous skin growths and improve skin appearance.
332 services233 patients

Hospital Affiliations CMS Care Compare

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

West Jersey Hospital

Acute Care Hospitals · Voorhees, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310022
Location100 Bowman DriveVoorhees, NJ 08043 · Camden County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19107 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
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.

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

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.

Internal Medicine (Gastroenterology)
219 N BROAD ST, 5TH FLOOR
PHILADELPHIA, PA 19107
Internal Medicine (Nephrology)
219 N BROAD ST, 5TH FLOOR
PHILADELPHIA, PA 19107
Internal Medicine (Infectious Disease)
219 N BROAD ST, 5TH FLOOR
PHILADELPHIA, PA 19107
Psychiatry & Neurology (Neurology)
219 N BROAD ST, 7TH FLOOR
PHILADELPHIA, PA 19107
Internal Medicine (Pulmonary Disease)
219 N BROAD ST, 9TH FL
PHILADELPHIA, PA 19107
Internal Medicine (Sleep Medicine)
219 N BROAD ST, 9TH FL
PHILADELPHIA, PA 19107
Internal Medicine (Infectious Disease)
219 N BROAD ST, 5TH FLOOR
PHILADELPHIA, PA 19107
Internal Medicine
219 N BROAD ST, 6TH FLOOR
PHILA, PA 19107

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 Carrie Ann Cusack's NPI number?

The NPI number for Carrie Ann Cusack is 1649238775. It was assigned to this individual provider in the NPPES registry on May 1, 2006.

Where is Carrie Ann Cusack located?

Carrie Ann Cusack practices at 219 N Broad St 4th Floor, Philadelphia, PA 19107. The listed phone number is (215) 762-5550.

What is Carrie Ann Cusack's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Carrie Ann Cusack enrolled in Medicare?

Yes. Carrie Ann Cusack 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.

Is Carrie Ann Cusack affiliated with any hospitals?

According to CMS data, Carrie Ann Cusack is affiliated with West Jersey Hospital.

When was this NPI record last updated?

The NPPES record for Carrie Ann Cusack was last updated on August 31, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.