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MYSTY CHACKO PA-C
NPI 1669003745
Physician Assistant in Moorestown, NJ

Active since January 28, 2020PECOS EnrolledAccepts Medicare Assignment
400 W ROUTE 38, MOORESTOWN, NJ 08057(856) 270-4000 Get Directions Write a Review

NPPES record last updated: August 7, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 7, 2024, Feb 8, 2020, Jan 28, 2020 (3 updates tracked since 2020).

About Mysty Chacko Pa-c NPPES

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

MYSTY CHACKO PA-C (NPI 1669003745) is an individual physician assistant in Moorestown, New Jersey, licensed in New Jersey (25MP00866300) and active in the NPI registry since January 2020. She is enrolled in Medicare PECOS, is affiliated with Cooper University Hospital, and maintains a secondary practice location in Philadelphia.

NPPES Registry Identity

NPI1669003745
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMYSTY CHACKOCredential: PA-C
Location Address400 W ROUTE 38Moorestown, NJ 08057-3219
Mailing Address1 Federal St Ste 200Camden, NJ 08103-1088 · (848) 288-6935 · Fax (732) 790-0107
Phone(856) 270-4000
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJanuary 28, 2020
Last NPPES UpdateAugust 7, 20243 updates tracked since enumeration
NPPES CertifiedAugust 7, 2024
✔ NPI 1669003745 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NJ · 25MP00866300
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedInternal Medicine · GastroenterologyTaxonomy 207RG0100X · License MA061392 (PA)
400 W ROUTE 38, Moorestown, NJ 08057
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Secondary Practice Location 1

Location 1132 S 10th StPhiladelphia, PA 19107-5244 · Phone (215) 955-8900

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

Mysty Chacko Pa-c 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 ID9638589989
PECOS Enrollment IDI20240821000074
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 3

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.
40 services35 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
20 services20 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.
20 services18 patients

Hospital Affiliations CMS Care Compare

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

Cooper University Hospital

Acute Care Hospitals · Camden, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310014
Location1 Cooper PlazaCamden, NJ 08103 · Camden County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08057 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
$94.90 typical visit price
range $61.59 – $185.05
Typical copayment $23.72 (range $15.39 – $46.26)
Most-billed visit code 99203
Established Patient
$76.45 typical visit price
range $20.08 – $150.98
Typical copayment $19.11 (range $5.02 – $37.74)
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.

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.

DANIEL & MAX, LLC
Eyewear Supplier
400 W ROUTE 38
MOORESTOWN, NJ 08057
Burlington County (856) 222-0500
DANIEL K. STRINGER
Nurse Practitioner
400 W ROUTE 38
MOORESTOWN, NJ 08057
Burlington County (856) 270-4000
MR. CHRISTOPHER MICHAEL SAPORITO O.T.
Occupational Therapist
400 W ROUTE 38
MOORESTOWN, NJ 08057
Burlington County (856) 270-4002
THE COOPER HEALTH SYSTEM
Clinic/Center
400 W ROUTE 38
MOORESTOWN, NJ 08057
Burlington County (856) 342-2000
DR. NAVINDER KAUR JASSIL M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
400 W ROUTE 38
MOORESTOWN, NJ 08057
Burlington County (856) 270-4000
PETER A COULTER
Physical Therapist
400 W ROUTE 38
MOORESTOWN, NJ 08057
Burlington County (856) 270-4002
ROBIN S. MILLER N.P.
Nurse Practitioner
400 W ROUTE 38
MOORESTOWN, NJ 08057
Burlington County (856) 270-4000
LUXOTTICA OF AMERICA INC.
Eyewear Supplier
400 W ROUTE 38
MOORESTOWN, NJ 08057
Burlington County (856) 787-0102

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 Mysty Chacko's NPI number?

The NPI number for Mysty Chacko is 1669003745. It was assigned to this individual provider in the NPPES registry on January 28, 2020.

Where is Mysty Chacko located?

Mysty Chacko practices at 400 W Route 38, Moorestown, NJ 08057. The listed phone number is (856) 270-4000.

What is Mysty Chacko's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Mysty Chacko enrolled in Medicare?

Yes. Mysty Chacko 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 Mysty Chacko affiliated with any hospitals?

According to CMS data, Mysty Chacko is affiliated with Cooper University Hospital.

When was this NPI record last updated?

The NPPES record for Mysty Chacko was last updated on August 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.