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ANDREW MUTISO MD
NPI 1699750059
Emergency Medicine in Prestonsburg, KY

Active since December 08, 2005PECOS EnrolledAccepts Medicare Assignment
93.1/100
CMS Quality Rating
5000 KY RTE 321, PRESTONSBURG, KY 41653(606) 886-7733(606) 886-7400 Get Directions Write a Review

NPPES record last updated: October 14, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Andrew Mutiso Md NPPES

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

ANDREW MUTISO MD (NPI 1699750059) is an individual emergency medicine provider in Prestonsburg, Kentucky, licensed in Kentucky (38249) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with Highlands Arh Regional Medical Center, and is a graduate of University Of Kentucky College Of Medicine (1999).

NPPES Registry Identity

NPI1699750059
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameANDREW MUTISOCredential: MD
Location Address5000 KY RTE 321Prestonsburg, KY 41653
Mailing AddressPo Box 390Huntington, WV 25708 · (304) 429-1088 · Fax (304) 429-3109
Phone(606) 886-7733
Fax(606) 886-7400
Sole ProprietorNo
Medical School CMSUniversity Of Kentucky College Of MedicineGraduated 1999
Enumeration DateDecember 8, 2005
Last NPPES UpdateOctober 14, 2024
NPPES CertifiedOctober 14, 2024
✔ NPI 1699750059 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in KY · 38249
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedSpecialistTaxonomy 174400000X · License 38249 (KY)
Also ListedFamily MedicineTaxonomy 207Q00000X · License 38249 (KY)
Also ListedGeneral PracticeTaxonomy 208D00000X · License 38249 (KY)
5000 KY RTE 321, Prestonsburg, KY 41653
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Other Identifiers 1

Medicaid64080815KY

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

Andrew Mutiso 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 ID9537150446
PECOS Enrollment IDI20040520000070
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 4

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
254 services219 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
122 services108 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
62 services58 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
46 services46 patients

Hospital Affiliations CMS Care Compare

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

Highlands Arh Regional Medical Center

Acute Care Hospitals · Prestonsburg, KY
2/5 CMS rating
OwnershipProprietary
CMS Certification Number180005
Location5000 Kentucky Route 321Prestonsburg, KY 41653 · Floyd County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41653 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
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.

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.

93.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality71.22
Improvement Activities40

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 Andrew Mutiso's NPI number?

The NPI number for Andrew Mutiso is 1699750059. It was assigned to this individual provider in the NPPES registry on December 8, 2005.

Where is Andrew Mutiso located?

Andrew Mutiso practices at 5000 Ky Rte 321, Prestonsburg, KY 41653. The listed phone number is (606) 886-7733.

What is Andrew Mutiso's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Andrew Mutiso enrolled in Medicare?

Yes. Andrew Mutiso 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 Andrew Mutiso affiliated with any hospitals?

According to CMS data, Andrew Mutiso is affiliated with Highlands Arh Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Andrew Mutiso was last updated on October 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.