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PAUL C MUSTO M.D.
NPI 1699758896
Internal Medicine - Hematology & Oncology in Weymouth, MA

Active since November 22, 2005PECOS EnrolledAccepts Medicare Assignment
86.28/100
CMS Quality Rating
51 PERFORMANCE DR, SUITE 110, WEYMOUTH, MA 02189(617) 769-1162(617) 770-9491 Get Directions Write a Review

NPPES record last updated: March 20, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Paul C Musto M.d. NPPES

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

PAUL C MUSTO M.D. (NPI 1699758896) is an individual hematology & oncology provider in Weymouth, Massachusetts, licensed in Massachusetts (50948) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with South Shore Hospital, and is a graduate of Michigan State University College Of Osteopathic Medicine (1977).

NPPES Registry Identity

NPI1699758896
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NamePAUL C MUSTOCredential: M.D.
Location Address51 PERFORMANCE DR, SUITE 110Weymouth, MA 02189-3141
Mailing Address10 Willard StQuincy, MA 02169-1281 · (617) 769-1162 · Fax (617) 770-9491
Phone(617) 769-1162
Fax(617) 770-9491
Sole ProprietorNo
Medical School CMSMichigan State University College Of Osteopathic MedicineGraduated 1977
Enumeration DateNovember 22, 2005
Last NPPES UpdateMarch 20, 2017
✔ NPI 1699758896 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License✔ Licensed in MA · 50948
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
51 PERFORMANCE DR, Weymouth, MA 02189
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Other Identifiers 8

Other0027771MA · Aetna Us Health
Other9241MA · Harvard Pilgrim
Medicare UPINA56308MA
OtherJ02033MA · Blue Cross Blue Shield
Medicaid3008096MA
Other705747MA · Tufts Health Care
OtherB20041401MA · Cigna
Medicare ID-Type UnspecifiedJ02033MA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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

Paul C Musto 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 ID3870558273
PECOS Enrollment IDI20050323001151
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.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
120 services118 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.
17 services17 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
12 services12 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.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

South Shore Hospital

Acute Care Hospitals · South Weymouth, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220100
Location55 Fogg RoadSouth Weymouth, MA 02190 · Norfolk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02189 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
$189.86 typical visit price
range $63.72 – $189.86
Typical copayment $47.46 (range $15.93 – $47.46)
Most-billed visit code 99205
Established Patient
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
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.

86.28/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality69.36
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.

JACLYN CAROL DENNISON RN
Registered Nurse
51 PERFORMANCE DR
WEYMOUTH, MA 02189
Norfolk County (781) 682-8000
DR. KRISTIN ELIZABETH GOLD MD
Obstetrics & Gynecology
51 PERFORMANCE DR
WEYMOUTH, MA 02189
Norfolk County (781) 878-5200
MICHAEL J ANDERSON M.D.
Internal Medicine (Hematology & Oncology)
51 PERFORMANCE DR, SUITE 110
WEYMOUTH, MA 02189
Norfolk County (781) 340-0735
JASON TRINH PT, DPT
Physical Therapist
51 PERFORMANCE DR
WEYMOUTH, MA 02189
Norfolk County (781) 682-0530
REBECCA STREET DO
Obstetrics & Gynecology
51 PERFORMANCE DR
WEYMOUTH, MA 02189
Norfolk County (781) 682-5000
MRS. KIMBERLY Y WILLIS NP-C, BSN
Nurse Practitioner
51 PERFORMANCE DR
WEYMOUTH, MA 02189
Norfolk County (781) 331-9091
JAMES R EVERETT M.D.
Internal Medicine (Hematology & Oncology)
51 PERFORMANCE DR, SUITE 110
WEYMOUTH, MA 02189
Norfolk County (781) 337-9091
MRS. CYNTHIA CARROLL MACLACHLAN MSN, WHNP
Nurse Practitioner (Obstetrics & Gynecology)
51 PERFORMANCE DR
WEYMOUTH, MA 02189
Norfolk County (781) 682-8000

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 Paul Musto's NPI number?

The NPI number for Paul Musto is 1699758896. It was assigned to this individual provider in the NPPES registry on November 22, 2005.

Where is Paul Musto located?

Paul Musto practices at 51 Performance Dr Suite 110, Weymouth, MA 02189. The listed phone number is (617) 769-1162.

What is Paul Musto's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Paul Musto enrolled in Medicare?

Yes. Paul Musto 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 Paul Musto accept?

Health plans from Anthem Blue Cross and Blue Shield list Paul Musto 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 Paul Musto affiliated with any hospitals?

According to CMS data, Paul Musto is affiliated with South Shore Hospital.

When was this NPI record last updated?

The NPPES record for Paul Musto was last updated on March 20, 2017. 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.