ROXANNE F MUSTO NP
NPI 1710971510
Nurse Practitioner in Milton, MA

Active since September 07, 2005PECOS EnrolledAccepts Medicare Assignment
92 HIGHLAND ST, MILTON, MA 02186(617) 696-4600(617) 696-7699 Get Directions Write a Review

NPPES record last updated: March 14, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Roxanne F Musto Np NPPES

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

ROXANNE F MUSTO NP (NPI 1710971510) is an individual nurse practitioner in Milton, Massachusetts, licensed in Massachusetts (187372) and active in the NPI registry since September 2005. She is enrolled in Medicare PECOS, is affiliated with South Shore Hospital, and is a graduate of Other (2000).

NPPES Registry Identity

NPI1710971510
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameROXANNE F MUSTOCredential: NP
Location Address92 HIGHLAND STMilton, MA 02186-3800
Mailing Address92 Highland StMilton, MA 02186-3800 · (617) 696-4600 · Fax (617) 696-7699
Fax(617) 696-7699
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateSeptember 7, 2005
Last NPPES UpdateMarch 14, 2014
NPI 1710971510 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in MA · 187372
Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

92 HIGHLAND ST, Milton, MA 02186

Other Identifiers 3

Medicare UPINP53934
Medicare ID-Type UnspecifiedNP3736MA
Medicaid0391140MA

Accepted 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

Roxanne F Musto Np 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 ID143294884
PECOS Enrollment IDI20040819001370
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 nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
422 services75 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
341 services54 patients
Nursing facility discharge management, more than 30 minutes 99316
Nursing facility discharge management over 30 minutes is a comprehensive process where a healthcare team prepares you for leaving the facility. It involves creating a tailored plan, coordinating care, and ensuring a smooth transition to your next care setting.
44 services39 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
37 services15 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
24 services21 patients
Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
22 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Beth Israel Deaconess Hospital - Milton

Acute Care Hospitals · Milton, MA
4/5 CMS rating
OwnershipGovernment - Federal
CMS Certification Number220108
Location199 Reedsdale RoadMilton, MA 02186 · Norfolk County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02186 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
$97.64 typical visit price
range $63.72 – $189.86
Typical copayment $24.41 (range $15.93 – $47.46)
Most-billed visit code 99203
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.

Referred Medical Equipment & Supplies CMS DME claims 7

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

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
1 supplier12 claims12 services$36.25 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$15.01 avg. paid by Medicare
Wheelchair accessory, manual semi-reclining back, (recline greater than 15 degrees, but less than 80 degrees), each E1225
DME-Wheelchairs · category DD021N
1 supplier11 claims11 services$20.92 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier16 claims16 services$60.23 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier18 claims18 services$15.37 avg. paid by Medicare
Lightweight wheelchair K0003
DME-Wheelchairs · category DD000N
1 supplier11 claims11 services$19.11 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 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Emergency Medicine (Emergency Medical Services)
92 HIGHLAND ST
MILTON, MA 02186
Internal Medicine (Cardiovascular Disease)
92 HIGHLAND ST
MILTON, MA 02186
Nurse Anesthetist, Certified Registered
92 HIGHLAND ST
MILTON, MA 02186
Pathology (Anatomic Pathology & Clinical Pathology)
92 HIGHLAND ST
MILTON, MA 02186
Emergency Medicine
92 HIGHLAND ST
MILTON, MA 02186
Nurse Practitioner (Occupational Health)
92 HIGHLAND ST, 2 BROOKS
MILTON, MA 02186
Rehabilitation Hospital
92 HIGHLAND ST
MILTON, MA 02186
Family Medicine
92 HIGHLAND ST
MILTON, MA 02186

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 Roxanne Musto's NPI number?

The NPI number for Roxanne Musto is 1710971510. It was assigned to this individual provider in the NPPES registry on September 7, 2005.

Where is Roxanne Musto located?

Roxanne Musto practices at 92 Highland St, Milton, MA 02186. The listed phone number is (617) 696-4600.

What is Roxanne Musto's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Roxanne Musto enrolled in Medicare?

Yes. Roxanne 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 Roxanne Musto accept?

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

According to CMS data, Roxanne Musto is affiliated with South Shore Hospital and Beth Israel Deaconess Hospital - Milton.

When was this NPI record last updated?

The NPPES record for Roxanne Musto was last updated on March 14, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.