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MARC MUSTO O.D.
NPI 1730555061
Optometrist in Concord, NC

Active since August 20, 2015PECOS EnrolledAccepts Medicare Assignment
584 CHURCH ST N, CONCORD, NC 28025(704) 782-0677(704) 262-9772 Get Directions Write a Review

NPPES record last updated: October 2, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 2, 2024, Nov 2, 2023, Feb 16, 2022 and 3 more (6 updates tracked since 2015).

About Marc Musto O.d. NPPES

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

MARC MUSTO O.D. (NPI 1730555061) is an individual optometrist in Concord, North Carolina, licensed in North Carolina (2565) and active in the NPI registry since August 2015. He is enrolled in Medicare PECOS, maintains a secondary practice location in Statesville, and is a graduate of Southern College Of Optometry (2015).

NPPES Registry Identity

NPI1730555061
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameMARC MUSTOCredential: O.D.
Location Address584 CHURCH ST NConcord, NC 28025-4573
Mailing Address8614 Westwood Center Dr Fl 9Vienna, VA 22182-2442 · (703) 847-8899 · Fax (571) 223-6780
Phone(704) 782-0677
Fax(704) 262-9772
Sole ProprietorYes
Medical School CMSSouthern College Of OptometryGraduated 2015
Enumeration DateAugust 20, 2015
Last NPPES UpdateOctober 2, 20246 updates tracked since enumeration
NPPES CertifiedOctober 2, 2024
✔ NPI 1730555061 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses✔ Licensed in NC · 2565✔ Licensed in TX · 9405T
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
584 CHURCH ST N, Concord, NC 28025
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Secondary Practice Location 1

Location 11729 Davie AveStatesville, NC 28677-3521 · Phone (704) 873-0524 · Fax (704) 873-0549

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of NC and more.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

Marc Musto O.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 ID9335470525
PECOS Enrollment IDI20191021000959
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 2

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 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.
58 services48 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
44 services43 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28025 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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

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

MYEYEDR OPTOMETRY OF NORTH CAROLINA, PLLC
Optometrist
584 CHURCH ST N
CONCORD, NC 28025
Cabarrus County (704) 782-0677

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 Marc Musto's NPI number?

The NPI number for Marc Musto is 1730555061. It was assigned to this individual provider in the NPPES registry on August 20, 2015.

Where is Marc Musto located?

Marc Musto practices at 584 Church St N, Concord, NC 28025. The listed phone number is (704) 782-0677.

What is Marc Musto's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Marc Musto enrolled in Medicare?

Yes. Marc 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 Marc Musto accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of NC and Blue Cross and Blue Shield of Oklahoma and 3 other insurers list Marc 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.

When was this NPI record last updated?

The NPPES record for Marc Musto was last updated on October 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.