DR. HUSSAM A FUSTOK MD
NPI 1740669845
Internal Medicine in Chillicothe, OH
About Dr. Hussam A Fustok Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. HUSSAM A FUSTOK MD (NPI 1740669845) is an individual internal medicine provider in Chillicothe, Ohio, licensed in Ohio (35.134179) and active in the NPI registry since May 2015. He is enrolled in Medicare PECOS, is affiliated with Blessing Hospital, and maintains 4 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 4
Other Identifiers 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Hussam A Fustok 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.
Medicare Billing Reassignments
3Medicare enrollment records show Hussam Fustok reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Cape Girardeau, MO 63701
- Reassigned Medicare billing, Missouri enrollment
- 470 clinicians in this Medicare group
Saint Louis, MO 63141
- Reassigned Medicare billing, Missouri enrollment
- 611 clinicians in this Medicare group
Hannibal, MO 63401
- Reassigned Medicare billing, Missouri enrollment
- 196 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Blessing Hospital
Acute Care Hospitals · Quincy, ILHannibal Regional Hospital
Acute Care Hospitals · Hannibal, MOMercy Hospital Southeast
Acute Care Hospitals · Cape Girardeau, MOUniversity Of Missouri Health Care
Acute Care Hospitals · Columbia, MOPike County Memorial Hospital
Critical Access Hospitals · Louisiana, MOPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 45601 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
CHILLICOTHE, OH 45601
CHILLICOTHE, OH 45601
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 Hussam Fustok's NPI number?
The NPI number for Hussam Fustok is 1740669845. It was assigned to this individual provider in the NPPES registry on May 21, 2015.
Where is Hussam Fustok located?
Hussam Fustok practices at 272 Hospital Rd, Chillicothe, OH 45601. The listed phone number is (740) 779-8572.
What is Hussam Fustok's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Hussam Fustok enrolled in Medicare?
Yes. Hussam Fustok 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.
Which organizations bill Medicare for Hussam Fustok's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Hussam Fustok reassigns Medicare benefits to 3 organizations: Southeast Missouri Hospital Physicians, LLC (Cape Girardeau, MO), Physician Groups Lc (Saint Louis, MO) and Hannibal Regional Healthcare System Inc (Hannibal, MO). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Hussam Fustok's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Hussam Fustok accept?
Health plans from Anthem Blue Cross and Blue Shield and CareSource list Hussam Fustok 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 Hussam Fustok affiliated with any hospitals?
According to CMS data, Hussam Fustok is affiliated with Blessing Hospital, Hannibal Regional Hospital, Mercy Hospital Southeast, University Of Missouri Health Care and Pike County Memorial Hospital.
When was this NPI record last updated?
The NPPES record for Hussam Fustok was last updated on August 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Dr. Hussam A Fustok, MD · NPI 1740669845
Internal Medicine physician in Chillicothe, Ohio. Individual provider, active in the CMS NPPES registry since May 21, 2015.
## Identity
- **NPI:** 1740669845 (Entity type: Individual)
- **Enumerated:** May 21, 2015
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 35.134179 (Ohio)
- **Sole proprietor:** No
## Practice location
- **Address:** 272 HOSPITAL RD, Chillicothe, OH 45601-9031
- **Phone:** (740) 779-8572
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Southeast Missouri Hospital Physicians, LLC (NPI 1558311522, Cape Girardeau, MO); Physician Groups Lc (NPI 1285664268, Saint Louis, MO); Hannibal Regional Healthcare System Inc (NPI 1003956095, Hannibal, MO) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** August 24, 2023
- **Other identifiers:** Medicaid 1740669845 (MO); Medicaid 0299838 (OH)
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Source: [NPI Profile](https://npiprofile.com/npi/1740669845) · Data from the CMS NPPES public registry.