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DR. HUSSAM A FUSTOK MD
NPI 1740669845
Internal Medicine in Chillicothe, OH

Active since May 21, 2015PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
272 HOSPITAL RD, CHILLICOTHE, OH 45601(740) 779-8572 Get Directions Write a Review

NPPES record last updated: August 24, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 24, 2023, Feb 24, 2023, Jul 8, 2020 and 2 more (5 updates tracked since 2017).

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 is a graduate of Other (2015).

NPPES Registry Identity

NPI1740669845
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. HUSSAM A FUSTOKCredential: MD
Location Address272 HOSPITAL RDChillicothe, OH 45601-9031
Mailing Address1968 Fishinger RdUpper Arlington, OH 43221-1372 · (281) 701-2926
Phone(740) 779-8572
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateMay 21, 2015
Last NPPES UpdateAugust 24, 20235 updates tracked since enumeration
NPPES CertifiedAugust 24, 2023
✔ NPI 1740669845 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in OH · 35.134179✔ Licensed in MO · 2022045087
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedHospitalistTaxonomy 208M00000X · License 2022045087 (MO)
272 HOSPITAL RD, Chillicothe, OH 45601
Open in Google Maps ↗

Other Identifiers 2

Medicaid1740669845MO
Medicaid0299838OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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

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.

PECOS PAC ID5991052995
PECOS Enrollment IDI20230314001216
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 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.

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.
250 services244 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.
128 services123 patients
Initial hospital care with same-day admission and discharge with moderate level of medical decision making, per day, if using time, at least 70 minutes 99235
This service involves a brief hospital stay for a moderate health issue. You'll be admitted and discharged on the same day, typically within 50 minutes. It's a quick, efficient way to receive necessary care and medical attention.
11 services11 patients

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, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140015
Location1005 Broadway StQuincy, IL 62301 · Adams County
Emergency services Birthing friendly

Hannibal Regional Hospital

Acute Care Hospitals · Hannibal, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number260025
Location6000 Hospital DrHannibal, MO 63401 · Marion County
Emergency services Birthing friendly

Mercy Hospital Southeast

Acute Care Hospitals · Cape Girardeau, MO
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260110
Location1701 Lacey StCape Girardeau, MO 63701 · Cape Girardeau County
Emergency services Birthing friendly

Parkland Health Center

Acute Care Hospitals · Farmington, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260163
Location1101 W LibertyFarmington, MO 63640 · St. Francois County
Emergency services Birthing friendly

Pike County Memorial Hospital

Critical Access Hospitals · Louisiana, MO
OwnershipGovernment - Local
CMS Certification Number261333
Location2305 West Georgia StreetLouisiana, MO 63353 · Pike County
Emergency services

Physician 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.

New Patient
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality91.92
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.

JACQUELINE GRAHAM M.D.
Anesthesiology
272 HOSPITAL RD
CHILLICOTHE, OH 45601
Ross County (740) 779-7540
DR. CAITLIN HUFFMAN PHARMD, RPH
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
272 HOSPITAL RD
CHILLICOTHE, OH 45601
Ross County (740) 779-7641
TIGIST ATALAY PHARMD
Pharmacist
272 HOSPITAL RD
CHILLICOTHE, OH 45601
Ross County (740) 779-7641
MR. ANDREW ALAN PARSLEY MSN, CRNA
Nurse Anesthetist, Certified Registered
272 HOSPITAL RD
CHILLICOTHE, OH 45601
Ross County (740) 779-7500
COURTNEY DAWN DURHAM CNP
Nurse Practitioner (Family)
272 HOSPITAL RD
CHILLICOTHE, OH 45601
Ross County (740) 779-7500
DR. LAURE OLUTOYOSI MD
Internal Medicine
272 HOSPITAL RD
CHILLICOTHE, OH 45601
Ross County (214) 693-0243
KYLE ADAM HAZLETT DO
Internal Medicine
272 HOSPITAL RD
CHILLICOTHE, OH 45601
Ross County (740) 779-7070
YOONJI LEE PHARMD
Pharmacist
272 HOSPITAL RD
CHILLICOTHE, OH 45601
Ross County (740) 779-7641

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.

What insurance does Hussam Fustok accept?

Health plans from 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, Parkland Health Center 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.