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DR. MARY USHA MUSUKU M.D
NPI 1760619795
Internal Medicine - Geriatric Medicine in Philadelphia, PA

Active since June 17, 2009PECOS EnrolledAccepts Medicare Assignment
TEMPLE UNIVERSITY HOSPITAL, BOYER PAVILION 2ND FLOOR,3509 NORTH BROAD STREET, PHILADELPHIA, PA 19140(215) 707-4739 Get Directions Write a Review

NPPES record last updated: February 9, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Mary Usha Musuku M.d NPPES

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

DR. MARY USHA MUSUKU M.D (NPI 1760619795) is an individual geriatric medicine provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD439389) and active in the NPI registry since June 2009. She is enrolled in Medicare PECOS, is affiliated with Mercy Catholic Medical Center- Mercy Fitzgerald, and is a graduate of Other (1992).

NPPES Registry Identity

NPI1760619795
Entity TypeIndividualFemale
Primary Taxonomy207RG0300X
Provider Legal NameDR. MARY USHA MUSUKUCredential: M.D
Location AddressTEMPLE UNIVERSITY HOSPITAL, BOYER PAVILION 2ND FLOOR,3509 NORTH BROAD STREETPhiladelphia, PA 19140
Mailing Address1 W Elm St, Ste 100Conshohocken, PA 19428-4108 · (610) 789-5013
Phone(215) 707-4739
Sole ProprietorNo
Medical School CMSOtherGraduated 1992
Enumeration DateJune 17, 2009
Last NPPES UpdateFebruary 9, 2018
✔ NPI 1760619795 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RG0300X
License✔ Licensed in PA · MD439389
Definition
An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.
TEMPLE UNIVERSITY HOSPITAL, Philadelphia, PA 19140
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.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. Mary Usha Musuku 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 ID9931393923
PECOS Enrollment IDI20101103001132
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.

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.
1,143 services128 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
48 services46 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.
36 services25 patients

Hospital Affiliations CMS Care Compare

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

Mercy Catholic Medical Center- Mercy Fitzgerald

Acute Care Hospitals · Darby, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390156
Location1500 Lansdowne AveDarby, PA 19023 · Delaware County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19140 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
$180.99 typical visit price
range $59.88 – $180.99
Typical copayment $45.24 (range $14.97 – $45.24)
Most-billed visit code 99205
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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 11

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

Tracheostomy, inner cannula A4623
DME-Orthotic Devices · category DF000N
2 suppliers27 claims930 services$6.33 avg. paid by Medicare
Tracheostomy care kit for established tracheostomy A4629
DME-Orthotic Devices · category DF000N
2 suppliers27 claims810 services$4.49 avg. paid by Medicare
Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing A6196
DME-Medical/Surgical Supplies · category DA023N
2 suppliers22 claims780 services$6.76 avg. paid by Medicare
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing A6219
DME-Medical/Surgical Supplies · category DA023N
1 supplier21 claims660 services$0.92 avg. paid by Medicare
Gauze, non-impregnated, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing A6220
DME-Medical/Surgical Supplies · category DA023N
1 supplier12 claims322 services$2.50 avg. paid by Medicare
Tracheostomy tube collar/holder, each A7526
DME-Orthotic Devices · category DF000N
2 suppliers27 claims758 services$3.27 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 4

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

MISS EDORIS MINNIS
Health Educator
TEMPLE UNIVERSITY HOSPITAL, 3401 NORTH BROAD STREET
PHILADELPHIA, PA 19140
Philadelphia County (267) 273-3379
EDWARD DAVID BAILEY M.D.
Emergency Medicine
TEMPLE UNIVERSITY HOSPITAL, 3401 N BROAD STREET
PHILADELPHIA, PA 19140
Philadelphia County (215) 707-5030
CLAIRISSA MULLOY MD
Surgery
TEMPLE UNIVERSITY HOSPITAL, 3401 N. BROAD STREET
PHILADELPHIA, PA 19140
Philadelphia County (215) 707-2000
MS. SHREE CHATTERJEE RD,LDN
Dietitian, Registered
TEMPLE UNIVERSITY HOSPITAL, 3401 N. BRIAD STRRET
PHILADELPHIA, PA 19140
Philadelphia County (215) 707-2975

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 Mary Musuku's NPI number?

The NPI number for Mary Musuku is 1760619795. It was assigned to this individual provider in the NPPES registry on June 17, 2009.

Where is Mary Musuku located?

Mary Musuku practices at Temple University Hospital Boyer Pavilion 2nd Floor,3509 North Broad Street, Philadelphia, PA 19140. The listed phone number is (215) 707-4739.

What is Mary Musuku's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

Is Mary Musuku enrolled in Medicare?

Yes. Mary Musuku 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 Mary Musuku accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Mary Musuku 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 Mary Musuku affiliated with any hospitals?

According to CMS data, Mary Musuku is affiliated with Mercy Catholic Medical Center- Mercy Fitzgerald.

When was this NPI record last updated?

The NPPES record for Mary Musuku was last updated on February 9, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.