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FRANCIS XAVIER MCCUSKER MD
NPI 1821086919
Internal Medicine - Nephrology in East Norriton, PA

Active since October 12, 2005PECOS EnrolledAccepts Medicare Assignment
609 W GERMANTOWN PIKE STE 210, EAST NORRITON, PA 19403(610) 649-1175(610) 279-4841 Get Directions Write a Review

NPPES record last updated: June 3, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 6, 2020, Dec 20, 2016 (2 updates tracked since 2016).

About Francis Xavier Mccusker Md NPPES

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

FRANCIS XAVIER MCCUSKER MD (NPI 1821086919) is an individual nephrology provider in East Norriton, Pennsylvania, licensed in Pennsylvania (MD028301E) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with Einstein Medical Center Montgomery, and is a graduate of Medical College Of Pennsylvania (1981).

NPPES Registry Identity

NPI1821086919
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameFRANCIS XAVIER MCCUSKERCredential: MD
Location Address609 W GERMANTOWN PIKE STE 210East Norriton, PA 19403-4251
Mailing Address100 E Lancaster Ave Ste 130Wynnewood, PA 19096-3453 · (610) 649-1175 · Fax (610) 896-8753
Phone(610) 649-1175
Fax(610) 279-4841
Sole ProprietorNo
Medical School CMSMedical College Of PennsylvaniaGraduated 1981
Enumeration DateOctober 12, 2005
Last NPPES UpdateJune 3, 20222 updates tracked since enumeration
NPPES CertifiedJune 3, 2022
✔ NPI 1821086919 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in PA · MD028301E
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
609 W GERMANTOWN PIKE STE 210, East Norriton, PA 19403
Open in Google Maps ↗

Other Identifiers 1

Medicaid0011574420003PA

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

Francis Xavier Mccusker 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 ID1557410669
PECOS Enrollment IDI20110519000852
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 10

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 moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
292 services156 patients
Dialysis services, 4 or more physician visits per month (20 years or older) 90960
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.
188 services30 patients
Hemodialysis procedure with physician evaluation 90935
Hemodialysis is a treatment that uses a machine to filter waste and excess fluid from your blood when your kidneys can't. A physician checks your health before, during, and after the procedure to ensure it's working effectively for you.
156 services51 patients
Dialysis services, 2-3 physician visits per month (20 years or older) 90961
Dialysis is a treatment that performs the function of healthy kidneys if they're not working properly. It removes waste and excess fluid from your blood. 2-3 physician visits per month are recommended for monitoring your health and adjusting your treatment as needed. This service is available for those aged 20 years and older.
55 services23 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
40 services25 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
28 services13 patients

Hospital Affiliations CMS Care Compare

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

Einstein Medical Center Montgomery

Acute Care Hospitals · East Norriton, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390329
Location559 West Germantown PikeEast Norriton, PA 19403 · Montgomery County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19403 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
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 4

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

Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
4 suppliers24 claims4,020 services$0.31 avg. paid by Medicare
Mycophenolate mofetil, oral, 250 mg J7517
Treatment-Treatment - Miscellaneous · category RX029N
3 suppliers15 claims1,200 services$0.20 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
3 suppliers17 claims17 services$18.92 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
4 suppliers23 claims25 services$12.14 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.

NICOLE SAMANTHA TOURLITIS CRNP
Nurse Practitioner
609 W GERMANTOWN PIKE STE 210
EAST NORRITON, PA 19403
Montgomery County (610) 649-1175
PAMELA ELIZABETH THOMAS CRNP
Nurse Practitioner (Adult Health)
609 W GERMANTOWN PIKE STE 210
EAST NORRITON, PA 19403
Montgomery County (610) 649-1175
SUREKHA NEELI MD
Internal Medicine (Nephrology)
609 W GERMANTOWN PIKE STE 210
EAST NORRITON, PA 19403
Montgomery County (610) 649-1175
DANIEL A GEORGE MD
Internal Medicine (Nephrology)
609 W GERMANTOWN PIKE STE 210
EAST NORRITON, PA 19403
Montgomery County (610) 649-1175

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 Francis Mccusker's NPI number?

The NPI number for Francis Mccusker is 1821086919. It was assigned to this individual provider in the NPPES registry on October 12, 2005.

Where is Francis Mccusker located?

Francis Mccusker practices at 609 W Germantown Pike Ste 210, East Norriton, PA 19403. The listed phone number is (610) 649-1175.

What is Francis Mccusker's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Francis Mccusker enrolled in Medicare?

Yes. Francis Mccusker 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 Francis Mccusker accept?

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

According to CMS data, Francis Mccusker is affiliated with Einstein Medical Center Montgomery.

When was this NPI record last updated?

The NPPES record for Francis Mccusker was last updated on June 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.