MIRJANA VUSTAR MD
NPI 1871514786
Anesthesiology - Pediatric Anesthesiology in Columbia, MO

Active since July 23, 2006PECOS Enrolled
81.57/100
CMS Quality Rating
ONE HOSPITAL DR, COLUMBIA, MO 65212(573) 882-2568(855) 903-0985 Get Directions Write a Review

NPPES record last updated: March 18, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mirjana Vustar Md NPPES

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

MIRJANA VUSTAR MD (NPI 1871514786) is an individual pediatric anesthesiology provider in Columbia, Missouri, licensed in Missouri (2015020993) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1871514786
Entity TypeIndividualFemale
Primary Taxonomy207LP3000X
Provider Legal NameMIRJANA VUSTARCredential: MD
Location AddressONE HOSPITAL DRColumbia, MO 65212-0001
Mailing AddressPo Box 843966Kansas City, MO 64184-3966 · (573) 884-3300 · Fax (573) 884-0943
Fax(855) 903-0985
Sole ProprietorNo
Enumeration DateJuly 23, 2006
Last NPPES UpdateMarch 18, 2025
NPPES CertifiedMarch 18, 2025
✔ NPI 1871514786 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAnesthesiology · Pediatric AnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207LP3000X
License✔ Licensed in MO · 2015020993
Definition
An anesthesiologist who has had additional skill and experience in and is primarily concerned with the anesthesia, sedation, and pain management needs of infants and children. A pediatric anesthesiologist generally provides services including the evaluation of complex medical problems in infants and children when surgery is necessary, planning and care for children before and after surgery, pain control, anesthesia and sedation for any procedures out of the operating room such as MRI, CT scan, and radiation therapy.
Also ListedAnesthesiologyTaxonomy 207L00000X · License C52021 (CA), 2015020993 (MO)
ONE HOSPITAL DR, Columbia, MO 65212

Other Names 1

Former Name (1)Mirjana Vustar- Leidy M.d.

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mirjana Vustar Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

3

Medicare enrollment records show Mirjana Vustar reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Multi-Specialty
1 HOSPITAL DR
Columbia, MO 65212
  • Reassigned Medicare billing, Missouri enrollment
  • 1,395 clinicians in this Medicare group
Internal Medicine
1225 SOUTH GRAND BLVD, 2L - DOOR 3,4
Saint Louis, MO 63104
  • Reassigned Medicare billing, Missouri enrollment
  • 1,294 clinicians in this Medicare group
Multi-Specialty
4650 SUNSET BLVD
Los Angeles, CA 90027
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: Childrens Hospital Los Angeles Medical Group Inc
  • 1,281 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 65212 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
$121.96 typical visit price
range $52.28 – $161.24
Typical copayment $30.49 (range $13.07 – $40.31)
Most-billed visit code 99204
Established Patient
$65.71 typical visit price
range $16.30 – $131.05
Typical copayment $16.42 (range $4.07 – $32.76)
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.

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.

81.57/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.09
Promoting Interoperability100
Improvement Activities40
Cost54.28

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.

Nurse Anesthetist, Certified Registered
ONE HOSPITAL DR
COLUMBIA, MO 65212
Anesthesiology
ONE HOSPITAL DR
COLUMBIA, MO 65212
Nurse Practitioner (Family)
ONE HOSPITAL DR
COLUMBIA, MO 65212
Nurse Practitioner (Family)
ONE HOSPITAL DR
COLUMBIA, MO 65212
Internal Medicine (Gastroenterology)
ONE HOSPITAL DR
COLUMBIA, MO 65212
Nurse Anesthetist, Certified Registered
ONE HOSPITAL DR
COLUMBIA, MO 65212
Specialist (Research Study)
ONE HOSPITAL DR
COLUMBIA, MO 65212
Hospitalist
ONE HOSPITAL DR
COLUMBIA, MO 65212

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 Mirjana Vustar's NPI number?

The NPI number for Mirjana Vustar is 1871514786. It was assigned to this individual provider in the NPPES registry on July 23, 2006. The provider is also known as Mirjana Vustar- Leidy M.D..

Where is Mirjana Vustar located?

Mirjana Vustar practices at One Hospital Dr, Columbia, MO 65212. The listed phone number is (573) 882-2568.

What is Mirjana Vustar's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Pediatric Anesthesiology, with taxonomy code 207LP3000X.

Is Mirjana Vustar enrolled in Medicare?

Yes. Mirjana Vustar is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Mirjana Vustar's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mirjana Vustar reassigns Medicare benefits to 3 organizations: The Curators Of The University Of Missouri (Columbia, MO), Ssm Health Care Group (Saint Louis, MO) and Children's Hospital Los Angeles Medical Group, Inc. (Los Angeles, CA). 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 Mirjana Vustar's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Mirjana Vustar was last updated on March 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.