DR. MARK A MUSCATO MD
NPI 1902852916
Radiology - Diagnostic Radiology in Decatur, IL

Active since May 25, 2006PECOS EnrolledAccepts Medicare Assignment
2300 N EDWARD ST, DECATUR, IL 62526(217) 876-2300(217) 876-6725 Get Directions Write a Review

NPPES record last updated: December 5, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Mark A Muscato Md NPPES

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

DR. MARK A MUSCATO MD (NPI 1902852916) is an individual diagnostic radiology provider in Decatur, Illinois, licensed in Illinois (33675225) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Decatur Memorial Hospital, and is a graduate of Saint Louis University School Of Medicine (1999).

NPPES Registry Identity

NPI1902852916
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameDR. MARK A MUSCATOCredential: MD
Location Address2300 N EDWARD STDecatur, IL 62526-4163
Mailing Address2300 N Edward StDecatur, IL 62526-4163 · (217) 876-2300 · Fax (217) 876-6725
Fax(217) 876-6725
Sole ProprietorNo
Medical School CMSSaint Louis University School Of MedicineGraduated 1999
Enumeration DateMay 25, 2006
Last NPPES UpdateDecember 5, 2007
NPI 1902852916 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License Licensed in IL · 33675225
Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

2300 N EDWARD ST, Decatur, IL 62526

Other Identifiers 2

Medicare UPINI16882IL
Medicare ID-Type UnspecifiedK19934IL

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. Mark A Muscato 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 ID6002885589
PECOS Enrollment IDI20050825000843
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 88

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.

X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
723 services564 patients
Ct scan of abdomen and pelvis with contrast 74177
A CT scan of the abdomen and pelvis with contrast is an imaging procedure. A special dye, called contrast, is used to make certain areas more visible. This can help identify issues such as infections, tumors, or other abnormalities. The procedure is painless and usually takes about 30 minutes.
560 services498 patients
Nuclear medicine study from skull base to mid-thigh with ct scan 78815
A nuclear medicine study from skull base to mid-thigh with a CT scan involves using a small amount of radioactive material and CT imaging to examine body tissues and organs. This helps detect any abnormalities by providing detailed images of the body's internal structure.
507 services439 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
353 services340 patients
Ct scan head or brain without contrast 70450
A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.
351 services333 patients
Ct scan of chest with contrast 71260
A CT scan of the chest with contrast is an imaging procedure. A special dye (contrast) is used to highlight specific areas in your body, providing clearer pictures of your chest. This helps in diagnosing conditions related to your lungs, heart, and other chest structures.
336 services294 patients

Hospital Affiliations CMS Care Compare 5

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

Decatur Memorial Hospital

Acute Care Hospitals · Decatur, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140135
Location2300 North Edward StreetDecatur, IL 62526 · Macon County
Emergency services Birthing friendly

St Marys Hospital

Acute Care Hospitals · Decatur, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140166
Location1800 E Lake Shore DrDecatur, IL 62521 · Macon County
Emergency services Birthing friendly

Hshs St Elizabeth's Hospital

Acute Care Hospitals · O Fallon, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140187
LocationOne St Elizabeth BoulevardO Fallon, IL 62269 · St. Clair County
Emergency services Birthing friendly

Warner Hospital And Health Services

Critical Access Hospitals · Clinton, IL
OwnershipGovernment - Local
CMS Certification Number141303
Location422 W White StClinton, IL 61727 · De Witt County
Emergency services

Pana Community Hospital

Critical Access Hospitals · Pana, IL
OwnershipVoluntary non-profit - Private
CMS Certification Number141341
Location101 E Ninth StreetPana, IL 62557 · Christian County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62526 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
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.

Reported Quality Measures

Appropriate Follow-up Imaging for Incidental Abdominal Lesions
Percentage of final reports for abdominal imaging studies for asymptomatic patients aged 18 years and older with one or more of the following noted incidentally with follow_up imaging recommended: - Liver lesion =< 0.5 cm - Cystic kidney lesion < 1.0 cm -…
Lower rates are better for this measure.
0%485 patients
Appropriate Follow-up Imaging for Incidental Thyroid Nodules in Patients
Percentage of final reports for computed tomography (CT), CT angiography (CTA) or magnetic resonance imaging (MRI) or magnetic resonance angiogram (MRA) studies of the chest or neck for patients aged 18 years and older with no known thyroid disease with a…
Lower rates are better for this measure.
0%33 patients
Nuclear Medicine: Correlation with Existing Imaging Studies for All Patients Undergoing Bone Scintigraphy
Percentage of final reports for all patients, regardless of age, undergoing bone scintigraphy that include physician documentation of correlation with existing relevant imaging studies (e.g., x-ray, MRI, CT, etc.) that were performed
100%84 patients
Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques
Percentage of final reports for patients aged 18 years and older undergoing CT with documentation that one or more of the following dose reduction techniques were used: - Automated exposure control - Adjustment of the mA and/or kV according to patient size -…
100%2,246 patients
Radiology: Exposure Dose or Time Reported for Procedures Using Fluoroscopy
Final reports for procedures using fluoroscopy that document radiation exposure indices, or exposure time and number of fluorographic images (if radiation exposure indices are not available)
99%369 patients4/55-star benchmark: 100%
Radiology: Reminder System for Screening Mammograms
Percentage of patients undergoing a screening mammogram whose information is entered into a reminder system with a target due date for the next mammogram
100%55 patients
Radiology: Stenosis Measurement in Carotid Imaging Reports
Percentage of final reports for carotid imaging studies (neck magnetic resonance angiography [MRA], neck computed tomography angiography [CTA], neck duplex ultrasound, carotid angiogram) performed that include direct or indirect reference to measurements of…
100%111 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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
2300 N EDWARD ST
DECATUR, IL 62526
Nurse Practitioner (Family)
2300 N EDWARD ST
DECATUR, IL 62526
Radiology (Diagnostic Radiology)
2300 N EDWARD ST
DECATUR, IL 62526
Physician Assistant
2300 N EDWARD ST
DECATUR, IL 62526
Dietitian, Registered
2300 N EDWARD ST
DECATUR, IL 62526
Physical Therapist
2300 N EDWARD ST
DECATUR, IL 62526
Nurse Anesthetist, Certified Registered
2300 N EDWARD ST
DECATUR, IL 62526
Anesthesiology
2300 N EDWARD ST
DECATUR, IL 62526

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 Mark Muscato's NPI number?

The NPI number for Mark Muscato is 1902852916. It was assigned to this individual provider in the NPPES registry on May 25, 2006.

Where is Mark Muscato located?

Mark Muscato practices at 2300 N Edward St, Decatur, IL 62526. The listed phone number is (217) 876-2300.

What is Mark Muscato's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Mark Muscato enrolled in Medicare?

Yes. Mark Muscato 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.

Is Mark Muscato affiliated with any hospitals?

According to CMS data, Mark Muscato is affiliated with Decatur Memorial Hospital, St Marys Hospital, Hshs St Elizabeth's Hospital, Warner Hospital And Health Services and Pana Community Hospital.

When was this NPI record last updated?

The NPPES record for Mark Muscato was last updated on December 5, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.